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Evaluation of the Effectiveness of Telemedicine Visits in a Pediatric Gastroenterology Service in the Context of COVID-19

Background: During the first months of COVID-19, the Gastroenterology, Hepatology and Nutrition service of the Hospital Sant Joan de Déu in Barcelona, a leading pediatric center in Spain, introduced a new model of non-face-to-face care. Objective: To evaluate the impact of telephone consultations co...

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Autores principales: Adroher Mas, Cristina, Calvo Aroca, Celia, Casadevall Llandrich, Ricard, López Seguí, Francesc, Martin Carpi, Javier, García-Cuyàs, Francesc
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9740743/
https://www.ncbi.nlm.nih.gov/pubmed/36498072
http://dx.doi.org/10.3390/ijerph192315999
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author Adroher Mas, Cristina
Calvo Aroca, Celia
Casadevall Llandrich, Ricard
López Seguí, Francesc
Martin Carpi, Javier
García-Cuyàs, Francesc
author_facet Adroher Mas, Cristina
Calvo Aroca, Celia
Casadevall Llandrich, Ricard
López Seguí, Francesc
Martin Carpi, Javier
García-Cuyàs, Francesc
author_sort Adroher Mas, Cristina
collection PubMed
description Background: During the first months of COVID-19, the Gastroenterology, Hepatology and Nutrition service of the Hospital Sant Joan de Déu in Barcelona, a leading pediatric center in Spain, introduced a new model of non-face-to-face care. Objective: To evaluate the impact of telephone consultations compared to those conducted face-to-face on healthcare utilization. Methodology: Two main indicators of effectiveness are used: the degree of resolution (percentage of first telemedicine visits that did not generate any new visits in the following 4 and 12 months) and the average number of subsequent visits. A distinction was made between visits for general pathologies (less complex) and those for pathologies treated in monographic consultations (chronic or complex pathologies). Effectiveness at 4 and 12 months was also compared. Results: After 4 months from the first visit, the degree of resolution is lower in the first telemedicine visits than in face-to-face visits for both general pathologies and those of monographic agendas for chronic and complex pathologies. After twelve months, the first general telemedicine visits are less resolute than face-to-face visits, while the resolution rate is the same for chronic and complex pathology visits. Each telemedicine visit generates on average more visits than face-to-face visits. In the short term, 133.4% more in the case of general visits and 51.4% more in the case of chronic and complex visits. In the long term, general telemedicine visits generate 57.31% more visits, while no statistically significant difference is observed between chronic and complex face-to-face and telemedicine visits. Conclusion: The results of this study show that the resolution capacity of the non-face-to-face model in pediatric care in the pandemic context is generally lower and generates more successive visits than the face-to-face model. This lower performance of the telemedicine model should be counterbalanced with its advantages.
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spelling pubmed-97407432022-12-11 Evaluation of the Effectiveness of Telemedicine Visits in a Pediatric Gastroenterology Service in the Context of COVID-19 Adroher Mas, Cristina Calvo Aroca, Celia Casadevall Llandrich, Ricard López Seguí, Francesc Martin Carpi, Javier García-Cuyàs, Francesc Int J Environ Res Public Health Article Background: During the first months of COVID-19, the Gastroenterology, Hepatology and Nutrition service of the Hospital Sant Joan de Déu in Barcelona, a leading pediatric center in Spain, introduced a new model of non-face-to-face care. Objective: To evaluate the impact of telephone consultations compared to those conducted face-to-face on healthcare utilization. Methodology: Two main indicators of effectiveness are used: the degree of resolution (percentage of first telemedicine visits that did not generate any new visits in the following 4 and 12 months) and the average number of subsequent visits. A distinction was made between visits for general pathologies (less complex) and those for pathologies treated in monographic consultations (chronic or complex pathologies). Effectiveness at 4 and 12 months was also compared. Results: After 4 months from the first visit, the degree of resolution is lower in the first telemedicine visits than in face-to-face visits for both general pathologies and those of monographic agendas for chronic and complex pathologies. After twelve months, the first general telemedicine visits are less resolute than face-to-face visits, while the resolution rate is the same for chronic and complex pathology visits. Each telemedicine visit generates on average more visits than face-to-face visits. In the short term, 133.4% more in the case of general visits and 51.4% more in the case of chronic and complex visits. In the long term, general telemedicine visits generate 57.31% more visits, while no statistically significant difference is observed between chronic and complex face-to-face and telemedicine visits. Conclusion: The results of this study show that the resolution capacity of the non-face-to-face model in pediatric care in the pandemic context is generally lower and generates more successive visits than the face-to-face model. This lower performance of the telemedicine model should be counterbalanced with its advantages. MDPI 2022-11-30 /pmc/articles/PMC9740743/ /pubmed/36498072 http://dx.doi.org/10.3390/ijerph192315999 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Adroher Mas, Cristina
Calvo Aroca, Celia
Casadevall Llandrich, Ricard
López Seguí, Francesc
Martin Carpi, Javier
García-Cuyàs, Francesc
Evaluation of the Effectiveness of Telemedicine Visits in a Pediatric Gastroenterology Service in the Context of COVID-19
title Evaluation of the Effectiveness of Telemedicine Visits in a Pediatric Gastroenterology Service in the Context of COVID-19
title_full Evaluation of the Effectiveness of Telemedicine Visits in a Pediatric Gastroenterology Service in the Context of COVID-19
title_fullStr Evaluation of the Effectiveness of Telemedicine Visits in a Pediatric Gastroenterology Service in the Context of COVID-19
title_full_unstemmed Evaluation of the Effectiveness of Telemedicine Visits in a Pediatric Gastroenterology Service in the Context of COVID-19
title_short Evaluation of the Effectiveness of Telemedicine Visits in a Pediatric Gastroenterology Service in the Context of COVID-19
title_sort evaluation of the effectiveness of telemedicine visits in a pediatric gastroenterology service in the context of covid-19
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9740743/
https://www.ncbi.nlm.nih.gov/pubmed/36498072
http://dx.doi.org/10.3390/ijerph192315999
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