远程医疗随访咨询对小儿急性中耳炎的影响——中国广东省深圳市，2023 - 2024年
Effect of Telehealth Follow-up Consultation in Pediatric Acute Otitis Media - Shenzhen City, Guangdong Province, China, 2023-2024.
作者信息
Huang Yuzhang, Qi Shige, Liu Shaoshan, Pan Zhongying, Siu Brian, Shi Leiyu
机构信息
Department of Health Policy Management, Johns Hopkins University Bloomberg School of Public Health, United States.
Shenzhen United Family Hospital, Shenzhen City, Guangdong Province, China.
出版信息
China CDC Wkly. 2025 Feb 28;7(9):293-297. doi: 10.46234/ccdcw2025.047.
WHAT IS ALREADY KNOWN ABOUT THIS TOPIC?: Between 50% and 85% of children experience at least one episode of acute otitis media (AOM) by age three. Since the coronavirus disease 2019 (COVID-19) pandemic, numerous hospitals across China have integrated telehealth solutions into their pediatric care services.
WHAT IS ADDED BY THIS REPORT?: Our study found patients with ear pain relief was 84% in the telehealth follow-up group compared to 81% in the in-person follow-up group, showing no statistically significant difference (=0.57). Hearing loss was documented in 21 cases from the telehealth group and 23 cases from the in-person follow-up group (=0.73). Patient satisfaction scores were comparable between groups, with mean scores of 4.47 for telehealth and 4.49 for in-person follow-up (=0.87). Multivariate regression revealed no significant difference in patient satisfaction between telehealth and in-person follow-up (=0.21).
WHAT ARE THE IMPLICATIONS FOR PUBLIC HEALTH PRACTICE?: Telehealth services can effectively bridge geographical healthcare disparities while optimizing pediatric care delivery systems.
关于该主题已知的信息有哪些？：到三岁时，50%至85%的儿童至少经历过一次急性中耳炎（AOM）发作。自2019年冠状病毒病（COVID-19）大流行以来，中国各地的众多医院已将远程医疗解决方案纳入其儿科护理服务中。
本报告新增了哪些内容？：我们的研究发现，远程医疗随访组中耳痛缓解的患者比例为84%，而面对面随访组为81%，差异无统计学意义（P=0.57）。远程医疗组有21例记录有听力损失，面对面随访组有23例（P=0.73）。两组患者满意度得分相当，远程医疗的平均得分为4.47，面对面随访的平均得分为4.49（P=0.87）。多变量回归显示，远程医疗和面对面随访之间患者满意度无显著差异（P=0.21）。
对公共卫生实践有何启示？：远程医疗服务可以有效弥合地理上的医疗差距，同时优化儿科护理提供系统。
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