دورية أكاديمية
أعرض في EDS

The Cost Impact of Telehealth Interventions in Pediatric Surgical Specialties: A Systematic Review.

التفاصيل البيبلوغرافية
العنوان: The Cost Impact of Telehealth Interventions in Pediatric Surgical Specialties: A Systematic Review.
المؤلفون: Jungbauer WN Jr; Department of Otolaryngology - Head and Neck Surgery, Medical University of South Carolina, 135 Rutledge Ave, MSC 550, Charleston, SC 29425, United States., Gudipudi R; Department of Otolaryngology - Head and Neck Surgery, Medical University of South Carolina, 135 Rutledge Ave, MSC 550, Charleston, SC 29425, United States., Brennan E; Department of Research and Education Services, Medical University of South Carolina, Charleston, SC, United States., Melvin CL; Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC, United States., Pecha PP; Department of Otolaryngology - Head and Neck Surgery, Medical University of South Carolina, 135 Rutledge Ave, MSC 550, Charleston, SC 29425, United States. Electronic address: pechap@musc.edu.
المصدر: Journal of pediatric surgery [J Pediatr Surg] 2023 Aug; Vol. 58 (8), pp. 1527-1533. Date of Electronic Publication: 2022 Oct 22.
نوع المنشور: Systematic Review; Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Saunders Country of Publication: United States NLM ID: 0052631 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1531-5037 (Electronic) Linking ISSN: 00223468 NLM ISO Abbreviation: J Pediatr Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: Philadelphia, PA : Saunders
Original Publication: New York.
مواضيع طبية MeSH: Telemedicine* , Specialties, Surgical*, Humans ; Child ; Child, Preschool ; Delivery of Health Care ; Ambulatory Care
مستخلص: Background: Telehealth is a rapidly expanding care modality in the United States. Pediatric surgical patients often require complex care which can incur significant expenses, some of which may be alleviated by telehealth. We performed a systematic review comparing telehealth and in-person visits, and telehealth's impacts on the cost of healthcare across pediatric surgical specialties.
Methods: A systematic review was performed using the following databases: PubMed (MEDLINE), Scopus (Elsevier), and CINAHL (EBSCOHost), searched from inception to July 10th, 2022. Studies were included per the following criteria: (1) investigated a telehealth intervention for pediatric surgical care and (2) provided some metric of telehealth cost compared to an in-person visit. Non-English or studies conducted outside of the U.S. were excluded.
Results: Fourteen manuscripts met inclusion criteria and presented data on 7992 visits, including patients with a weighted average age of 7.5 ± 3.5 years. Most (11/14) studies used telehealth in a synchronous, or "real-time" context. Of the studies which calculated dollar cost savings for telehealth visits compared to in-person appointments we found a substantial range of savings per visit, from $48.50 to $344.64. Cost savings were frequently realized in terms of reduced travel expenditures, lower opportunity costs (e.g. lost wages), and decreased hospital labor requirements.
Conclusions: This review suggests that telehealth provides cost incentives to pediatric surgical care in many scenarios, including post-operative visits and some routine clinic visits. Future work should focus on standardizing the metrics by which cost impacts are analyzed and detailing which visits are most appropriately facilitated by telehealth.
Level of Evidence: V.
(Copyright © 2022 Elsevier Inc. All rights reserved.)
معلومات مُعتمدة: UL1 TR001450 United States TR NCATS NIH HHS
فهرسة مساهمة: Keywords: Cost; Pediatric surgery; Telehealth; Value-based care
تواريخ الأحداث: Date Created: 20221115 Date Completed: 20230731 Latest Revision: 20230823
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC10121966
DOI: 10.1016/j.jpedsurg.2022.10.008
PMID: 36379748
قاعدة البيانات: MEDLINE
الوصف
تدمد:1531-5037
DOI:10.1016/j.jpedsurg.2022.10.008