Changes in Primary Care Visits in the 24 Weeks After COVID-19 Stay-at-Home Orders Relative to the Comparable Time Period in 2019 in Metropolitan Chicago and Northern Illinois.
Changes in Primary Care Visits in the 24 Weeks After COVID-19 Stay-at-Home Orders Relative to the Comparable Time Period in 2019 in Metropolitan Chicago and Northern Illinois.
复制标题
DOI：
10.1177/2150132720969557
复制
发表时间：
2020-01
影响因子：
3.6
通讯作者：
Kan K
中科院分区：
文献类型：
--
作者：
Macy ML;Huetteman P;Kan K
在这份简短的报告中，我们描述了芝加哥大都市在应对 COVID-19 大流行的前 24 周内与 2019 年同期相比的儿科初级保健服务利用率。我们检查了来自 16 个独立儿科诊所的回顾性就诊和计费数据（无论付款人是谁），这些诊所利用责任医疗组织内的通用电子病历平台，该组织由芝加哥大都市 71 个办事处的 252 名儿科医生组成。我们将就诊分为儿童健康和免疫接种 (WC-IO) 或其他类型，并使用远程医疗计费修改器确定就诊。使用医疗保健研究机构和质量临床分类系统对其他就诊的诊断进行统计和分类。我们总结了 2020 年与 2019 年相比，一周内使用远程医疗计费修改器的就诊次数和就诊比例。2020 年总就诊次数为 102 942 次（WC-IO 72 030 次；其他 30 912 次），2020 年总就诊次数为 144 672 次（WC-IO 80 578 次；其他 64 094 次）。 2019 年。 2020 年 WC-IO 的访问量是伊利诺伊州居家令开始时 2019 年访问量的一半，并且在 8 周内返回了 2019 年访问量的 90% 以上。其他访问类型仍低于 2019 年访问量的 70%。远程医疗账单修改量在 4 月中旬达到顶峰（占所有就诊次数的 21%），并在 6 月份降至所有就诊次数的 <10%（第二阶段重新开放）。前 10 名最常见的诊断因年份而异。儿童健康和免疫接种的恢复表明，实践层面的努力和政策变化可以确保儿童随着大流行的发展得到建议的护理。
In this brief report, we characterize pediatric primary care service utilization in metropolitan Chicago over the first 24 weeks of the COVID-19 pandemic response in relation to the comparable time period in 2019. We examined retrospective visit and billing data, regardless of payer, from 16 independent pediatric practices that utilize a common electronic medical record platform within an Accountable Care Organization of 252 pediatricians in 71 offices throughout metropolitan Chicago. We categorized visits as Well-Child and Immunization-Only (WC-IO) or Other types and identified visits with a telemedicine billing modifier. Diagnoses for Other visits were tallied and categorized using the Agency for Healthcare Research and Quality Clinical Classification System. We summarized counts of visits and the proportion of visits with a telemedicine billing modifier in one-week epochs for 2020 compared with 2019. There were 102 942 total visits (72 030 WC-IO; 30 912 Other) in 2020 and 144 672 visits (80 578 WC-IO; 64 094 Other) in 2019. WC-IO visits in 2020 were half of 2019 visits at the start of the Illinois Stay-at-Home Order and returned greater than 90% of 2019 visits in 8 weeks. Other visit types have remained below 70% of 2019 visits. A telemedicine billing modifier peaked in mid-April (21% of all visits) and declined to <10% of all visits in June (Phase 2 reopening). The top 10 most common diagnoses differed between years. Recovery of well child and immunization visits suggests that practice-level efforts and policy change can ensure children receive recommended care as the pandemic evolves.