Feasibility of Post-hospitalization Telemedicine Video Visits for Children With Medical Complexity

To evaluate feasibility and acceptability of post-hospitalization telemedicine video visits (TMVV) during hospital-to-home transitions for children with medical complexity (CMC); and explore associations with hospital utilization, caregiver self-efficacy (CSE), and family self-management (FSM). This...

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Bibliographic Details
Published in:Journal of pediatric health care 2022-03, Vol.36 (2), p.e22-e35
Main Authors: Ming, David Y., Li, Tingxuan, Ross, Melissa H., Frush, Jennifer, He, Jingyi, Goldstein, Benjamin A., Jarrett, Valerie, Krohl, Natalie, Docherty, Sharron L., Turley, Christine B., Bosworth, Hayden B.
Format: Article
Language:English
Subjects:
Aftercare
Child
children with medical complexity
Feasibility Studies
hospital-to-home
Hospitalization
Humans
Patient Discharge
Pilot Projects
Telehealth
Telemedicine
transitions of care
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Summary:To evaluate feasibility and acceptability of post-hospitalization telemedicine video visits (TMVV) during hospital-to-home transitions for children with medical complexity (CMC); and explore associations with hospital utilization, caregiver self-efficacy (CSE), and family self-management (FSM). This non-randomized pilot study assigned CMC (n=28) to weekly TMVV for four weeks post-hospitalization; control CMC (n=20) received usual care without telemedicine. Feasibility was measured by time to connection and proportion of TMVV completed; acceptability was measured by parent-reported surveys. Pre/post-discharge changes in CSE, FSM, and hospital utilization were assessed. 64 TMVV were completed; 82 % of patients completed 1 TMVV; 54 % completed four TMVV. Median time to TMVV connection was 1 minute (IQR=2.5). Parents reported high acceptability of TMVV (mean 6.42; 1 –7 scale). CSE and FSM pre/post-discharge were similar for both groups; utilization declined in both groups post-discharge. Post-hospitalization TMVV for CMC were feasible and acceptable during hospital-to-home transitions.
ISSN:0891-5245
1532-656X
DOI:10.1016/j.pedhc.2021.10.001