Application of the Quadruple Aim to evaluate the operational impact of a telemedicine program
| Autor: | Rajesh Dash, Katherine M. Wang, Akhil K. Maddukuri, David Scheinker, Thomas Gold, Vijaya Parameswaran, Neil M Kalwani, Fatima Rodriguez, Emily G. Savage, Jahnavi D. Deb, Austin Johnson |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Telemedicine Coronavirus disease 2019 (COVID-19) Efficiency Article Patient experience medicine Humans Pandemics Retrospective Studies Preventive healthcare Preventive medicine Operational impact SARS-CoV-2 business.industry Health Policy COVID-19 Evidence-based medicine Middle Aged Cardiovascular disease Emergency medicine Cohort Female Level iii business |
| Zdroj: | Healthcare (Amsterdam, Netherlands) |
| ISSN: | 2213-0764 |
| DOI: | 10.1016/j.hjdsi.2021.100593 |
| Popis: | Background In response to the COVID-19 pandemic, telemedicine utilization has increased dramatically, yet most institutions lack a standardized approach to determine how much to invest in these programs. Methods We used the Quadruple Aim to evaluate the operational impact of CardioClick, a program replacing in-person follow-up visits with video visits in a preventive cardiology clinic. We examined data for 134 patients enrolled in CardioClick with 181 video follow-up visits and 276 patients enrolled in the clinic's traditional prevention program with 694 in-person follow-up visits. Results Patients in CardioClick and the cohort receiving in-person care were similar in terms of age (43 vs 45 years), gender balance (74% vs 79% male), and baseline clinical characteristics. Video follow-up visits were shorter than in-person visits in terms of clinician time (median 22 vs 30 min) and total clinic time (median 22 vs 68 min). Video visits were more likely to end on time than in-person visits (71 vs 11%, p |
| Databáze: | OpenAIRE |
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