Article ; Online: Integration and Impact of Telemedicine in Underserved Pediatric Primary Care.
2021 Volume 60, Issue 11-12, Page(s) 452–458
Abstract: ... chronic care provision in an underserved pediatric primary care center. Items assessed included patient ... Telemedicine is feasible for pediatric acute and chronic care, but systems must be designed to mitigate ... demographic data, chief complaint, and alternative care locations if telemedicine was not available ...
Abstract | Telemedicine, more novel in provision of pediatric care, rapidly expanded due to the recent coronavirus disease 2019 pandemic. This study aimed to determine the feasibility of telemedicine for acute and chronic care provision in an underserved pediatric primary care center. Items assessed included patient demographic data, chief complaint, and alternative care locations if telemedicine was not available. In our setting, 62% of telemedicine visits were for acute concerns and 38% for chronic concerns. Of acute telemedicine visits, 16.5% of families would have sought care in the Emergency Department/Urgent Care, and 11.3% would have opted for no care had telemedicine not been offered. The most common chronic issues addressed were attention deficit hyperactivity disorder (80.3%) and asthma (16.9%). Racial disparities existed among our telemedicine visits with Black patients utilizing telemedicine services less frequently than non-Black patients. Telemedicine is feasible for pediatric acute and chronic care, but systems must be designed to mitigate widening racial disparities. |
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MeSH term(s) | Child ; Child, Preschool ; Feasibility Studies ; Female ; Humans ; Infant ; Infant, Newborn ; Male ; Medically Underserved Area ; Pediatrics/methods ; Primary Health Care/methods ; Retrospective Studies ; Telemedicine/methods | |||||
Language | English | |||||
Publishing date | 2021-08-12 | |||||
Publishing country | United States | |||||
Document type | Journal Article | |||||
ZDB-ID | 207678-0 | |||||
ISSN | 1938-2707 ; 0009-9228 | |||||
ISSN (online) | 1938-2707 | |||||
ISSN | 0009-9228 | |||||
DOI | 10.1177/00099228211039621 | |||||
Shelf mark |
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Database | MEDical Literature Analysis and Retrieval System OnLINE |
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