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Parent-Reported Use of Pediatric Primary Care Telemedicine: Survey Study.
Ray, Kristin N; Wittman, Samuel R; Burns, Sarah; Doan, Tran T; Schweiberger, Kelsey A; Yabes, Jonathan G; Hanmer, Janel; Krishnamurti, Tamar.
Afiliación
  • Ray KN; Department of Pediatrics, University of Pittsburgh, Pittsburgh, PA, United States.
  • Wittman SR; Department of Pediatrics, University of Pittsburgh, Pittsburgh, PA, United States.
  • Burns S; Department of Pediatrics, University of Pittsburgh, Pittsburgh, PA, United States.
  • Doan TT; Department of Pediatrics, University of Pittsburgh, Pittsburgh, PA, United States.
  • Schweiberger KA; Department of Pediatrics, University of Pittsburgh, Pittsburgh, PA, United States.
  • Yabes JG; Department of Medicine, University of Pittsburgh, Pittsburgh, PA, United States.
  • Hanmer J; Department of Medicine, University of Pittsburgh, Pittsburgh, PA, United States.
  • Krishnamurti T; Department of Medicine, University of Pittsburgh, Pittsburgh, PA, United States.
J Med Internet Res ; 25: e42892, 2023 02 09.
Article en En | MEDLINE | ID: mdl-36757763
BACKGROUND: Telemedicine delivered from primary care practices became widely available for children during the COVID-19 pandemic. OBJECTIVE: Focusing on children with a usual source of care, we aimed to examine factors associated with use of primary care telemedicine. METHODS: In February 2022, we surveyed parents of children aged ≤17 years on the AmeriSpeak panel, a probability-based panel of representative US households, about their children's telemedicine use. We first compared sociodemographic factors among respondents who did and did not report a usual source of care for their children. Among those reporting a usual source of care, we used Rao-Scott F tests to examine factors associated with parent-reported use versus nonuse of primary care telemedicine for their children. RESULTS: Of 1206 respondents, 1054 reported a usual source of care for their children. Of these respondents, 301 of 1054 (weighted percentage 28%) reported primary care telemedicine visits for their children. Factors associated with primary care telemedicine use versus nonuse included having a child with a chronic medical condition (87/301, weighted percentage 27% vs 113/753, 15%, respectively; P=.002), metropolitan residence (262/301, weighted percentage 88% vs 598/753, 78%, respectively; P=.004), greater internet connectivity concerns (60/301, weighted percentage 24% vs 116/753, 16%, respectively; P=.05), and greater health literacy (285/301, weighted percentage 96% vs 693/753, 91%, respectively; P=.005). CONCLUSIONS: In a national sample of respondents with a usual source of care for their children, approximately one-quarter reported use of primary care telemedicine for their children as of 2022. Equitable access to primary care telemedicine may be enhanced by promoting access to primary care, sustaining payment for primary care telemedicine, addressing barriers in nonmetropolitan practices, and designing for lower health-literacy populations.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Telemedicina / COVID-19 Límite: Child / Humans Idioma: En Revista: J Med Internet Res Asunto de la revista: INFORMATICA MEDICA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Canadá

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Telemedicina / COVID-19 Límite: Child / Humans Idioma: En Revista: J Med Internet Res Asunto de la revista: INFORMATICA MEDICA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Canadá