%0期刊文章%@ 1438-8871 %I JMIR出版物%V 24%卡塔尔世界杯8强波胆分析 N 6% P e33981 %T急诊部门对卒中与儿科护理的远程医疗采用:观察性研究%A Zachrison,Kori S %A Hayden,Emily M %A Boggs,Krislyn M %A Boyle,Tehnaz P %A Gao,Jingya - kalow,Margaret E %A Marcin,James P %A Camargo Jr,Carlos A %+急诊医学部，马萨诸塞州总医院，55 Fruit Street, MA, 02114，美国，1 6177266636,kzachrison@partners.org %K远程医疗%K远程医疗%K中风%K儿科护理%D 2022 %7 20.6.2022 %9原始论文%J J Med Internet Res %G英文%X背景:远程医疗用于紧急中风护理(远程中风)已被广泛采用，使许多医院获得了中风中心认证。远程医疗在儿科紧急护理中的应用还不太广泛。目的:我们的主要目的是确定政策或认证要求的差异是否导致了远程卒中与儿科远程医疗的差异。我们假设，基于患者数量、院前路由政策和认证要求的差异，财务激励的差异促成了急诊部门(ED)对远程卒中和儿科远程医疗的不同采用。方法:我们使用2016年美国国家急诊科清单来确定使用远程卒中和儿科远程医疗服务的急诊科。我们调查了所有使用儿科远程医疗服务的急诊科(n=339)和1758名使用远程中风服务的急诊科(n=366)的便利样本。调查描述了急诊科人员配置、转移模式、采用原因和使用频率。我们使用双变量比较来检查仅提供远程中风服务的急诊科、仅提供儿科远程医疗服务或两者兼有的急诊科之间采用和使用原因的差异。 Results: Of the 442 EDs surveyed, 378 (85.5%) indicated use of telestroke, pediatric telehealth, or both. EDs with both services were smaller in bed size, volume, and ED attending coverage than those with only telestroke services or only pediatric telehealth services. EDs with telestroke services reported more frequent use, overall, than EDs with pediatric telehealth services: 14.1% (45/320) of EDs with telestroke services reported weekly use versus 2.9% (8/272) of EDs with pediatric telehealth services (P<.001). In addition, 37 out of 272 (13.6%) EDs with pediatric telehealth services reported no consults in the past year. Across applications, the most frequently selected reason for adoption was “improving level of clinical care.” Policy-related reasons (ie, for compliance with outside certification or standards or for improving ED performance on quality metrics) were rarely indicated as the most important, but these reasons were indicated slightly more often for telestroke adoption (12/320, 3.8%) than for pediatric telehealth adoption (1/272, 0.4%; P=.003). Conclusions: In 2016, more US EDs had telestroke services than pediatric telehealth services; among EDs with the technology, consults were more frequently made for stroke than for pediatric patients. The most frequently indicated reason for adoption among all EDs was related to clinical care. %M 35723927 %R 10.2196/33981 %U //www.mybigtv.com/2022/6/e33981 %U https://doi.org/10.2196/33981 %U http://www.ncbi.nlm.nih.gov/pubmed/35723927