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Published on: April 6, 2019
Impact of Remote Medical Devices on Utilization of Medical Services in Pediatric Patients with Upper Respiratory
Inbal Mozes1, Orna Baron-Epel1, Anthony Heymann2
1School of Public Health, Haifa University, Haifa, Israel.
Insights
Remote medical devices in telemedicine may decrease follow-up visits and lab tests. Antibiotic prescriptions remained low across all telemedicine and in-clinic visits, showing telemedicine
Area of Science:
- Healthcare Technology
- Telemedicine
- Pediatric Care
Background:
- Remote mobile examination devices represent an emerging technology in healthcare delivery.
- The integration of these devices into telemedicine platforms is a novel approach.
Purpose of the Study:
- To evaluate the utilization patterns of healthcare services during remote medical device-assisted visits.
- To compare outcomes between video visits with and without remote medical devices, and traditional in-clinic visits.
Main Methods:
- Retrospective analysis of 470,845 pediatric visits.
- Comparison of follow-up visits, referrals, laboratory testing, and antibiotic prescriptions.
- Inclusion of video visits with and without remote medical devices, and in-clinic visits.
Main Results:
- Video visits showed higher rates of follow-up, referrals, and lab tests compared to visits with remote medical devices.
- In-clinic visits had lower follow-up rates but higher referral rates for subspecialists and lab tests than telemedicine.
- Antibiotic prescriptions were lower in video visits compared to both remote medical device visits and in-clinic visits.
Conclusions:
- Integrating remote medical devices may reduce the need for follow-up visits, referrals, and laboratory tests compared to standard video visits.
- Telemedicine consultations, with or without devices, did not lead to an increase in antibiotic prescriptions.
Abstract:
Background: Remote mobile examination devices in telemedicine are a new technology in healthcare. Objective: To assess the utilization of visits using remote medical devices. Methods: A retrospective analysis of follow-up visits, referrals, laboratory testing and antibiotic prescriptions of 470,845 children's video visits with and without remote medical examination device and in-clinic visits. Results: Rates of follow-up visits, referrals and laboratory tests were higher in video visits compared to visit with medical device (OR of 1.27, 1.08, 1.93 respectfully). For in-clinic visits, rates of follow-up were lower but higher for referrals to subspecialists and laboratory test referrals when compared to telemedicine. Antibiotic prescriptions were provided at a lower rate in video visits compared to visits with a medical device (OR = 0.48) and in-clinic visits. Conclusions: Incorporating a remote medical device may reduce follow up visits, referrals and laboratory tests compared to a video visit without a device. The prevalence of antibiotic prescriptions did not escalate in telemedicine consultations.
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