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Acceptability and Access Metrics for Telehealth Consultation of Pediatric Neurodevelopmental Disabilities During COVID-19

Published:September 26, 2022DOI:https://doi.org/10.1016/j.pedhc.2022.08.008

      Introduction

      We report caregiver agreement to attend telehealth neurodevelopmental consultation during COVID-19, demographic differences in agreement, reasons families declined, and clinical access metrics before and during COVID-19.

      Method

      Data were gathered from telehealth referrals and consultations from April to July 2020. Schedulers documented agreement status and reasons for the decline. Wait time, lag time, and missed appointment rates were calculated to measure access.

      Results

      Ninety-one percent agreed to attend telehealth consultation; 55% of those who declined preferred in-person services. There were no demographic differences between those who accepted, declined, or did not respond. The median wait time from referral to appointment was 60 days. Missed appointment rates were consistent with prepandemic rates.

      Discussion

      Findings support literature suggesting patients are agreeable to telehealth. They diverged from evidence suggesting telehealth reduces missed appointments. Overall, results indicate telehealth is an acceptable alternative; however, further telehealth innovation is needed to address existing disparities.

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      Biography

      Brett Enneking, Assistant Professor of Clinical Pediatrics, Division of Developmental Medicine, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN.

      Biography

      Tybytha Ryan, Assistant Professor of Clinical Pediatrics, Division of Developmental Medicine, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN.

      Biography

      Qing, Tang, Biostatistician, Department of Biostatistics and Health Data Science, Indiana University School of Medicine, Indianapolis, IN.

      Biography

      Cristina James, Data Engineer, Division of Developmental Medicine, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN.

      Biography

      Maura Rouse, Assistant Professor of Clinical Pediatrics, Division of Developmental Medicine, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN.

      Biography

      Michelle Curtin, Associate Professor of Clinical Pediatrics, Department of Pediatrics, Wake Forest School of Medicine, Winston-Salem, NC.

      Biography

      Rebecca McNally Keehn, Assistant Professor of Clinical Pediatrics, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN.