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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.
Background:
As a result of the COVID-19 pandemic, medical practices for children with neurodevelopmental disorders urgently adopted telehealth, despite limited data regarding patient satisfaction.
Objective:
To compare patient satisfaction survey scores for neurodevelopmental pediatric appointments completed in-person to appointments completed via telemedicine.
Methods:
Using routinely collected Press Ganey survey results, the proportion of Top Box scores (the percentage of responses in the highest possible category [ie, the percentage of "very good" or "always" responses]) for an in-person only group was compared to the proportion in a telemedicine-only group using Fisher's exact test.
Results:
Most respondents gave Top-Box scores in response to all of the questions for both in-person and telemedicine visits. There were no statistically significant differences in any domain of the Press Ganey surveys in Top Box percentages for in-person vs telemedicine visits.
Conclusion:
This study provides preliminary evidence that telehealth may be an acceptable modality for families seeking care for their children with neurodevelopmental concerns.
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