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远程医疗在小儿矫形外科应对 COVID-19 大流行中的应用。

Telehealth Utilization in Response to the COVID-19 Pandemic in Pediatric Orthopaedic Surgery.

机构信息

From the Harvard Medical School & Boston Children's Hospital, Boston, MA (Parisien), Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA (Shin and Prasad), Columbia University Medical Center, New York City, NY (Trofa and Levine), Boston University Medical Center (Li), Boston, MA, and The Children's Hospital of Philadelphia, Philadelphia, PA (Parisien, Flynn, and Ganley).

出版信息

J Am Acad Orthop Surg. 2021 Dec 15;29(24):1053-1060. doi: 10.5435/JAAOS-D-20-00694.

Abstract

INTRODUCTION

The purpose of this investigation was to assess the utilization of telehealth capabilities by pediatric orthopaedic departments across the United States in response to the COVID-19 pandemic.

METHODS

One hundred four pediatric orthopaedic departments were investigated regarding each institution's current telehealth utilization as a direct response to the COVID-19 pandemic.

RESULTS

Of the 104 hospitals contacted across the United States, 100 pediatric orthopaedic departments in 39 states responded for an overall response rate of 96%. Of the 95 institutions offering telehealth services, 83 (87.4%) cited the COVID-19 pandemic as the impetus for the implementation of telehealth services. Of these, 29 institutions (31%) began offering services from March 16 to March 31 and 34 (36%) began offering services from April 1 to April 15. Regional analysis demonstrated an 800% increase in telehealth services in the state of New York, a 600% increase in Florida, a 500% increase in Texas, a 400% increase in Michigan, a 200% increase in Pennsylvania, and a 1,100% increase in California.

DISCUSSION

This study demonstrates the rapid response measures instituted by pediatric orthopaedic institutions to meet the fundamental needs of the pediatric population during this unprecedented pandemic.

摘要

简介

本研究旨在评估美国儿科骨科部门在应对 COVID-19 大流行期间对远程医疗能力的利用情况。

方法

对 104 家儿科骨科部门进行了调查,了解每个机构针对 COVID-19 大流行直接开展的远程医疗利用情况。

结果

在美国联系的 104 家医院中,有 39 个州的 100 个儿科骨科部门做出了回应,总体回应率为 96%。在提供远程医疗服务的 95 家机构中,83 家(87.4%)表示 COVID-19 大流行是实施远程医疗服务的动力。其中,29 家机构(31%)从 3 月 16 日至 3 月 31 日开始提供服务,34 家(36%)从 4 月 1 日至 4 月 15 日开始提供服务。区域分析表明,纽约州的远程医疗服务增加了 800%,佛罗里达州增加了 600%,德克萨斯州增加了 500%,密歇根州增加了 400%,宾夕法尼亚州增加了 200%,加利福尼亚州增加了 1100%。

讨论

本研究表明,儿科骨科机构在应对这一前所未有的大流行期间,迅速采取措施,满足儿科人群的基本需求。

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