@文章{信息:doi/10.2196/34115，作者="McCrady, Emma and Strychowsky, Julie E and Woolfson, Jessica P"，标题=" COVID-19大流行期间儿科医生和儿科外科医生的虚拟护理经验:描述研究"，期刊="JMIR儿科家长"，年="2022"，月="Jun"，日="15"，卷="5"，数="2"，页数="e34115"，关键词="虚拟护理;基于web的护理;COVID-19;儿科;大流行;医生;数字健康;儿科医生;背景:在COVID-19大流行之前，门诊访问是我们中心儿科医生和外科医生的标准护理。在大流行开始时，以前所未有的规模和速度采用了基于网络的护理。 Objective: This descriptive study explores the web-based care experience of pediatric physicians and surgeons during the pandemic by determining factors that supported and challenged web-based care adoption. Methods: This study took place at the Children's Hospital at London Health Sciences Centre, a children's hospital in London, Ontario, Canada, which provides pediatric care for patients from the London metropolitan area and the rest of Southwestern Ontario. The Donabedian model was used to structure a web-based survey evaluating web-based care experience, which was distributed to 121 department-affiliated pediatric physicians (including generalists and subspecialists in surgery and medicine). Recruitment occurred via department listserv email. Qualitative data were collected through discrete and free-text survey responses. Results: Survey response rate was 52.1{\%} (63/121). Before the pandemic, few physicians within the Department of Paediatrics used web-based care, and physicians saw <10{\%} of patients digitally. During March-May 2020, the majority transitioned to web-based care, seeing >50{\%} of patients digitally. Web-based care use in our sample fell from June to September 2020, with the majority seeing <50{\%} of patients digitally. Telephone and Ontario Telemedicine Network were the platforms most used from March to September 2020. Web-based care was rated to be convenient for most providers and their patients, despite the presence of technical difficulties. Challenges included lack of physical exam, lower patient volumes, and poor patient digital care etiquette. Regardless of demographics, 96.4{\%} (116/121) would continue web-based care, ideally for patients who live far away and for follow-ups or established diagnoses. Conclusions: Transition to web-based care during COVID-19 was associated with challenges but also positive experiences. Willingness among pediatricians and pediatric surgeons to continue web-based care was high. Web-based care experiences at our center could be improved with patient education and targeting select populations. Future research is needed to improve practice efficiency and to inform regulatory guidelines for web-based care. ", issn="2561-6722", doi="10.2196/34115", url="https://pediatrics.www.mybigtv.com/2022/2/e34115", url="https://doi.org/10.2196/34115", url="http://www.ncbi.nlm.nih.gov/pubmed/35666938" }