title: What drives attitude towards telemedicine among families of pediatric patients? A survey.
abstract: Telemedicine has been recognized as a way to improve accessibility, quality, and efficiency of care. In view of the introduction of new telemedicine services, we conducted a survey through a self-administered questionnaire among families of children attending the Bambino Gesù Children's Hospital IRCCS, a tertiary care children's hospital located in Rome, Italy.
  
  
  
  We investigated sociodemographic data, clinical information, technological profile, attitude towards telemedicine, perceived advantages of telemedicine, fears regarding telemedicine, willingness to use a smartphone app providing telemedicine services and willingness to use a televisit service. Through logistic regression, we explored the effect of sociodemographic and clinical variables and technological profile on willingness of using a telemedicine app and a televisit service.
  
  
  
  We enrolled a total of 751 families. Most patients had a high technological profile, 81% had at least one account on a social network. Whatsapp was the most popular messaging service (76%). Seventy-two percent of patients would use an app for telemedicine services and 65% would perform a televisit. Owning a tablet was associated with both outcome variables - respectively: OR 2.216, 95% CI 1.358-3.616 (app) and OR 2.117, 95% CI 1.415-3.168 (televisit). Kind of hospitalization, diagnosis of a chronic disease, disease severity and distance from the health care center were not associated with the outcome variables.
  
  
  
  Families of pediatric patients with different clinical problems are keen to embark in telemedicine programs, independently from severity of disease or chronicity, and of distance from the hospital.
authors.affiliation: Telemedicine Unit, Bambino Gesù Children's Hospital IRCCS, Piazza S. Onofrio 4, 00165, Rome, Italy.
authors.forename: Luisa
authors.initials: L
authors.lastname: Russo
authors.affiliation: Telemedicine Unit, Bambino Gesù Children's Hospital IRCCS, Piazza S. Onofrio 4, 00165, Rome, Italy.
authors.forename: Ilaria
authors.initials: I
authors.lastname: Campagna
authors.affiliation: Telemedicine Unit, Bambino Gesù Children's Hospital IRCCS, Piazza S. Onofrio 4, 00165, Rome, Italy.
authors.forename: Beatrice
authors.initials: B
authors.lastname: Ferretti
authors.affiliation: Telemedicine Unit, Bambino Gesù Children's Hospital IRCCS, Piazza S. Onofrio 4, 00165, Rome, Italy.
authors.forename: Eleonora
authors.initials: E
authors.lastname: Agricola
authors.affiliation: Telemedicine Unit, Bambino Gesù Children's Hospital IRCCS, Piazza S. Onofrio 4, 00165, Rome, Italy.
authors.forename: Elisabetta
authors.initials: E
authors.lastname: Pandolfi
authors.affiliation: Telemedicine Unit, Bambino Gesù Children's Hospital IRCCS, Piazza S. Onofrio 4, 00165, Rome, Italy.
authors.forename: Emanuela
authors.initials: E
authors.lastname: Carloni
authors.affiliation: Telemedicine Unit, Bambino Gesù Children's Hospital IRCCS, Piazza S. Onofrio 4, 00165, Rome, Italy.
authors.forename: Angelo
authors.initials: A
authors.lastname: D'Ambrosio
authors.affiliation: Telemedicine Unit, Bambino Gesù Children's Hospital IRCCS, Piazza S. Onofrio 4, 00165, Rome, Italy. f.gesualdo@gmail.com.
authors.forename: Francesco
authors.identifier: 0000-0002-9087-4398
authors.initials: F
authors.lastname: Gesualdo
authors.affiliation: Telemedicine Unit, Bambino Gesù Children's Hospital IRCCS, Piazza S. Onofrio 4, 00165, Rome, Italy.
authors.forename: Alberto E
authors.initials: AE
authors.lastname: Tozzi
mesh_terms: D000293:Adolescent; D000328:Adult; D001294:Attitude to Health; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007558:Italy; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D010290:Parents / Q000523:psychology*; D010372:Pediatrics; D012959:Socioeconomic Factors; D017216:Telemedicine / Q000379:methods