The Impact of Telehealth and Care Coordination on the Number and Type of Clinical Visits for Children With Medical Complexity.
The Impact of Telehealth and Care Coordination on the Number and Type of Clinical Visits for Children With Medical Complexity.
复制标题
DOI：
10.1016/j.pedhc.2016.11.006
复制
发表时间：
2017-07
期刊：
影响因子：
--
通讯作者：
Finkelstein SM
中科院分区：
文献类型：
--
作者：
McKissick HD;Cady RG;Looman WS;Finkelstein SM
本分析的目的是评估一个先进的实践护士提供的远程医疗干预对医疗保健利用的儿童与医疗复杂性（CMC）的影响。由于CMC占医疗保健利用成本的很大份额，因此找到有效的方法来照顾他们是一个需要探索的重要挑战。这是一项随机临床试验数据的二次分析，其中包括一个对照组和两个干预组。分析的重点是CMC在30个月数据收集期内进行的计划和计划外临床和治疗访视。使用非参数检验比较三组之间和三组内的访视次数。所有组的计划外就诊次数都随着时间的推移而减少，其中视频远程保健干预组的减少幅度最大。在所有时间段，视频远程保健组的计划就诊率较高。APRN提供的远程医疗保健协调可能会支持CMC从计划外到计划内的医疗保健服务使用的转变。
The purpose of this analysis was to evaluate the effects of an advanced practice nurse-delivered telehealth intervention on health care utilization by children with medical complexity (CMC). Because CMC account for a large share of health care utilization costs, finding effective ways to care for them is an important challenge requiring exploration. This was a secondary analysis of data from a randomized clinical trial with a control group and two intervention groups. The focus of the analysis was planned and unplanned clinical and therapy visits by CMC over a 30-month data collection period. Non-parametric tests were used to compare visit counts between and within the three groups. The number of unplanned visits decreased over time across all groups, with the greatest decrease in the video telehealth intervention group. Planned visits were higher in the video telehealth group across all time periods. APRN-delivered telehealth care coordination may support a shift from unplanned to planned health care service use among CMC.