对比远程医疗和面对面的临床评估对于儿科泌尿病的担忧
Trang Duong1, Kathleen Kieran2
1Division of Urology, Seattle Children's Hospital, Seattle, Washington.
The Journal of surgical research
|December 6, 2023
概括
儿科泌尿器科的远程医疗访问收集了更多的病史,但对身体检查的全面性不如面对面的访问. 远程医疗可能需要更多的后续预约,影响护理目标.
科学领域:
- 医疗信息学 医疗信息学
- 儿科泌尿外科 儿科泌尿外科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 远程医疗为公平获得医疗保健提供了潜力,特别是在服务不足的地区.
- 患者和提供者对远程医疗的满意度通常很高.
- 远程医疗的临床有效性与面对面的访问相比仍在调查中.
研究的目的:
- 为了比较历史记录,体检和随访建议,新的儿科泌尿病患者通过远程医疗与面对面访问.
主要方法:
- 一项横截面研究追溯审查了儿童医院的患者病历.
- 数据包括人口统计,当前疾病史,体检的完整性和后续计划.
- 通过远程医疗观察的患者与亲自观察的患者进行了比较.
主要成果:
- 远程医疗患者有更多记录的病史组件 (4对3,P<0.0001).
- 面对面的访问有更全面的体检 (12 vs 2 系统,P < 0.0001).
- 远程医疗访问不太可能导致出院 (2.7%与16.5%相比),更可能需要随访 (39.1%与23.2%,P < 0.0001).
结论:
- 儿科泌尿外科远程医疗咨询捕获了更多的病史,但更少的体检细节.
- 远程医疗访问可能需要进一步的面对面评估.
- 护理目标应该指导远程医疗和面对面咨询之间的选择.
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