Telemedicine Provides Enhanced Care for Low-Acuity Pediatric Urology Patients

Main Article Content

Nikka Khorsandi
Brendon Gros
Yu-Wen Chiu
Aaron D. Martin

Abstract

Methods: A survey was developed and sent to patients participating in a pediatric teleurology program at an academic medical center. This survey evaluated the patient’s history using this telemedicine platform, satisfaction with various aspects of the application as well as associated details about transportation and costs of traditional in-person visits.


Results: Of the 50 survey respondents, the majority reported that they found the app easy and comfortable to use as well as just as useful as in-person visits. Respondents also indicated that they incurred lower costs, traveled less, and faced less time lost from work.


Conclusions: Telemedicine is a useful tool to enhance low-acuity pediatric urology care while minimizing the financial and opportunity costs of these visits as compared to in-person visits.

Downloads

Download data is not yet available.

Article Details

Section
Original Research

References

1. Miller A, Rhee E, Gettman M, Spitz A. The current state of telemedicine in urology. Med ClinNorth Am. 2018;102(2):387–98.
2. Huang EY, Knight S, Guetter CR, et al. Telemedicine and telementoring in the surgical specialties: A narrative review. Am J Surg. 2019 Oct 1;218(4):760–6.
3. Kuo RL, Delvecchio FC, Babayan RK, Preminger GM. Telemedicine: Recent developments and future applications. J Endourol. 2001;15(1):63–6.
4. Ray KN, Ashcraft LE, Mehrotra A, Miller E, Kahn JM. Family perspectives on telemedicine for pediatric subspecialty care. Telemed e-Health. 2017 Oct 1;23(10):852–62.
5. Harting MT, Wheeler A, Ponsky T, et al. Telemedicine in pediatric surgery. J Pediatr Surg. 2019;54:587–94. (W.B. Saunders)
6. Shivji S, Metcalfe P, Khan A, Bratu I. Pediatric surgery telehealth: Patient and clinician satisfaction. Pediatr Surg Int. 2011 May;27(5):523–6.
7. American Urological Association, The State of Urology Workforce and Practice in the United States 2015. Linthicum, Maryland, U.S.A, [cited 2016 Apr 6]. Available from: https://www.AUAnet.org/common/pdf/research/census/State-Urology-Workforce-Practice-US.pdf
8. de Grood C, Raissi A, Kwon Y, Santana MJ. Adoption of e-health technology by physicians: A scoping review. J Multidiscip Healthc. 2016 Aug 1;9:335–44.
9. Mayer ML, Skinner AC. Too many, too few, too concentrated? A review of the pediatric subspecialty workforce literature. Arch Pediatr Adolesc Med. 2004;158:1158–65.
10. Bator EX, Gleason JM, Lorenzo AJ, et al. The burden of attending a pediatric surgical clinic and family preferences toward telemedicine. J Pediatr Surg. 2014 Dec 1;50(10):1776–82.
11. Finkelstein JB, Cahill D, Kurtz MP, et al. The use of telemedicine for the postoperative urological care of children: Results of a pilot program. J Urol. 2019 Jul 1;202(1):159–63.
12. Finkelstein JB, Cahill D, Young K, et al. Telemedicine for pediatric urologic postoperative care is safe, convenient and economical. J Urol. 2020 Jul;204(1):144–8. https://doi.org/10.1097/JU.0000000000000750. Epub 2020 Jan 17.
13. Marcin JP, Ellis J, Mawis R, Nagrampa E, Nesbitt TS, Dimand RJ. Using telemedicine to provide pediatric subspecialty care to children with special health care needs in an underserved rural community. Pediatrics. 2004 Jan;113(1 I):1–6.
14. Whitten P, Love B. Patient and provider satisfaction with the use of telemedicine: Overview and rationale for cautious enthusiasm. J Postgrad Med. 2005 Oct;51(4):294–300.
15. Garcia R, Adelakun O. A conceptual framework and pilot study for examining telemedicine satisfaction research. J Med Syst. 2019; 43:51. https://doi.org/10.1007/s10916-019-1161-4
16. Canon S, Shera A, Patel A, et al. A pilot study of telemedicine for post-operative urological care in children. J Telemed Telecare. 2014 Dec 16;20(8):427–30.
17. Vallasciani S, Abdo B, Rauf Z, et al. Telehealth for the assessment of patients referred for pediatric urological care: A preliminary cost savings analysis and satisfaction survey. Telemed J eHealth. 2019;25(8):756–61.
18. Kruse CS, Krowski N, Rodriguez B, Tran L, Vela J, Brooks M. Telehealth and patient satisfaction: A systematic review and narrative analysis. BMJ Open. 2017 Aug 1;7(8):e016242.
19. Mair F, Whitten P. Systematic review of studies of patient satisfaction with telemedicine. Br Med J. 2000 Jun 3;320(7248):1517–20.
20. Polinski JM, Barker T, Gagliano N, Sussman A, Brennan TA, Shrank WH. Patients’ satisfaction with and preference for telehealth visits. J Gen Intern Med. 2016 Mar 1;31(3):269–75.
21. Rimsza ME, Hotaling AJ, Keown ME, et al. The use of telemedicine to address access and physician workforce shortages. Pediatrics. 2015 Jul 1;136(1):202–9.
22. Dávalos ME, French MT, Burdick AE, Simmons SC. Economic evaluation of telemedicine: Review of the literature and research guidelines for benefit-cost analysis. Telemed e-Health. 2009 Dec 1;15(10):933–48.
23. Martinez KA, Rood M, Jhangiani N, et al. Patterns of use and correlates of patient satisfaction with a large nationwide direct to consumer telemedicine service. J Gen Intern Med. 2018 Oct 1;33(10):1768–73.
24. Hofstetter PJ, Kokesh J, Ferguson AS, Hood LJ. The impact of telehealth on wait time for ENT specialty care. Telemed J E Health. 2010;16(5):551–6.