Department of Occupational Therapy, University of California, San Francisco, San Francisco, California, United States of America.
Department of Occupational Therapy, Samuel Merritt University, Oakland, California, United States of America.
PLoS One. 2024 Mar 27;19(3):e0301219. doi: 10.1371/journal.pone.0301219. eCollection 2024.
To describe the characteristics of patients who received outpatient therapy services through an infant bridge program using telehealth mode of service delivery and to identify if attendance rates vary by mode of service delivery. We hypothesized that telehealth visits will increase attendance rates.
Retrospective, cross-sectional study.
UCSF Benioff Children's Hospital outpatient infant bridge program.
Eighty infants with a history of NICU admission and scheduled for a therapy appointment between June 1, 2019 and December 31, 2020 were included in the study. Participants had an average(SD) gestational age of 34.63(4.41) weeks and length of stay was 43.55(56.03) weeks. The majority were English-speaking (96.3%), White (37.5%), and had commercial insurance (72.5%).
Descriptive analyses were conducted across the entire group along with service delivery model subgroup analysis. Logistic regression was performed to assess patient characteristics associated with attendance and if service delivery model influences attendance.
In the analysis of 596 scheduled visits, there were more completed telehealth sessions than for in-person sessions (90.0% versus 84.1%, p = .011). For in-person sessions, infants (N = 40) with lower birth gestational ages (p = .009), longer length of stay (p = .041), and Medi-Cal insurance (p = .006) were more likely to have ≥2 missed appointments. For the telehealth sessions, infants (N = 40) who had longer length of stay (p = .040) were more likely to have ≥2 missed appointments. There is a higher likelihood of ≥2 missed appointments for patients with a longer length of stay (OR = 1.02, 95% CI [1.01, 1.03]) and for in-person service delivery when compared to telehealth (OR = 6.25, 95% CI [1.37, 28.57]).
Telehealth was associated with higher likelihood of attendance, revealing that telehealth has the potential to increase access to early therapy services for certain populations. Future studies with larger sample sizes to determine which populations benefit from telehealth is recommended.
描述通过远程医疗服务模式提供的婴儿桥接计划接受门诊治疗服务的患者特征，并确定服务提供模式是否会影响就诊率。我们假设远程医疗访问将提高就诊率。
回顾性、横断面研究。
旧金山加大贝尼奥夫儿童医院门诊婴儿桥接计划。
纳入 2019 年 6 月 1 日至 2020 年 12 月 31 日期间计划进行治疗预约的 80 名有新生儿重症监护病房（NICU）住院史的婴儿。参与者的平均（SD）胎龄为 34.63（4.41）周，住院时间为 43.55（56.03）周。大多数参与者为英语（96.3%）、白人（37.5%），并拥有商业保险（72.5%）。
对整个组进行描述性分析，并对服务提供模式亚组进行分析。进行逻辑回归以评估与就诊相关的患者特征，以及服务提供模式是否影响就诊率。
在对 596 次预约的分析中，远程医疗治疗完成的次数多于现场治疗（90.0%比 84.1%，p =.011）。对于现场治疗，胎龄较低（p =.009）、住院时间较长（p =.041）和 Medi-Cal 保险（p =.006）的婴儿（N = 40）更有可能错过≥2 次预约。对于远程医疗治疗，住院时间较长的婴儿（N = 40）更有可能错过≥2 次预约（p =.040）。对于住院时间较长的患者（OR = 1.02，95%CI [1.01, 1.03]）和与现场治疗相比，远程医疗治疗（OR = 6.25，95%CI [1.37, 28.57]）的患者更有可能错过≥2 次预约。
远程医疗与更高的就诊率相关，表明远程医疗有可能增加某些人群获得早期治疗服务的机会。建议进行更大样本量的未来研究，以确定哪些人群受益于远程医疗。
