Video Visits as a Substitute for Urological Clinic Visits.
Video Visits as a Substitute for Urological Clinic Visits.
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DOI：
10.1016/j.urology.2020.05.080
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发表时间：
2020-10
期刊：
影响因子：
2.1
通讯作者：
Ellimoottil C
中科院分区：
文献类型：
--
作者：
Andino JJ;Lingaya MA;Daignault-Newton S;Shah PK;Ellimoottil C
评估在我们机构的门诊泌尿科中心，视频就诊是否被用作COVID-19之前的门诊就诊的替代品。我们回顾了在密歇根州东南部的一个三级学术中心，由13名泌尿科医生完成的600名已建立的患者视频访问。我们将这些访问与随机分层的已建立的患者诊所访问样本进行比较。我们评估了两组的基线人口统计数据和访问特征。我们将主要结局（“重访率”）定义为首次就诊后30天内泌尿科医生进行的额外医疗保健评估（即办公室、急诊室、住院）的比例。通过视频就诊的患者往往更年轻（51岁对61岁，P <.001），需要走更远的路去诊所预约（82英里对68英里，P <.001），并且更有可能是女性（36英里对28%，P = .001）。通过视频就诊评估的最常见诊断组是肾结石（40%）、肿瘤学（18%）和男科（14.3%）。而30天重访率较高的诊所就诊（4.3% vs 7.5%, P = ）。01)主要由于先前安排的预约，两组因医疗问题而再次就诊的情况相似（0.5% vs 0.67%; P = .60）。视频访问可用于提供广泛的泌尿科诊断护理，并可作为诊所访问的替代品。
To evaluate whether video visits were being used as substitutes to clinic visits prior to COVID-19 at our institution's outpatient urology centers. We reviewed 600 established patient video visits completed by 13 urology providers at a tertiary academic center in southeast Michigan. We compared these visits to a random, stratified sample of established patient clinic visits. We assessed baseline demographics and visit characteristics for both groups. We defined our primary outcome (“revisit rate”) as the proportion of additional healthcare evaluation (ie, office, emergency room, hospitalization) by a urology provider within 30 days of the initial encounter. Patients seen by video visit tended to be younger (51 vs 61 years, P <.001), would have to travel further for a clinic appointment (82 vs 68 miles, P <.001), and were more likely to be female (36 vs 28%, P = .001). The most common diagnostic groups evaluated through video visits were nephrolithiasis (40%), oncology (18%) and andrology (14.3%). While the 30-day revisit rates were higher for clinic visits (4.3% vs 7.5%, P = .01) primarily due to previously scheduled appointments, revisits due to medical concerns were similar across both groups (0.5% vs 0.67%; P = .60). Video visits can be used to deliver care across a broad range of urologic diagnoses and can serve as a substitute for clinic visits.
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影响因子：
23.4
作者：
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