Usability And Feasibility of an in-Home Remote Exam Device in Children with Medical Complexity During the COVID-19 Pandemic.

Autor:	Pfarr MA; Division of Pediatric Hospital Medicine, Department of Pediatrics, University of Alabama, Birmingham, Alabama, USA., Odum JD; Division of Pediatric Critical Care, Department of Pediatrics, University of Alabama, Birmingham, Alabama, USA., Thomson J; Division of Hospital Medicine, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.; James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA., Callahan S; Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA., Tegtmeyer K; Division of Critical Care Medicine, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.; Center for Telehealth, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA., Pulda K; Center for Telehealth, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA., Rummel M; Center for Telehealth, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA., Ruschman J; Center for Telehealth, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA., Herrmann LE; Division of Hospital Medicine, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Jazyk:	angličtina
Zdroj:	Telemedicine journal and e-health : the official journal of the American Telemedicine Association [Telemed J E Health] 2024 Aug 20. Date of Electronic Publication: 2024 Aug 20.
DOI:	10.1089/tmj.2024.0058
Abstrakt:	Background: Children with medical complexity (CMC) account for high health care utilization. Telemedicine holds significant potential in CMC, as it allows a provider to engage with CMC in their home environment and can alleviate both financial and transportation burdens. Remote exam devices that enable the performance of a physical exam could expand the ability of providers to clinically assess CMC during a telemedicine visit. In this pilot study, our goal was to develop a process for integrating an in-home remote exam device into a complex care clinic during the COVID-19 pandemic and evaluate the usability and feasibility of this device. Methods: The remote exam device was distributed to caregivers of CMC cared for at a complex care outpatient center. Using deliberate practice framework, our onboarding process provided opportunities for caregivers and providers to learn how to utilize the device. Surveys examining usability and feasibility were administered to both caregivers and providers after each telemedicine encounter. Results: A total of 43 caregivers participated in the onboarding process, which included a total of 83 practice visits. The remote exam device was rated as having excellent usability by caregivers; however, providers rated the device as having lower usability. Feasibility was notable for technology issues contributing to 15% of encounters being cancelled or ending early. Conclusions: The remote exam device was successfully integrated into a complex care clinic. Data from this pilot study supports the usability and feasibility of deploying a remote exam device across a telemedicine platform in a busy and complex outpatient academic practice.
Databáze:	MEDLINE
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