Patient and family experience of telehealth care delivery as part of the CF chronic care model early in the COVID-19 pandemic
| Autor: | George M. Solomon, Julianna Bailey, James Lawlor, Peter Scalia, Gregory S. Sawicki, Christopher Dowd, Kathryn A. Sabadosa, Aricca Van Citters |
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| Rok vydání: | 2021 |
| Předmět: |
CFF
Cystic Fibrosis Foundation Pulmonary and Respiratory Medicine Cystic Fibrosis CFTR Cystic Fibrosis Transmembrane Conductance Regulator SARS-CoV-2 PFT Pulmonary Function Testing education COVID-19 CF Cystic Fibrosis PwCF People with CF Article Telemedicine Experience of Care Telehealth COVID-19 Novel SARS-CoV-2 coronavirus Pediatrics Perinatology and Child Health Humans Healthcare Utilization Pandemics health care economics and organizations PFSoC Patient and Family State of Care Survey |
| Zdroj: | Journal of Cystic Fibrosis |
| ISSN: | 1569-1993 |
| DOI: | 10.1016/j.jcf.2021.09.005 |
| Popis: | Background During the COVID-19 pandemic, CF centers shifted to a telehealth delivery model. Our study aimed to determine how people with CF (PwCF) and their families experienced telehealth and assessed its quality and acceptability for future CF care. Methods The CF Patient and Family State of Care Survey (PFSoC) was fielded from August 31-October 30, 2020. The PFSoC explored themes of overall telehealth quality, ease of use, desirability, and preference for a future mix of in-person and telehealth care. Demographic covariates considered included: gender, age, CFTR modulator status, and region of residence. Results 424 PwCF and parents of PwCF responded (47% parents). Most (81%) reported a telehealth visit which included a MD/APP and nurse team members. 91% found telehealth easy to use, and 66% reported similar/higher quality than in-person care. One-third (34%) reported the highest desire for future telehealth care, with 45% (n =212) desiring 50% or more of visits conducted via telehealth. Adults were more likely than parents to report highest desire for future telehealth (64% vs. 36%). Respondents who perceived telehealth as similar/higher quality were more likely to desire future telehealth compared to those who perceived telehealth as lower quality (96% vs. 50%). Mixed methods analysis revealed themes affecting perceptions of telehealth. Conclusions PwCF desire for future telehealth was influenced by perception of quality and age. Several themes emerged that need to be explored as telehealth is adapted into the CF chronic care model, especially when thinking about integration into pediatric care. |
| Databáze: | OpenAIRE |
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