儿童急性中耳炎远程健康随访会诊效果——2023-2024年中国广东省深圳市

IF 2.9 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 中国疾病预防控制中心周报 Pub Date : 2025-02-28 DOI:10.46234/ccdcw2025.047
Yuzhang Huang, Shige Qi, Shaoshan Liu, Zhongying Pan, Brian Siu, Leiyu Shi
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引用次数: 0

摘要

关于这个话题我们已经知道了什么?50%至85%的儿童在3岁之前至少经历过一次急性中耳炎(AOM)。自2019冠状病毒病(COVID-19)大流行以来,中国许多医院已将远程医疗解决方案纳入其儿科护理服务。这份报告增加了什么内容?我们的研究发现,远程医疗随访组患者耳痛缓解率为84%,现场随访组为81%,差异无统计学意义(P=0.57)。远程医疗组有21例听力损失,现场随访组有23例(P=0.73)。两组患者满意度得分具有可比性,远程医疗的平均得分为4.47分,面对面随访的平均得分为4.49分(P=0.87)。多因素回归显示远程医疗与现场随访患者满意度差异无统计学意义(P=0.21)。这对公共卫生实践有什么影响?远程保健服务可以有效地弥合地理上的保健差距,同时优化儿科保健提供系统。
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Effect of Telehealth Follow-up Consultation in Pediatric Acute Otitis Media - Shenzhen City, Guangdong Province, China, 2023-2024.

What is already known about this topic?: Between 50% and 85% of children experience at least one episode of acute otitis media (AOM) by age three. Since the coronavirus disease 2019 (COVID-19) pandemic, numerous hospitals across China have integrated telehealth solutions into their pediatric care services.

What is added by this report?: Our study found patients with ear pain relief was 84% in the telehealth follow-up group compared to 81% in the in-person follow-up group, showing no statistically significant difference (P=0.57). Hearing loss was documented in 21 cases from the telehealth group and 23 cases from the in-person follow-up group (P=0.73). Patient satisfaction scores were comparable between groups, with mean scores of 4.47 for telehealth and 4.49 for in-person follow-up (P=0.87). Multivariate regression revealed no significant difference in patient satisfaction between telehealth and in-person follow-up (P=0.21).

What are the implications for public health practice?: Telehealth services can effectively bridge geographical healthcare disparities while optimizing pediatric care delivery systems.

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