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Article: Telemedicine in the Wake of the COVID-19 Pandemic: Increasing Access to Surgical Care.

Dekker, Paige K / Bhardwaj, Priya / Singh, Tanvee / Bekeny, Jenna C / Kim, Kevin G / Steinberg, John S / Evans, Karen K / Song, David H / Attinger, Christopher E / Fan, Kenneth L

Plastic and reconstructive surgery. Global open

2020  Volume 9, Issue 1, Page(s) e3228

Abstract: ... use of telemedicine in the wake of the COVID-19 pandemic. Although drawbacks to telemedicine exist and ... The COVID-19 pandemic has brought seismic shifts in healthcare delivery. The objective ... a total of 784 patient appointments. Before the COVID-19 pandemic, patients with a higher Social ...

Abstract The COVID-19 pandemic has brought seismic shifts in healthcare delivery. The objective of this study was to examine the impact of telemedicine in the disadvantaged population.
Methods: All consecutive patients with outpatient appointments amongst 5 providers in the Plastic and Reconstructive Surgery Department between March 2, 2020, and April 10, 2020, were retrospectively reviewed. Appointment and patient characteristics collected include visit modality, reason for visit, new or established patient, history of recorded procedure, age, sex, race, insurance provider, urban/rural designation of residence, Social Vulnerability Index, and income. The primary outcome of interest was whether or not a patient missed their appointment (show versus no-show).
Results: During the study period, there were a total of 784 patient appointments. Before the COVID-19 pandemic, patients with a higher Social Vulnerability Index were more likely to have a no-show appointment (0.49 versus 0.39,
Conclusions: This study indicates a reduction in disparity and an increase in access following the dramatically increased use of telemedicine in the wake of the COVID-19 pandemic. Although drawbacks to telemedicine exist and remain to be addressed, the vast majority of literature points to an overwhelming benefit-both for patient experience and outcomes-of utilizing telemedicine. Future studies should focus on improving access, reducing technological barriers, and policy reform to improve the spread of telemedicine.
Language English
Publishing date 2020-12-15
Publishing country United States
Document type Journal Article
ZDB-ID 2851682-5
ISSN 2169-7574 ; 2169-7574
ISSN (online) 2169-7574
ISSN 2169-7574
DOI 10.1097/GOX.0000000000003228
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