Implementation of Telehealth in a Pediatric Plastic Surgery Clinic: A Single Center's Response to COVID-19.
Journal
Annals of plastic surgery
ISSN: 1536-3708
Titre abrégé: Ann Plast Surg
Pays: United States
ID NLM: 7805336
Informations de publication
Date de publication:
01 06 2022
01 06 2022
Historique:
pubmed:
19
2
2022
medline:
28
5
2022
entrez:
18
2
2022
Statut:
ppublish
Résumé
With limitation of in-person clinical visits due to the COVID-19 pandemic, telehealth has emerged as an important platform to deliver healthcare. Satisfaction with telehealth has been examined previously in the adult plastic surgery population. However, studies examining its use and satisfaction in the pediatric plastic surgery population are limited. In this study, we explore patient/caregiver satisfaction with the rapid institution of telehealth in our pediatric plastic surgery clinic and factors affecting satisfaction scores. From March 2020 to February 2021, families of pediatric patients seen via video telehealth in the pediatric plastic surgery clinic at our center were invited to participate in a posttelehealth session survey. Telehealth visits encompassed both preliminary consultations as well as follow-up visits. After appropriate consent was obtained, patients' families completed a posttelehealth survey conveying demographics and satisfaction with telehealth via a 5-point Likert scale. Seventy eight of 131 eligible families elected to participate. Visit types included the following: initial consultations (23.1%), preoperative visits (10.3%), postoperative visits (29.5%), and follow-up visits (37.1%). A total of 80.3% of the respondents were overall satisfied with their telehealth experience. A total of 85.3% of the respondents agreed that telehealth made it easier for them to see their doctor, and 96.7% of the respondents felt using telehealth saved them time in traveling to the clinic. A total of 89.5% of the respondents felt it important for the state of Utah to have a telehealth program available to pediatric patients. Video telehealth is a useful adjunct in the care of pediatric plastic surgery patients with high caregiver satisfaction.
Sections du résumé
BACKGROUND
With limitation of in-person clinical visits due to the COVID-19 pandemic, telehealth has emerged as an important platform to deliver healthcare. Satisfaction with telehealth has been examined previously in the adult plastic surgery population. However, studies examining its use and satisfaction in the pediatric plastic surgery population are limited. In this study, we explore patient/caregiver satisfaction with the rapid institution of telehealth in our pediatric plastic surgery clinic and factors affecting satisfaction scores.
METHODS
From March 2020 to February 2021, families of pediatric patients seen via video telehealth in the pediatric plastic surgery clinic at our center were invited to participate in a posttelehealth session survey. Telehealth visits encompassed both preliminary consultations as well as follow-up visits. After appropriate consent was obtained, patients' families completed a posttelehealth survey conveying demographics and satisfaction with telehealth via a 5-point Likert scale.
RESULTS
Seventy eight of 131 eligible families elected to participate. Visit types included the following: initial consultations (23.1%), preoperative visits (10.3%), postoperative visits (29.5%), and follow-up visits (37.1%). A total of 80.3% of the respondents were overall satisfied with their telehealth experience. A total of 85.3% of the respondents agreed that telehealth made it easier for them to see their doctor, and 96.7% of the respondents felt using telehealth saved them time in traveling to the clinic. A total of 89.5% of the respondents felt it important for the state of Utah to have a telehealth program available to pediatric patients.
CONCLUSIONS
Video telehealth is a useful adjunct in the care of pediatric plastic surgery patients with high caregiver satisfaction.
Identifiants
pubmed: 35180752
doi: 10.1097/SAP.0000000000003092
pii: 00000637-202206000-00002
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
589-593Informations de copyright
Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
Conflicts of interest and sources of funding: none declared.
Références
Dorsey ER, Topol EJ. State of telehealth. N Engl J Med . 2016;375:1400.
Cain SM, Moore R, Sturm L, et al. Clinical assessment and management of general surgery patients via synchronous telehealth. J Telemed Telecare . 2017;23:371–375.
Paik AM, Granick MS, Scott S. Plastic surgery telehealth consultation expedites emergency department treatment. J Telemed Telecare . 2017;23:321–327.
Costa MA, Yao CA, Gillenwater TJ, et al. Telemedicine in cleft care: reliability and predictability in regional and international practice settings. J Craniofac Surg . 2015;26:1116–1120.
Hughes C, Campbell J, Mukhopadhyay S, et al. Remote digital preoperative assessments for cleft lip and palate may improve clinical and economic impact in global plastic surgery. Cleft Palate Craniofac J . 2017;54:535–539.
Whitehead E, Dorfman V, Tremper G, et al. Telemedicine as a means of effective speech evaluation for patients with cleft palate. Ann Plast Surg . 2012;68:415–417.
Denadai R, Lo LJ. Teleconsultation-mediated nasoalveolar molding therapy for babies with cleft lip/palate during the COVID-19 outbreak: implementing change at pandemic speed. J Plast Reconstr Aesthet Surg . 2020;73:1357–1404.
Zoom. HIPPA compliance datasheet. Available at: https://zoom.us/docs/doc/Zoom-hipaa.pdf . Accessed March 18, 2021.
Bhandari NR, Payakachat N, Fletcher DA, et al. Validation of newly developed surveys to evaluate patients' and providers' satisfaction with telehealth obstetric services. Telemed J E Health . 2020;26:879–888.
Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020, HR 6074, 116th Cong, 2nd Sess (2020).
Douglas S, Geiger E, McGregor A, et al. Telehealth in plastic surgery: a veterans affairs hospital perspective. Plast Reconstr Surg Glob Open . 2018;6:e1840.
Funderburk CD, Batulis NS, Zelones JT, et al. Innovations in the plastic surgery care pathway: using telemedicine for clinical efficiency and patient satisfaction. Plast Reconstr Surg . 2019;144:507–516.
Marcin JP, Ellis J, Mawis R, et al. Using telemedicine to provide pediatric subspecialty care to children with special health care needs in an underserved rural community. Pediatrics . 2004;113:1–6.
Karp WB, Grigsby RK, McSwiggan-Hardin M, et al. Use of telemedicine for children with special health care needs. Pediatrics . 2000;105:843–847.