Teleophthalmology in the Era of COVID-19: Characteristics of Early Adopters at a Large Academic Institution
| Autor: | Uma Srikumaran, Fasika A. Woreta, Divya Srikumaran, Michael X. Repka, Sabrina G. Jenkins, Chibuzo J. Aguwa, Eric L. Singman, Ugochi T. Aguwa |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Telemedicine
medicine.medical_specialty 020205 medical informatics Teleophthalmology Health Informatics 02 engineering and technology Subspecialty symbols.namesake Health Information Management Health care 0202 electrical engineering electronic engineering information engineering Humans Medicine Fisher's exact test Retrospective Studies SARS-CoV-2 business.industry Medical record COVID-19 General Medicine Odds ratio Confidence interval Ophthalmology Family medicine symbols Female business |
| Zdroj: | Telemedicine and e-Health |
| ISSN: | 1556-3669 1530-5627 |
| Popis: | Introduction: COVID-19 led to rapid policy changes to expand telemedicine adoption. We examined rates of early telemedicine adoption among surgical departments at a large academic institution and compared provider characteristics associated with teleophthalmology. Methods: With data from departmental and electronic medical records across surgical departments at Johns Hopkins Medicine, we performed a retrospective analysis using the Fisher test and binomial logistic regression. Results: Telemedicine adoption in ophthalmology was disproportionately lower than other surgical departments. Providers who were female [odds ratio, OR, 2.42 (95% confidence interval, CI, 1.03-5.67)], clinical assistants, clinical associates, or instructors [OR 12.5 (95% CI 2.63-59.47)], associate professors [OR 4.38 (95% CI 1.42-13.52)], practiced for ≥36 years [OR 0.20 (95% CI 0.06-0.66)], cornea [OR 0.13 (95% CI 0.04-0.47)], glaucoma [OR 0.18 (95% CI 0.04-0.93)] or retina [OR 0.04 (95% CI 0.01-0.17)] specialists, or had a MD/MBBCh/MBBS [OR 0.30 (95% CI 0.10-0.94)] or second degree [OR 0.28 (95% CI 0.08-0.99)] were significantly more or less likely to adopt. When adjusted, cornea [adjusted OR 0.10 (95% CI 0.02-0.57)] or retina [adjusted OR 0.01 (95% CI 0.002-0.12)] specialists or providers who practiced for 12-18 years [adjusted OR 0.22 (95% CI 0.05-0.91)] or ≥36 years [adjusted OR 0.13 (95% CI 0.03-0.68)] were significantly more or less likely to adopt. Discussion: Subspecialty among other provider characteristics influences the likelihood of teleophthalmology adoption. As the pandemic continues, strategies to reduce adoption barriers are needed to ensure the provision of health care services. |
| Databáze: | OpenAIRE |
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