TY - JOUR AU - Wood, Sarah M AU - Pickel, Julia AU - Phillips, Alexis W AU - Baber, Kari AU - Chuo, John AU - Maleki, Pegah AU - Faust, Haley L AU - Petsis, Danielle AU - Apple, Danielle E AU - Dowshen, Nadia AU - Schwartz, Lisa A PY - 2021 DA - 201/11/15 TI - COVID-19大流行期间青少年医疗保健远程医疗服务的可接受性、可行性和质量:患者和家庭经验的横断面研究JO - JMIR儿科父母SP - e32708 VL - 4 IS - 4kw -远程医疗KW -远程医疗KW -青少年KW - COVID-19 KW -可接受度KW -可行性KW -年轻成人KW -青少年KW -横断面KW -患者经验KW -经验KW -效率KW -公平KW -调查AB -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)。大多数受访者是白人顺性别女性。 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. SN - 2561-6722 UR - https://pediatrics.www.mybigtv.com/2021/4/e32708 UR - https://doi.org/10.2196/32708 UR - http://www.ncbi.nlm.nih.gov/pubmed/34779782 DO - 10.2196/32708 ID - info:doi/10.2196/32708 ER -