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首页> 外文期刊>Frontiers in Pediatrics >Attitudes and Perceptions of Telemedicine in Response to the COVID-19 Pandemic: A Survey of Na?ve Healthcare Providers
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Attitudes and Perceptions of Telemedicine in Response to the COVID-19 Pandemic: A Survey of Na?ve Healthcare Providers

机译：远程医疗对Covid-19大流行的态度和看法：NA ve Healthcare提供者的调查

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Introduction: Expansion of telemedicine enabled healthcare access during the COVID-19 pandemic. In response to in-person visit restrictions, our institution trained 1,000 clinicians in telemedicine. Little is known about telemedicine-na?ve pediatric healthcare provider's perceptions as they adopted telemedicine practice. Methods: We conducted a cross-sectional survey of clinicians after expanding telemedicine practice at an independent children's hospital. The survey assessed experience with, concerns about, and intentions to continue telemedicine. Outpatient providers were included if they were first trained for telemedicine in response to COVID-19 and conducted at least one video visit, 3/21/2020–6/30/2020. Descriptive statistics were calculated; perceptions were compared across telemedicine activity level quartiles (based on proportions of visits delivered by video in June 2020) using Fisher's exact tests. Results: Of 609 survey responses, 305 (50.1%) met inclusion criteria, representing various roles and disciplines. Over half (54.1%) conducted 20 video visits 3/21/2020–6/30/2020. More than 75% of providers found telemedicine easy to learn. Providers with greater proportions of video visits in a typical week in June reported greater ease of incorporating telemedicine into clinical practice and greater intention to continue telemedicine practice in 6 months. Nearly all providers endorsed concerns. Patient care experiences reinforced technology-related concerns and alleviated liability and privacy concerns. Payer reimbursement was the leading influencer of anticipated future use of telemedicine. Discussion: Providers who conducted more telemedicine encounters reported greater ease of incorporating telemedicine into practice. Provider concerns were influenced by patient care experiences. Targeted training and quality improvement strategies are needed to sustain a robust post-pandemic telemedicine program.
机译：简介：在Covid-19大流行期间，在Covid-19流行期间扩展了远程医疗机会的医疗保健。为了回应亲自访问限制，我们的机构在远程医疗中培训了1,000名临床医生。对远程医疗 - Na？ve儿科医疗保健提供者的看法知之甚少，因为他们采用远程医疗练习。方法：在独立儿童医院扩大远程医疗后，我们对临床医生进行了横断面调查。调查评估了对继续远程医疗的担忧和意图的经验。如果他们首次为远程医疗培训，则包含门诊提供商，以应对Covid-19，并进行至少一个视频访问，3 / 21/2020-6 / 30/2020。计算统计数据;在远程媒体活动水平四分位数中比较了感知（基于6月2020年6月通过视频提供的访问量）使用Fisher的确切测试。结果：609调查响应，305（50.1％）符合纳入标准，代表各种角色和学科。超过一半（54.1％）进行＆ 20视频访问3 / 21/2020-6 / 30/2020。超过75％的提供商发现远程医疗易于学习。 6月典型一周中具有更大比例的视频访问的提供商据报道，易于将远程医疗纳入临床实践，并更大的意图在6个月内继续远程医疗实践。几乎所有提供商都赞同关注。患者护理经历加强技术相关的关注和缓解责任和隐私问题。付款人报销是预期未来使用远程医疗的主要影响因素。讨论：进行更多远程医疗遭遇的提供者据报道，易于将远程医疗合并到实践中。提供商关注受患者护理经历的影响。需要有针对性的培训和质量改善策略来维持强大的大流行后远程医疗计划。

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