| Autor: |
Howie F; Division of Developmental and Behavioral Pediatrics, Mayo Clinic, Rochester, Minnesota, USA., Kreofsky BL; Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, Minnesota, USA., Ravi A; Division of Pediatric Allergy and Immunology, Mayo Clinic, Rochester, Minnesota, USA., Lokken T; Center for Connected Care, Mayo Clinic, Rochester, Minnesota, USA., Hoff MD; Center for Connected Care, Mayo Clinic, Rochester, Minnesota, USA., Fang JL; Division of Neonatal Medicine, Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, Minnesota, USA. |
| Jazyk: |
angličtina |
| Zdroj: |
Telemedicine journal and e-health : the official journal of the American Telemedicine Association [Telemed J E Health] 2022 Jan; Vol. 28 (1), pp. 3-10. Date of Electronic Publication: 2021 May 17. |
| DOI: |
10.1089/tmj.2020.0562 |
| Abstrakt: |
Background: Before the COVID-19 pandemic, telemedicine use for outpatient pediatric specialty care was low. Stay-at-home orders (SHO) prompted rapid upscaling of telemedicine capabilities and upskilling of providers. This study compares telemedicine usage before and after the SHO and analyzes how a Children's Center addressed challenges associated with a rapid rise in telemedicine. Methods: Data on outpatient visits across 14 specialty divisions were abstracted from the institutional electronic medical record. The 12-week study period (March 9, 2020-May 29, 2020) spanned three epochs: pre-SHO; post-SHO; reopening to in-person visits. Changes in in-person visits, video visits, and completed, cancelled, and no-show appointments were compared between three epochs. Results: A total of 4,914 outpatient pediatric specialty visits were completed, including 67% (3,296/4,914) in-person and 33% (1,618/4,914) through video. During the first two epochs encompassing the SHO, video visits increased by 4,750%. During the third epoch when the SHO was lifted, video visits decreased by 66%, with 19.4% of visits conducted through video in week 12. Overall, for outpatient video appointments, 82.8% (1,618/1,954) were completed, 9.1% (178/1,954) were cancelled, and 8.1% (158/1,954) were no-shows. The percentage of completed and no-show appointments did not differ between epochs. However, the cancellation rate decreased significantly from Epochs 1 to 3 (p = 0.008). Conclusion: A SHO was associated with a large increase in pediatric specialty video visits. Post-SHO, the percentage of pediatric specialty visits conducted through video decreased but remained higher than before the SHO. Frequent, content-rich communications, self-directed tutorials, and individualized coaching may facilitate successful increases in telemedicine use. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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