%0期刊文章%@ 2561- 6722% I JMIR出版物%V 4%卡塔尔世界杯8强波胆分析 N 4% P e32708% T COVID-19大流行期间青少年医疗保健服务的可接受性、可行性和质量:病人和家庭经历的横断面研究%A Wood,Sarah M %A Pickel,Julia Phillips,Alexis W %A Baber,Kari A Chuo,John A Maleki, peah A Faust,Haley L %A Petsis,Danielle A Apple,Danielle E %A Dowshen,Nadia A Schwartz,Lisa A +儿科，宾夕法尼亚大学佩雷尔曼医学院，3401 Civic Center Blvd。，费城，宾夕法尼亚州，19104，美国，1 215 590 1000,woodsa@chop.edu %K远程医疗%K远程医疗%K青少年%K COVID-19 %K可接受性%K可行性%K年轻人%K青少年%K横断面%K患者经验%K经验%K效率%K公平%K调查%D 2021 %7 15.11.2021 %9原始论文%J JMIR儿科父母%G英语%X背景:缺乏有关青少年和青壮年(AYA)及其父母和照顾者(照顾者)远程保健的可接受性、可行性和质量的数据。目的:本研究的目的是通过比较可接受性与效率、有效性、公平性、以患者为中心和保密性，评估远程医疗与面对面访问的非劣效性。方法:在2020年5月至7月在青少年医学亚专科诊所进行视频访问后，向护理人员和AYA发送横断面网络调查。使用卡方检验比较AYA和护理人员对远程医疗的评价为非次等的比例。可行性通过衡量技术难度的项目进行评估。使用医学研究所卫生保健质量维度的演绎专题分析被用于编码开放式问题的回答。结果:AYA调查回复率为20.5%(55/268)，护理人员调查回复率为21.8%(123/563)。 The majority of the respondents were White cisgender females. Most AYA and caregivers rated telehealth as noninferior to in-person visits with respect to confidentiality, communication, medication management, and mental health care. A higher proportion of AYA compared to caregivers found telehealth inferior with respect to confidentiality (11/51, 22% vs 3/118, 2.5%, P<.001). One-quarter (14/55) of the AYA patients and 31.7% (39/123) of the caregivers reported technical difficulties. The dominant themes in the qualitative data included advantages of telehealth for efficiency and equity of health care delivery. However, respondents’ concerns included reduced safety and effectiveness of care, particularly for patients with eating disorders, owing to lack of hands-on examinations, collection of vital signs, and laboratory testing. Conclusions: Telehealth was highly acceptable among AYA and caregivers. Future optimization should include improving privacy, ameliorating technical difficulties, and standardizing at-home methods of obtaining patient data to assure patient safety. %M 34779782 %R 10.2196/32708 %U https://pediatrics.www.mybigtv.com/2021/4/e32708 %U https://doi.org/10.2196/32708 %U http://www.ncbi.nlm.nih.gov/pubmed/34779782