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10.1016/j.amjoto.2021.103044

http://scihub22266oqcxt.onion/10.1016/j.amjoto.2021.103044
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34091321!8046701!34091321
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suck abstract from ncbi


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pmid34091321      Am+J+Otolaryngol 2021 ; 42 (6): 103044
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  • Effects of COVID-19 on telemedicine practice patterns in outpatient otolaryngology #MMPMID34091321
  • Shehan JN; Agarwal P; Danis DO 3rd; Ghulam-Smith M; Bloom J; Piraquive J; Tracy LF; Levi JR
  • Am J Otolaryngol 2021[Nov]; 42 (6): 103044 PMID34091321show ga
  • OBJECTIVE: Otolaryngology is considered high risk for Coronavirus Disease 2019 (COVID-19) exposure and spread. This has led to a transition to telemedicine and directly impacts patient volume, evaluation and management practices. The objective of this study is to determine the impact of COVID-19 on patient characteristics in relation to outpatient attendance, ancillary testing, medical therapy, and surgical decision making. METHODS: A retrospective case series at an academic medical center was performed. Outpatient appointments from October 2019 (pre-COVID) and March 16-April 10, 2020 (COVID) were analyzed. Prevalence rates and odds ratios were used to compare demographics, visit characteristics, ancillary tests, medication prescribing, and surgical decisions between telemedicine and in-person visits, before and during COVID. RESULTS: There was a decrease in scheduled visits during the COVID timeframe, for both in-person and telemedicine visits, with a comparable proportion of no-shows. There was a higher overall percentage of Hispanic/Latino patients who received care during the COVID timeframe (OR = 1.43; 95% CI = 1.07-1.90) in both groups, although primary language was not significantly associated with attendance. There were fewer ancillary tests ordered (OR = 0.54) and more medications prescribed (OR = 1.59) during COVID telemedicine visits compared with pre-COVID in-person visits. CONCLUSION: COVID-19 has rapidly changed the use of telemedicine. Telemedicine can be used as a tool to reach patients with severe disease burden. Continued healthcare reform, expanded access to affordable care, and efficient use of resources is essential both during the current COVID-19 pandemic and beyond. LEVEL OF EVIDENCE: IV.
  • |*Ambulatory Care Facilities[MESH]
  • |*Otolaryngology[MESH]
  • |*Practice Patterns, Physicians'[MESH]
  • |*Telemedicine[MESH]
  • |Ambulatory Care/*statistics & numerical data[MESH]
  • |COVID-19/epidemiology/*prevention & control/transmission[MESH]
  • |Female[MESH]
  • |Health Services Accessibility/*statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Quality Improvement[MESH]
  • |Quality of Health Care[MESH]


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