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Analysis of a Pediatric Telemedicine Program

Shayan Vyas1,2,3, Joanne Murren-Boezem1,2, Patricia Solo-Josephson1,2

  • 11 Department of Telemedicine, Nemours Childrens Health System , Orlando, Florida.

Telemedicine Journal and E-Health : the Official Journal of the American Telemedicine Association
|April 25, 2018
PubMed

Insights

Direct-to-consumer pediatric telemedicine offers accessible, efficient care, with high parent satisfaction. This service may prevent parents from seeking more expensive urgent care options.

Area of Science:

  • Pediatric healthcare
  • Telemedicine
  • Digital health

Background:

  • Telemedicine is transforming global healthcare delivery.
  • Nemours Children's Health System launched Nemours CareConnect (NCC), a direct-to-consumer pediatric telemedicine platform, in October 2015.
  • This study presents the first descriptive data on a 24/7 pediatric direct-to-consumer telemedicine program.

Purpose of the Study:

  • To analyze the initial 1,000 visits on the Nemours CareConnect (NCC) platform.
  • To provide descriptive data on a pediatric-specific direct-to-consumer telemedicine service.
  • To assess patient satisfaction and potential impact on healthcare seeking behaviors.

Main Methods:

  • Retrospective analysis of 1,000 deidentified patient visits.
  • Data collected included visit reasons, patient demographics, peak usage times, wait times, and treatment durations.
  • Patient and platform satisfaction were measured using a 5-star rating system.

Main Results:

  • Common reasons for visits included skin concerns (18.7%), upper respiratory symptoms (17.5%), and fever (15.2%).
  • Peak usage occurred on weekends and between 4:00 PM and 8:00 PM.
  • Median wait time was 2 minutes 11 seconds, and median treatment time was 12 minutes 10 seconds.
  • Over 93% of patients rated providers 5 stars, and 86% rated the NCC platform 5 stars.
  • Sixty-seven percent of parents indicated they would have used urgent care, ER, or retail clinics if NCC was unavailable.

Conclusions:

  • Nemours CareConnect (NCC) provides accessible and efficient pediatric care.
  • Parents reported high satisfaction with the telemedicine service and providers.
  • The findings suggest NCC may redirect patients from more costly care settings.
Abstract

Keywords:
e-healthpediatricstelehealthtelemedicine

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