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Juliana Helena Zamariola, Maria Angela Bellomo-Brandão, Adriana Gut Lopes Riccetto

    Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners
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    PubMed
    Summary

    A telehealth program improved pediatric gastroenterology referrals by connecting primary care nurse practitioners with specialists. This initiative reduced wait times and enhanced patient care coordination.

    Keywords:
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    Area of Science:

    • Pediatric Gastroenterology
    • Telehealth
    • Healthcare Access

    Background:

    • Pediatric gastroenterology centers face high referral volumes from primary health care (PHC) for diagnostic and management clarification.
    • Inefficiencies in the referral process can lead to delays in specialist care.

    Purpose of the Study:

    • To evaluate the effectiveness of a telehealth program connecting PHC pediatric nurse practitioners (PNPs) with tertiary pediatric gastroenterologists.
    • To assess the impact of virtual consultations on patient management and access to specialized care.

    Main Methods:

    • A telehealth program facilitated weekly virtual meetings between PHC PNPs and a tertiary pediatric gastroenterology team.
    • Data from 121 referred patients were discussed over a four-month period.
    • PNPs were central to managing diagnostic methods, treatment, and follow-up.

    Main Results:

    • 55% of patients successfully scheduled timely appointments at the tertiary outpatient clinic.
    • 20% of patients were managed at the PHC level based on virtual specialist recommendations.
    • 25% of referral forms required clarification, highlighting communication needs.

    Conclusions:

    • The telehealth program effectively bridged primary and tertiary care, enhancing patient care coordination.
    • Virtual consultations reduced waiting times for specialist assessments and improved care efficiency.
    • The program facilitated online therapeutic orientation for a significant portion of referred patients.