Impact of Remote Medical Devices on Utilization of Medical Services in Pediatric Patients with Upper Respiratory Infections: A Retrospective Study

IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Health Informatics Journal Pub Date : 2024-04-08 DOI:10.1177/14604582241233996
Inbal Mozes, Orna Baron-Epel, Anthony Heymann
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Abstract

Background: Remote mobile examination devices in telemedicine are a new technology in healthcare. Objective: To assess the utilization of visits using remote medical devices. Methods: A retrospective analysis of follow-up visits, referrals, laboratory testing and antibiotic prescriptions of 470,845 children’s video visits with and without remote medical examination device and in-clinic visits. Results: Rates of follow-up visits, referrals and laboratory tests were higher in video visits compared to visit with medical device (OR of 1.27, 1.08, 1.93 respectfully). For in-clinic visits, rates of follow-up were lower but higher for referrals to subspecialists and laboratory test referrals when compared to telemedicine. Antibiotic prescriptions were provided at a lower rate in video visits compared to visits with a medical device (OR = 0.48) and in-clinic visits. Conclusions: Incorporating a remote medical device may reduce follow up visits, referrals and laboratory tests compared to a video visit without a device. The prevalence of antibiotic prescriptions did not escalate in telemedicine consultations.
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远程医疗设备对儿科上呼吸道感染患者使用医疗服务的影响:回顾性研究
背景:远程医疗中的远程移动检查设备是医疗保健领域的一项新技术。目的评估使用远程医疗设备就诊的情况。方法: 对远程医疗设备的随访、转诊、化验和治疗进行回顾性分析:对使用和未使用远程医疗检查设备的 470,845 次儿童视频就诊的随访、转诊、实验室检测和抗生素处方进行回顾性分析。分析结果与使用医疗设备的就诊相比,视频就诊的复诊率、转诊率和化验率更高(OR 值分别为 1.27、1.08 和 1.93)。与远程医疗相比,门诊随访的随访率较低,但转诊至亚专科医生和实验室检查的转诊率较高。与使用医疗设备就诊(OR = 0.48)和门诊就诊相比,视频就诊中提供抗生素处方的比例较低。结论:与不使用医疗设备的视频就诊相比,使用远程医疗设备可减少随访、转诊和化验检查。在远程医疗会诊中,抗生素处方的使用率并没有上升。
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来源期刊
Health Informatics Journal
Health Informatics Journal HEALTH CARE SCIENCES & SERVICES-MEDICAL INFORMATICS
CiteScore
7.80
自引率
6.70%
发文量
80
审稿时长
6 months
期刊介绍: Health Informatics Journal is an international peer-reviewed journal. All papers submitted to Health Informatics Journal are subject to peer review by members of a carefully appointed editorial board. The journal operates a conventional single-blind reviewing policy in which the reviewer’s name is always concealed from the submitting author.
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