Analysis of a Pediatric Telemedicine Program.

Autor:	Vyas S; 1 Department of Telemedicine, Nemours Childrens Health System , Orlando, Florida.; 2 Section on Telehealth Care, American Academy of Pediatrics, Itasca, Illinois.; 3 Department of Pediatrics, University of Central Florida College of Medicine, Orlando, Florida ., Murren-Boezem J; 1 Department of Telemedicine, Nemours Childrens Health System , Orlando, Florida.; 2 Section on Telehealth Care, American Academy of Pediatrics, Itasca, Illinois., Solo-Josephson P; 1 Department of Telemedicine, Nemours Childrens Health System , Orlando, Florida.; 2 Section on Telehealth Care, American Academy of Pediatrics, Itasca, Illinois.
Jazyk:	angličtina
Zdroj:	Telemedicine journal and e-health : the official journal of the American Telemedicine Association [Telemed J E Health] 2018 Apr 24. Date of Electronic Publication: 2018 Apr 24.
DOI:	10.1089/tmj.2017.0281
Abstrakt:	Background: Telemedicine serves millions of patients and is transforming healthcare delivery worldwide. In October of 2015, Nemours Children's Health System began offering direct-to-consumer (DTC) pediatric telemedicine on the Nemours CareConnect (NCC) platform. Introduction: Currently, there are no descriptive data available on pediatric-specific DTC 24/7 programs. This is the first article to our knowledge that provides data on such a program. Materials and Methods: A retrospective data analysis of the first 1,000 visits was conducted. All patient data were precollected and deidentified. Results: NCC was accessed for skin-related concerns (18.7%), upper respiratory symptoms (17.5%), fever (15.2%), and gastrointestinal issues (9.7%) most often on Saturdays and Sundays. Patients' ages ranged from 2 weeks to 20 years with the median age of 4 years. The peak time of call was between 4:00 PM and 8:00 PM. Median visit wait time was 2 min 11 s and median treatment time was 12 min 10 s. Patients rated providers and the NCC platform using a 5-star rating system. Over 93% of patients rated providers 5 stars and 86.0% rated the NCC platform 5 stars. Sixty-seven percent of parents reported they would have accessed an urgent care center, emergency room, or retail clinic if NCC were not available. Discussion: NCC provides accessible, efficient care and parents are satisfied with the service. The postvisit survey suggested parents would have sought more expensive care if NCC were not available. Conclusion: NCC provided descriptive data using an audiovisual model. NCC warrants further investigation in regard to redirection of services.
Databáze:	MEDLINE
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