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根据 COVID-19 大流行期间儿童和青少年的意见对儿科远程医疗的满意度:文献综述。

Satisfaction with pediatric telehealth according to the opinions of children and adolescents during the COVID-19 pandemic: A literature review.

机构信息

College of Health Sciences, University of Michigan-Flint, Flint, MI, United States.

Institute for Healthcare Policy and Innovation, University of Michigan-Ann Arbor, Ann Arbor, MI, United States.

出版信息

Front Public Health. 2023 Apr 6;11:1145486. doi: 10.3389/fpubh.2023.1145486. eCollection 2023.

Abstract

OBJECTIVE

To review satisfaction with telehealth among children and adolescents based on their own opinions during the COVID-19 pandemic.

METHODS

In the PubMed, CINAHL, PsycINFO, and Embase databases, we searched for peer-reviewed studies in English on satisfaction with telehealth among children and adolescents (rather than parents). Both observational studies and interventions were eligible. The review was categorized as a mini review because it focused on the limited time frame of the COVID-19 pandemic. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Reviewers extracted information from each study and assessed risk of bias.

RESULTS

A total of 14 studies were eligible. Studies were conducted in Australia, Canada, Italy, Israel, Poland, South Korea, the United Kingdom, and the United States. They focused on a variety of health conditions. Two of the 14 studies were interventions. Participants expressed high satisfaction with video and telephone visits and home telemonitoring while also preferring a combination of in-person visits and telehealth services. Factors associated with higher satisfaction with telehealth included greater distance from the medical center, older age, and lower anxiety when using telehealth. In qualitative studies, preferred telehealth features among participants included: a stable Internet connection and anonymity and privacy during telehealth visits.

CONCLUSION

Telehealth services received favorable satisfaction ratings by children and adolescents. Randomized-controlled trials on the effectiveness of pediatric telehealth services compared to non-telehealth services may assess improvements in satisfaction and health outcomes.

摘要

目的

基于儿童和青少年在 COVID-19 大流行期间的自身观点,回顾他们对远程医疗的满意度。

方法

我们在 PubMed、CINAHL、PsycINFO 和 Embase 数据库中搜索了有关儿童和青少年(而非父母)对远程医疗满意度的同行评议研究,这些研究均为英文发表。观察性研究和干预措施均可入选。由于本综述重点关注 COVID-19 大流行的有限时间框架,因此被归类为小型综述。我们遵循了系统评价和荟萃分析的 Preferred Reporting Items 指南。审查员从每项研究中提取信息并评估偏倚风险。

结果

共有 14 项研究符合条件。这些研究在澳大利亚、加拿大、意大利、以色列、波兰、韩国、英国和美国进行,研究对象涵盖了各种健康状况。14 项研究中有 2 项为干预措施。参与者对视频和电话就诊以及家庭远程监测表示高度满意,同时也更喜欢将面对面就诊和远程医疗服务相结合。与远程医疗满意度较高相关的因素包括与医疗中心的距离较远、年龄较大以及使用远程医疗时的焦虑程度较低。在定性研究中,参与者对远程医疗的偏好特征包括:稳定的互联网连接以及远程医疗就诊期间的匿名性和隐私性。

结论

远程医疗服务受到儿童和青少年的好评。将儿科远程医疗服务与非远程医疗服务的有效性进行随机对照试验,可能会评估满意度和健康结果的改善。

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