TY -的盟McCrady艾玛盟——Strychowsky朱莉E AU -沃尔夫森,杰西卡·P PY - 2022 DA - 2022/6/15 TI -经验的儿科医生和儿科医生与虚拟保健COVID-19大流行期间:描述性研究乔- JMIR Pediatr父SP - e34115六世- 5 - 2 KW -虚拟保健KW -基于web的保健KW - COVID-19 KW -儿科KW -流行KW -医生KW -数字医疗KW -儿科医生KW -远程医疗AB -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。目的:本描述性研究通过确定支持和挑战网络护理采用的因素，探讨了大流行期间儿科医生和外科医生的网络护理体验。方法:这项研究在伦敦健康科学中心的儿童医院进行，这是一家位于加拿大安大略省伦敦市的儿童医院，为来自伦敦大都会地区和安大略省西南部其他地区的患者提供儿科护理。多纳伯迪安模型用于构建基于网络的调查，评估基于网络的护理体验，该调查分发给121名科室附属的儿科医生(包括外科和医学的全科医生和亚专科医生)。招聘通过部门列表服务电子邮件进行。定性数据通过离散和自由文本的调查反应收集。结果:问卷回复率为52.1%(63/121)。在大流行之前，儿科部门的医生很少使用基于网络的护理，医生通过数字方式看病的患者不到10%。 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. SN - 2561-6722 UR - https://pediatrics.www.mybigtv.com/2022/2/e34115 UR - https://doi.org/10.2196/34115 UR - http://www.ncbi.nlm.nih.gov/pubmed/35666938 DO - 10.2196/34115 ID - info:doi/10.2196/34115 ER -