Barriers, access and management of paediatric epilepsy with telehealth
| Autor: | Linda L. Fletcher, April Golson, Sarah Hueneke, Sucheta M. Joshi, Michael B.H. Smith, Kari Gali, Alexis Katzenbach, Elizabeth Cook, Monisha Goyal, Trisha Calabrese, Carey A. Wilson, Jean-Baptiste Le Pichon, Joshua L. Bonkowsky, Rhonda Corvalan, Jessica Hardy, Cristina C. Trandafir, Courtney J. Wusthoff, Linda Radecki |
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| Rok vydání: | 2020 |
| Předmět: |
Medical home
medicine.medical_specialty Telemedicine Quality management Coronavirus disease 2019 (COVID-19) education Health Informatics Telehealth Pediatrics 03 medical and health sciences 0302 clinical medicine Multidisciplinary approach 030225 pediatrics Paediatric epilepsy medicine Humans Child health care economics and organizations Epilepsy business.industry COVID-19 Focus group Neurology Family medicine business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Telemedicine and Telecare. 28:213-223 |
| ISSN: | 1758-1109 1357-633X |
| DOI: | 10.1177/1357633x20969531 |
| Popis: | Access to paediatric neurology care is complex, resulting in significant wait times and negative patient outcomes. The goal of the American Academy of Pediatrics National Coordinating Center for Epilepsy's project, Access Improvement and Management of Epilepsy with Telehealth (AIM-ET), was to identify access and management challenges in the deployment of telehealth technology. AIM-ET organised four paediatric neurology teams to partner with primary-care providers (PCP) and their multidisciplinary teams. Telehealth visits were conducted for paediatric epilepsy patients. A post-visit survey assessed access and satisfaction with the telehealth visit compared to an in-person visit. Pre/post surveys completed by PCPs and neurologists captured telehealth visit feasibility, functionality and provider satisfaction. A provider focus group assessed facilitators and barriers to telehealth. Sixty-one unique patients completed 75 telehealth visits. Paired t-test analysis demonstrated that telehealth enhanced access to epilepsy care. It reduced self-reported out-of-pocket costs ( p |
| Databáze: | OpenAIRE |
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