对于急性儿科呼吸道感染的远程医疗的家长感知:顺序混合方法研究研究
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
概括
父母更喜欢小儿急性呼吸道感染的初级保健远程医疗,而不是直接向消费者提供的选择,他们担心DTC模型的质量和可靠性. 这凸显了在商业平台上改善远程医疗质量的需要.
科学领域:
- 儿科医疗保健服务 儿科医疗保健服务
- 远程医疗的利用
- 医疗服务研究 医疗服务研究
背景情况:
- 自2020年以来,家长在儿科急性护理中使用远程医疗的数量有所增加.
- 对于选择远程医疗与其他急性儿科病情护理场所的决策因素仍然不清楚.
- 急性呼吸道感染 (ARTIs) 是寻求急性儿科护理的常见原因.
研究的目的:
- 检查家长对儿科ARTIs远程医疗护理的期望.
- 在初级保健远程医疗和直接向消费者 (DTC) 远程医疗之间对比家长的期望.
主要方法:
- 进行了一次性的混合方法分析.
- 半结构面试探讨了家长对儿科ARTIs远程医疗的看法.
- 一项全国性调查评估了家长对远程医疗和面对面的护理网站的期望.
主要成果:
- 诸如获取和负担能力等因素激励了远程医疗的使用,而感知到的疾病严重程度和临床医生的质量则起到了阻碍作用的作用.
- 初级保健和DTC远程医疗在获取和负担能力方面被评为相似的.
- 对于预期的护理质量,家长对初级保健远程医疗的评价高于DTC远程医疗.
结论:
- 父母对商业DTC远程医疗的质量表示更大的担忧,而不是针对儿科ARTIs的初级保健远程医疗.
- 这些发现可以帮助卫生系统设计以家庭为中心的远程医疗计划.
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