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Parent Perceptions of Telemedicine for Acute Pediatric Respiratory Tract Infections: Sequential Mixed Methods Study
Sarah K Burns1, Tamar Krishnamurti2, Tran T Doan1
1Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States.
JMIR Pediatrics and Parenting
|January 16, 2024
Summary
Parents prefer primary care telemedicine over direct-to-consumer options for pediatric acute respiratory tract infections, citing concerns about quality and trustworthiness in DTC models. This highlights a need for improved telemedicine quality in commercial platforms.
Area of Science:
- Pediatric healthcare
- Telemedicine utilization
- Health services research
Background:
- Parental use of telemedicine for pediatric acute care has increased since 2020.
- Decision-making factors for choosing telemedicine versus other care sites for acute pediatric conditions remain unclear.
- Acute respiratory tract infections (ARTIs) are a common reason for seeking acute pediatric care.
Purpose of the Study:
- To examine parental expectations for telemedicine care for pediatric ARTIs.
- To contrast parental expectations between primary care telemedicine and direct-to-consumer (DTC) telemedicine.
Main Methods:
- A sequential mixed methods analysis was conducted.
- Semistructured interviews explored parental perceptions of telemedicine for pediatric ARTIs.
- A national survey assessed parental expectations across telemedicine and in-person care sites.
Main Results:
- Factors like access and affordability incentivized telemedicine use, while perceived illness severity and clinician quality acted as disincentives.
- Primary care and DTC telemedicine were rated similarly for access and affordability.
- Parents rated primary care telemedicine higher than DTC telemedicine for expected quality of care.
Conclusions:
- Parents express greater quality concerns regarding commercial DTC telemedicine compared to primary care-based telemedicine for pediatric ARTIs.
- Findings can inform health systems in designing family-centered telemedicine initiatives.
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