Telehealth Made EASY: Understanding Provider Perceptions of Telehealth Appropriateness in Outpatient Rheumatology Encounters.

Autor: Smith ID; Department of Medicine, Duke University Hospital, Duke University Hospital and Duke University School of Medicine, Durham, North Carolina, USA.; Department of Medicine, Division of Rheumatology and Immunology, Duke University School of Medicine, Durham, North Carolina, USA., Coles TM; Department of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina, USA., Howe C; Department of Medicine, Duke University Hospital, Duke University Hospital and Duke University School of Medicine, Durham, North Carolina, USA., Overton R; Duke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina, USA., Economou-Zavlanos N; AI Health, Duke University School of Medicine, Durham, North Carolina, USA.; Office of Academic Solutions and Information Systems, Duke Health Technology Solutions, Duke Health, Durham, North Carolina, USA., Solomon MJ; AI Health, Duke University School of Medicine, Durham, North Carolina, USA.; Department of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, North Carolina, USA., Zhao R; Department of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, North Carolina, USA., Adagarla B; Duke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina, USA., Doss J; Department of Medicine, Division of Rheumatology and Immunology, Duke University School of Medicine, Durham, North Carolina, USA., Henao R; Duke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina, USA.; Department of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, North Carolina, USA., Clowse MEB; Department of Medicine, Division of Rheumatology and Immunology, Duke University School of Medicine, Durham, North Carolina, USA., Leverenz DL; Department of Medicine, Division of Rheumatology and Immunology, Duke University School of Medicine, Durham, North Carolina, USA.
Jazyk: angličtina
Zdroj: ACR open rheumatology [ACR Open Rheumatol] 2022 Oct; Vol. 4 (10), pp. 845-852. Date of Electronic Publication: 2022 Jul 19.
DOI: 10.1002/acr2.11470
Abstrakt: Objective: The purpose of this study was to evaluate a novel scoring system, the Encounter Appropriateness Score for You (EASY), to assess provider perceptions of telehealth appropriateness in rheumatology encounters.
Methods: The EASY scoring system prompts providers to rate their own encounters as follows: in-person or telehealth acceptable, EASY = 1; in-person preferred, EASY = 2; or telehealth preferred, EASY = 3. Assessment of the EASY scoring system occurred at a single academic institution from January 1, 2021, to August 31, 2021. Data were collected in three rounds: 1) initial survey (31 providers) assessing EASY responsiveness to five hypothetical scenarios, 2) follow-up survey (34 providers) exploring EASY responsiveness to 11 scenario modifications, and 3) assessment of EASYs documented in clinic care.
Results: The initial and follow-up surveys demonstrated responsiveness of EASYs to different clinical and nonclinical factors. For instance, less than 20% of providers accepted telehealth when starting a biologic for active rheumatoid arthritis, although more than 35% accepted telehealth in the same scenario if the patient lived far away or was well known to the provider. Regarding EASY documentation, 27 providers provided EASYs for 12,381 encounters. According to these scores, telehealth was acceptable or preferred for 29.7% of all encounters, including 21.4% of in-person encounters. Conversely, 24.4% of telehealth encounters were scored as in-person preferred.
Conclusion: EASY is simple, understandable, and responsive to changes in the clinical scenario. We have successfully accumulated 12,381 EASYs that can be studied in future work to better understand telehealth utility and optimize telehealth triage.
(© 2022 The Authors. ACR Open Rheumatology published by Wiley Periodicals LLC on behalf of American College of Rheumatology.)
Databáze: MEDLINE
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