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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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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cited_by cdi_FETCH-LOGICAL-c359t-c01246ee6edf0f40f19cece619f11d55f93e88dcd41478fdf1f1c8d7de434e773
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creator 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.
description 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.
doi_str_mv 10.1016/j.pedhc.2021.10.001
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source ScienceDirect Freedom Collection
subjects Aftercare
Child
children with medical complexity
Feasibility Studies
hospital-to-home
Hospitalization
Humans
Patient Discharge
Pilot Projects
Telehealth
Telemedicine
transitions of care
title Feasibility of Post-hospitalization Telemedicine Video Visits for Children With Medical Complexity
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