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10.1212/WNL.0000000000010010 http://scihub22266oqcxt.onion/10.1212/WNL.0000000000010010 32518152!7538222!32518152     free     free     free Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Neurology 2020 ; 95 (9): e1257-e1266 Nephropedia Template TP {{tp|p=32518152|t=2020. Analyzing 2,589 child neurology telehealth encounters necessitated by the COVID-19 pandemic |pdf=|usr=}}{{32518152}} gab.com Text Analyzing 2,589 child neurology telehealth encounters necessitated by the COVID-19 pandemic JO: Neurology http://www.kidney.de/pget.php?&tw=1&pmid=32518152 #FOAvip OBJECTIVE: To assess the rapid implementation of child neurology telehealth outpatient care with the onset of the coronavirus disease 2019 (COVID-19) pandemic in March 2020. METHODS: This was a cohort study with retrospective comparison of 14,780 in-person encounters and 2,589 telehealth encounters, including 2,093 audio-video telemedicine and 496 scheduled telephone encounters, between October 1, 2019 and April 24, 2020. We compared in-person and telehealth encounters for patient demographics and diagnoses. For audio-video telemedicine encounters, we analyzed questionnaire responses addressing provider experience, follow-up plans, technical quality, need for in-person assessment, and parent/caregiver satisfaction. We performed manual reviews of encounters flagged as concerning by providers. RESULTS: There were no differences in patient age and major ICD-10 codes before and after transition. Clinicians considered telemedicine satisfactory in 93% (1,200 of 1,286) of encounters and suggested telemedicine as a component for follow-up care in 89% (1,144 of 1,286) of encounters. Technical challenges were reported in 40% (519 of 1,314) of encounters. In-person assessment was considered warranted after 5% (65 of 1,285) of encounters. Patients/caregivers indicated interest in telemedicine for future care in 86% (187 of 217) of encounters. Participation in telemedicine encounters compared to telephone encounters was less frequent among patients in racial or ethnic minority groups. CONCLUSIONS: We effectively converted most of our outpatient care to telehealth encounters, including mostly audio-video telemedicine encounters. Providers rated the vast majority of telemedicine encounters to be satisfactory, and only a small proportion of encounters required short-term in-person follow-up. These findings suggest that telemedicine is feasible and effective for a large proportion of child neurology care. Additional strategies are needed to ensure equitable telemedicine use. Twit Text FOAVip Analyzing 2,589 child neurology telehealth encounters necessitated by the COVID-19 pandemic ????Neurology http://www.kidney.de/pget.php?&tw=1&pmid=32518152 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32518152 #FOAvip English Wikipedia <ref>{{Cite pmid|32518152}}</ref> Analyzing 2,589 child neurology telehealth encounters necessitated by the COVID-19 pandemic #MMPMID32518152 Rametta SC; Fridinger SE; Gonzalez AK; Xian J; Galer PD; Kaufman M; Prelack MS; Sharif U; Fitzgerald MP; Melamed SE; Malcolm MP; Kessler SK; Stephenson DJ; Banwell BL; Abend NS; Helbig I Neurology 2020[Sep]; 95 (9): e1257-e1266 PMID32518152show ga OBJECTIVE: To assess the rapid implementation of child neurology telehealth outpatient care with the onset of the coronavirus disease 2019 (COVID-19) pandemic in March 2020. METHODS: This was a cohort study with retrospective comparison of 14,780 in-person encounters and 2,589 telehealth encounters, including 2,093 audio-video telemedicine and 496 scheduled telephone encounters, between October 1, 2019 and April 24, 2020. We compared in-person and telehealth encounters for patient demographics and diagnoses. For audio-video telemedicine encounters, we analyzed questionnaire responses addressing provider experience, follow-up plans, technical quality, need for in-person assessment, and parent/caregiver satisfaction. We performed manual reviews of encounters flagged as concerning by providers. RESULTS: There were no differences in patient age and major ICD-10 codes before and after transition. Clinicians considered telemedicine satisfactory in 93% (1,200 of 1,286) of encounters and suggested telemedicine as a component for follow-up care in 89% (1,144 of 1,286) of encounters. Technical challenges were reported in 40% (519 of 1,314) of encounters. In-person assessment was considered warranted after 5% (65 of 1,285) of encounters. Patients/caregivers indicated interest in telemedicine for future care in 86% (187 of 217) of encounters. Participation in telemedicine encounters compared to telephone encounters was less frequent among patients in racial or ethnic minority groups. CONCLUSIONS: We effectively converted most of our outpatient care to telehealth encounters, including mostly audio-video telemedicine encounters. Providers rated the vast majority of telemedicine encounters to be satisfactory, and only a small proportion of encounters required short-term in-person follow-up. These findings suggest that telemedicine is feasible and effective for a large proportion of child neurology care. Additional strategies are needed to ensure equitable telemedicine use. |Adolescent[MESH] |COVID-19[MESH] |Caregivers/statistics & numerical data[MESH] |Child[MESH] |Child, Preschool[MESH] |Cohort Studies[MESH] |Coronavirus Infections/*therapy[MESH] |Female[MESH] |Humans[MESH] |Job Satisfaction[MESH] |Male[MESH] |Minority Groups/statistics & numerical data[MESH] |Neurology/*statistics & numerical data[MESH] |Pandemics/statistics & numerical data[MESH] |Patient Satisfaction[MESH] |Pediatrics/*statistics & numerical data[MESH] |Pneumonia, Viral/*therapy[MESH] |Retrospective Studies[MESH] |Surveys and Questionnaires[MESH]Analyzing 2,589 child neurology telehealth encounters necessitated by (epmc).pdf DeepDyve Pubget Overpricing