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10.1016/j.jpeds.2021.06.036

http://scihub22266oqcxt.onion/10.1016/j.jpeds.2021.06.036
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34174247!8564722!34174247
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suck abstract from ncbi


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pmid34174247      J+Pediatr 2021 ; 237 (ä): 115-124.e2
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  • Impact of Social Determinants and Digital Literacy on Telehealth Acceptance for Pediatric Cardiology Care Delivery during the Early Phase of the COVID-19 Pandemic #MMPMID34174247
  • Baker-Smith CM; Sood E; Prospero C; Zadokar V; Srivastava S
  • J Pediatr 2021[Oct]; 237 (ä): 115-124.e2 PMID34174247show ga
  • OBJECTIVES: To determine whether telehealth acceptance by parents of children with heart disease is predicted by sociodemographic and/or by parental digital literacy, and to assess parental perceptions of telehealth usability and reliability. STUDY DESIGN: We conducted a single center study comparing telehealth acceptance versus visit cancellation/rescheduling for pediatric cardiology visits during the early phase of the COVID-19 pandemic. All parent/guardians who consented to survey completion received a validated survey assessing their digital literacy. Consenting parents who accepted telehealth received an additional validated survey assessing their perceptions of telehealth usability and reliability. RESULTS: A total of 849 patients originally were scheduled for in-person visits between March 30 and May 8, 2020. Telehealth acceptance was highest among younger, publicly insured, Hispanic patients with primary diagnoses of arrhythmia/palpitations, chest pain, dysautonomia, dyslipidemia and acquired heart disease. Among parents who completed surveys, a determinant of telehealth acceptance was digital literacy. Telehealth was determined to be a usable and reliable means for health care delivery. CONCLUSION: Although the potential for inequitable selection of telehealth due to sociodemographic factors exists, we found that such factors were not a major determinant for pediatric cardiology care within a large, diverse, free-standing pediatric hospital.
  • |Adolescent[MESH]
  • |COVID-19/epidemiology[MESH]
  • |Cardiology/organization & administration[MESH]
  • |Child[MESH]
  • |Child, Preschool[MESH]
  • |Computer Literacy/*statistics & numerical data[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Pandemics[MESH]
  • |Parents[MESH]
  • |Patient Acceptance of Health Care/*statistics & numerical data[MESH]
  • |SARS-CoV-2[MESH]
  • |Social Determinants of Health/*statistics & numerical data[MESH]
  • |Surveys and Questionnaires[MESH]


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