Outpatient Otolaryngology in the Era of COVID-19: A Data-Driven Analysis of Practice Patterns
Outpatient Otolaryngology in the Era of COVID-19: A Data-Driven Analysis of Practice Patterns
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DOI：
10.1177/0194599820928987
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发表时间：
2020-05-12
影响因子：
3.4
通讯作者：
Manes, R. Peter
中科院分区：
文献类型：
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作者：
Kasle, David A.;Torabi, Sina J.;Manes, R. Peter
2019年冠状病毒病简介（COVID-19）导致了急性护理和远程医疗的优先考虑，研究设计回顾性研究设置单身-在耶鲁大学医学院耳鼻喉科分部内进行的一项机构研究。对象和方法耳鼻喉科分部内所有门诊预约的数据来自账单的行政记录。并于2020年3月16日至4月10日安排。结果在5913次计划就诊中，3665次（62.0%）是在2019年3月18日至4月12日期间就诊的，而在相应的COVID-19影响期间，5044次中有649次（12.9%）。在第1周和第2周完成的大多数访视是亲自进行的，而在第3周和第4周完成的大多数访视是通过远程保健进行的。在专科中，2020年完成的就诊中，儿科和头颈肿瘤科耳鼻喉科医生的比例高于普通/专科耳鼻喉科医生（P < .001）。老年人（≥ 65岁）比年轻人（18-64岁; 45.6% vs 59.6%，P = 0.003）更不可能进行远程医疗访问。据观察，远程保健访问量也相应增加。在与COVID-19相关的医院政策发生变化后，大约两周后，远程医疗访问超过了亲自访问，尽管这在老年人中并非如此。
IntroductionCoronavirus disease 2019 (COVID-19) has induced a prioritization of acute care and telehealth, affecting the quantity of patients seen and the modality of their care.Study DesignRetrospective review.SettingSingle-institution study conducted within the Division of Otolaryngology at the Yale School of Medicine.Subjects and MethodsData on all outpatient appointments within the Division of Otolaryngology were obtained from administrative records of billing and scheduling from March 16 to April 10, 2020. For comparison, a corresponding period from 2019 was also utilized.ResultsOf 5913 scheduled visits, 3665 (62.0%) were seen between March 18 and April 12, 2019, in comparison with 649 of 5044 (12.9%) during the corresponding COVID-19-affected period. The majority of completed visits performed in weeks 1 and 2 were in person, while the majority in weeks 3 and 4 were via telehealth. Among subspecialties, a larger proportion of completed visits in 2020 were performed by pediatric and head and neck oncology otolaryngologists as compared with general/specialty otolaryngologists (P < .001). Older adults (>= 65 years) were less likely to have telehealth visits than younger adults (18-64 years; 45.6% vs 59.6%, P = .003).ConclusionsA major decrease in the completion rates of scheduled visits was seen in the COVID-19-affected period, though this was not proportional among subspecialties. An associated increase in telehealth visits was observed. After COVID-19-related hospital policy changes, approximately 2 weeks passed before telehealth visits surpassed in-person visits, though this was not true among older adults.