Impact of Remote Medical Devices on Utilization of Medical Services in Pediatric Patients with Upper Respiratory Infections: A Retrospective Study.
| Autor: | Mozes, Inbal, Baron-Epel, Orna, Heymann, Anthony |
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| Předmět: |
ANTIBIOTICS
MEDICAL care use RESPIRATORY infections PRODUCT design MULTIPLE regression analysis OUTPATIENT medical care RETROSPECTIVE studies DESCRIPTIVE statistics CHI-squared test TELEMEDICINE PEDIATRICS MEDICAL appointments ELECTRONIC health records PATIENT monitoring COMPARATIVE studies SOCIODEMOGRAPHIC factors MEDICAL referrals SENSITIVITY & specificity (Statistics) SOCIAL classes CHILDREN |
| Zdroj: | Health Informatics Journal; Apr-Jun2024, Vol. 30 Issue 2, p1-14, 14p |
| Abstrakt: | Background: Remote mobile examination devices in telemedicine are a new technology in healthcare. Objective: To assess the utilization of visits using remote medical devices. Methods: A retrospective analysis of follow-up visits, referrals, laboratory testing and antibiotic prescriptions of 470,845 children's video visits with and without remote medical examination device and in-clinic visits. Results: Rates of follow-up visits, referrals and laboratory tests were higher in video visits compared to visit with medical device (OR of 1.27, 1.08, 1.93 respectfully). For in-clinic visits, rates of follow-up were lower but higher for referrals to subspecialists and laboratory test referrals when compared to telemedicine. Antibiotic prescriptions were provided at a lower rate in video visits compared to visits with a medical device (OR = 0.48) and in-clinic visits. Conclusions: Incorporating a remote medical device may reduce follow up visits, referrals and laboratory tests compared to a video visit without a device. The prevalence of antibiotic prescriptions did not escalate in telemedicine consultations. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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