@文章{信息:doi/10.2196/35643，作者=“Sakakibara, Koichi and Shigemi, Daisuke and Toriumi, Rena and Ota, Ai and Michihata, Nobuaki and Yasunaga, Hideo”，标题=“基于远程医疗服务用户数据的日本妇产科远程医疗聊天、语音通话或视频通话后急诊就诊和住院情况:横断面研究”，期刊=“J Med Internet Res”，年=“2022”，月=“Sep”，日=“23”，卷=“24”，数=“9”，页=“e35643”，关键词=“eHealth”;妇科;聊天信息;移动健康;移动健康;妇产科;安全;远程医疗;远程医疗;视频通话; voice call", abstract="Background: In obstetric and gynecologic practices, synchronous telehealth services via chat message, voice calls, and video calls have been increasingly equipped to improve patients' health care accessibility and clinical outcomes. Nevertheless, differences in clinical outcomes between communication tools remain unknown, especially in terms of safety. Objective: This study compared the occurrence of emergency visits and hospitalization after telehealth services through different communication tools, including chat messages, voice calls, and video calls. Methods: We collected data on obstetric and gynecologic concerns of women who consulted specialized doctors and midwives through a telehealth consulting service in Japan (Sanfujin-ka Online) between January 1, 2019, and December 31, 2020. The outcomes were emergency visits or hospitalizations at night after the consultation. Chi-square test and multivariate logistic regression analysis were performed to compare the clinical outcomes between the groups who received telehealth services via chat message, voice calls, and video calls. Results: This study included 3635 participants. The mean age of the participants was 31.4 (SD 5.7) years, and the largest age group (n=2154, 59.3{\%}) was 30-39 years. The numbers (or proportions) of those who received telehealth services via chat message, voice calls, and video calls were 1584 (43.5{\%}), 1947 (53.6{\%}), and 104 (2.9{\%}), respectively. The overall incidence of the outcome was 0.7{\%} (26/3635), including 10 (0.3{\%}) cases of chat message, 16 (0.5{\%}) cases of voice calls, and no video calls. There were no emergency visits that happened due to inappropriate advice. No significant difference in the proportions of the outcomes was observed between the communication tools (P=.55). The multivariate logistic regression analysis showed no significant differences in the outcome between those who used chat message and those who used voice calls (odds ratio 1.63, 95{\%} CI 0.73-3.65). Conclusions: The communication tools of telehealth services in obstetrics and gynecology did not show a significant difference in terms of emergency visits or hospitalizations after using the service. ", issn="1438-8871", doi="10.2196/35643", url="//www.mybigtv.com/2022/9/e35643", url="https://doi.org/10.2196/35643", url="http://www.ncbi.nlm.nih.gov/pubmed/36149744" }