Impact of Telemedicine in Pediatric Postoperative Care
Impact of Telemedicine in Pediatric Postoperative Care
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DOI：
10.1089/tmj.2018.0246
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发表时间：
2018-12-05
影响因子：
4.7
通讯作者：
Palacios, Rafael
中科院分区：
文献类型：
--
作者：
Young, Katherine;Gupta, Amar;Palacios, Rafael
背景：儿科医生短缺和医院等待时间长使得更有效的随访变得越来越重要。医生和患者之间的虚拟访问为这个问题提供了解决方案。提高认识，改进技术和有效的调度方法将有助于远程医疗计划的质量和采用。简介：本研究的目的是分析儿科远程医疗的影响，等待时间和访问持续时间相比，在人的访问。第二个目标是评估虚拟访问的不同调度方法的效率。材料与方法：该研究包括来自泌尿科、心血管外科和眼科的800多例术后虚拟访视，包括通过SBR Health和Redcap收集的等待时间、访视持续时间和访视后满意度数据。收集了14名泌尿科患者的亲自访问数据，并通过Press Ganey获得泌尿科和眼科的满意度评分。结果如下：患者报告对虚拟就诊的满意度非常高，并从减少等待时间中受益，同时接受可比的持续时间和质量的护理。专门为虚拟访问安排的较长时间段与较短的等待时间相关。讨论：以远程医疗补充医疗保健是提供以患者为中心的护理的可行方法。有效地实施远程医疗计划可以大大提高医院为患者提供的价值。结论：虚拟访视提供了一种进行术后访视的有效方式，减少了等待时间，提高了医生的效率，同时保持了较高的满意度和护理质量。
Background: A shortage of pediatricians and long wait times in the hospitals render more efficient follow-up visits increasingly important. Virtual visits between physician and patient offer a solution to this problem. Increased awareness, improved technology, and efficient scheduling methods will contribute to the quality and adoption of telemedicine programs. Introduction: The aim of this study was to analyze the impact of pediatric telemedicine on wait times and visit durations, as compared with in-person visits. A secondary goal was to assess the efficiency of different scheduling methods for virtual visits. Materials and Methods: The study included >800 postoperative virtual visits from urology, cardiovascular surgery, and ophthalmology, comprising data on wait times, visit duration, and postvisit satisfaction collected through SBR Health and Redcap. In-person visit data were collected on 14 patients in urology, and satisfaction scores were obtained through Press Ganey for urology and ophthalmology. Results: Patients reported very high satisfaction with virtual visits and benefitted from reduced wait times, while receiving care of comparable duration and quality. Longer blocks of time scheduled exclusively for virtual visits correlated with shorter wait times. Discussion: Supplementing health care with telemedicine is a viable way to provide patient-centered care. Implemented effectively, a telemedicine program can contribute greatly to the value a hospital provides to its patients. Conclusions: Virtual visits provide an efficient way to conduct postoperative visits, reducing wait times and increasing physician efficiency while retaining high satisfaction and quality of care.