Miyamoto Sheridan, Delwiche Jennifer, Mareboina Manvita, Hur Yoon S, Greninger Elizabeth
Ross and Carol Nese College of Nursing and the Child Maltreatment Solutions Network, University Park, Pennsylvania, USA.
Sexual Assault Forensic Examination Telehealth (SAFE-T) Center, University Park, Pennsylvania, USA.
Telemed J E Health. 2025 Apr;31(4):424-430. doi: 10.1089/tmj.2024.0461. Epub 2024 Nov 22.
Telehealth shows promise in increasing access to specialty care for individuals who experience sexual assault. This study analyzed 466 cases from rural and urban hospitals between September 2018 and March 2024, examining telehealth acceptability rates and reasons for declination. Of 362 eligible cases, 89.5% accepted telehealth consultation. Among those who declined, 65.8% were not given the opportunity to interact with a telehealth sexual assault nurse examiner (teleSANE) during decision-making. These findings indicate high acceptability of forensic sexual assault telehealth and suggest that providing patients the opportunity to interact with teleSANEs before deciding may further increase acceptance. The study contributes to understanding telehealth's viability for sexual assault care across diverse settings and demographics, supporting the potential of teleSANE programs to enhance equitable access to specialty care, particularly in underserved areas. This research addresses gaps in existing literature by exploring acceptability in a wide range of settings, demographics, and circumstances.
远程医疗有望增加遭受性侵犯者获得专科护理的机会。本研究分析了2018年9月至2024年3月期间来自农村和城市医院的466例病例，考察了远程医疗的接受率和拒绝原因。在362例符合条件的病例中，89.5%接受了远程医疗咨询。在拒绝的患者中，65.8%在决策过程中没有机会与远程医疗性侵犯护士检查官（teleSANE）互动。这些发现表明法医性侵犯远程医疗的接受度很高，并表明在决定前为患者提供与teleSANE互动的机会可能会进一步提高接受率。该研究有助于理解远程医疗在不同环境和人群中性侵犯护理方面的可行性，支持teleSANE项目增强专科护理公平可及性的潜力，特别是在服务不足的地区。本研究通过在广泛的环境、人群和情况下探索接受度，填补了现有文献的空白。
