Patient Satisfaction in Neurodevelopmental Pediatrics: In-Person vs Telemedicine

Ann M Kennelly1, Brandon McIntyre1, Alexis C Wood2

  • 1Meyer Center for Developmental Pediatrics & Autism, Department of Pediatrics, 3984Baylor College of Medicine and Texas Children's Hospital, Houston, TX, USA.

Insights

Telehealth is a viable option for children with neurodevelopmental disorders, showing similar patient satisfaction to in-person visits. This study found no significant differences in satisfaction scores between the two care modalities.

Area of Science:

  • Pediatric Medicine
  • Neurodevelopmental Disorders
  • Health Services Research

Background:

  • The COVID-19 pandemic accelerated the adoption of telehealth services in pediatric medical practices, particularly for children with neurodevelopmental disorders.
  • There was a lack of comprehensive data on patient satisfaction with these rapidly implemented telehealth services.

Purpose of the Study:

  • To compare patient satisfaction survey scores between in-person and telemedicine appointments for pediatric neurodevelopmental care.
  • To evaluate the acceptability of telehealth as a care modality for this patient population.

Main Methods:

  • Utilized routinely collected Press Ganey survey data to assess patient satisfaction.
  • Compared the proportion of 'Top Box' scores (highest satisfaction category) for in-person versus telemedicine visits.
  • Employed Fisher's exact test for statistical comparison between the two groups.

Main Results:

  • The majority of respondents provided 'Top Box' scores for both in-person and telemedicine appointments.
  • No statistically significant differences were observed in 'Top Box' percentages across any survey domain when comparing in-person and telemedicine visits.
  • Patient satisfaction levels were comparable between in-person and telemedicine care modalities.

Conclusions:

  • Telehealth appears to be an acceptable and effective modality for delivering care to children with neurodevelopmental concerns.
  • Preliminary evidence suggests that families are satisfied with telehealth services, comparable to traditional in-person care.
  • Further research can build upon these findings to optimize telehealth integration in neurodevelopmental pediatric care.
Abstract