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The Effect of COVID-19 on Health Care Utilization Among Children with Medical Complexity: Retrospective Chart Review

Onur Asan1, Ilse Super1, Stephen Percy2

  • 1Department of Systems and Enterprises, Stevens Institute of Technology, 1 Castle Terrace Dr, Hoboken, NJ, 07030, United States, 1 201-216-5514.

JMIR Pediatrics and Parenting
|February 28, 2025
PubMed

Insights

Healthcare use for children with medical complexity changed during the COVID-19 pandemic. Findings reveal shifts in visit frequency and highlight the need for telehealth, while noting demographic disparities in access.

Area of Science:

  • Pediatric Healthcare Research
  • Health Services Research
  • Epidemiology

Background:

  • Children with medical complexity (CMC) often have high healthcare needs.
  • The COVID-19 pandemic significantly impacted healthcare delivery systems globally.
  • Understanding changes in CMC healthcare utilization is crucial for service planning.

Purpose of the Study:

  • To analyze trends and patterns in healthcare utilization for CMC.
  • To compare healthcare access before and during the COVID-19 pandemic.
  • To identify potential health disparities in CMC care.

Main Methods:

  • Retrospective chart review of pediatric patients.
  • Analysis of healthcare utilization metrics (e.g., visit frequency).
  • Comparative analysis of pre-pandemic versus pandemic periods.

Main Results:

  • Significant variations observed in the average number of healthcare visits per CMC patient over time.
  • Telehealth consultations demonstrated potential as a viable care modality.
  • Demographic factors were associated with disparities in healthcare access and utilization.

Conclusions:

  • The COVID-19 pandemic altered healthcare utilization patterns for CMC.
  • Telehealth adoption is supported, but equitable access must be ensured.
  • Addressing demographic disparities is essential for improving CMC care delivery.
Abstract

Keywords:
COVID-19SARS-COV-2chart reviewchart review studychildrenchildren with medical complexitycoronavirushealth care utilizationinfectiouspandemicpediatricpulmonaryrespiratoryretrospective chart reviewretrospective chart review studytelehealthtelemedicinevirtual carevirtual health

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