التفاصيل البيبلوغرافية
| العنوان: |
Impact of telemedicine on visit attendance for paediatric patients receiving endocrinology specialty care |
| المؤلفون: |
Haynes, Sarah C, Marcin, James P, Dayal, Parul, Tancredi, Daniel J, Crossen, Stephanie |
| المصدر: |
Journal of Telemedicine and Telecare, vol 29, iss 2 |
| بيانات النشر: |
eScholarship, University of California |
| سنة النشر: |
2023 |
| المجموعة: |
University of California: eScholarship |
| مصطلحات موضوعية: |
Health Services and Systems, Health Sciences, Health Services, Rural Health, Diabetes, Clinical Research, 7.1 Individual care needs, Management of diseases and conditions, Good Health and Well Being, Child, Humans, Telemedicine, Diabetes Mellitus, Academic Medical Centers, Logistic Models, telehealth, remote consultation, paediatrics, endocrinology, Information Systems, Biomedical Engineering, Public Health and Health Services, Medical Informatics, Public health |
| جغرافية الموضوع: |
126 - 132 |
| الوصف: |
BackgroundChildren in rural communities often lack access to subspecialty medical care. Telemedicine has the potential to improve access to these services but its effectiveness has not been rigorously evaluated for paediatric patients with endocrine conditions besides diabetes.IntroductionThe purpose of this study was to assess the association between telemedicine and visit attendance among patients who received care from paediatric endocrinologists at an academic medical centre in northern California between 2009-2017.MethodsWe abstracted demographic data, encounter information and medical diagnoses from the electronic health record for patients ≤18 years of age who attended at least one in-person or telemedicine encounter with a paediatric endocrinologist during the study period. We used a mixed effects logistic regression model - adjusted for age, diagnosis and distance from subspecialty care - to explore the association between telemedicine and visit attendance.ResultsA total of 40,941 encounters from 5083 unique patients were included in the analysis. Patients who scheduled telemedicine visits were predominantly publicly insured (97%) and lived a mean distance of 161 miles from the children's hospital. Telemedicine was associated with a significantly higher odds of visit attendance (odds ratio 2.55, 95% confidence interval 2.15-3.02, p < 0.001) compared to in-person care.ConclusionsThis study demonstrates that telemedicine is associated with higher odds of visit attendance for paediatric endocrinology patients and supports the conclusion that use of telemedicine may improve access to subspecialty care for rural and publicly insured paediatric populations. |
| نوع الوثيقة: |
article in journal/newspaper |
| وصف الملف: |
application/pdf |
| اللغة: |
unknown |
| العلاقة: |
qt1wr5g300; https://escholarship.org/uc/item/1wr5g300Test |
| الإتاحة: |
https://escholarship.org/uc/item/1wr5g300Test |
| حقوق: |
public |
| رقم الانضمام: |
edsbas.1436D2B5 |
| قاعدة البيانات: |
BASE |
