Evidence map›Paper›PMID 34875456›Full record

ArticleHealthcare (Amsterdam, Netherlands)2022

Use of telemedicine for initial outpatient subspecialist consultative visit: A national survey of general pediatricians and pediatric subspecialists.

Kristin N Ray, James C Bohnhoff, Kelsey Schweiberger, Gina M Sequeira, Janel Hanmer, Jeremy M Kahn

Open access · greenAbstract read
In one paragraph

Article in Healthcare (Amsterdam, Netherlands), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Perceived Usefulness of Increased Telemedicine Use by Pediatric Subspecialists: A National Survey.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2022
    Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Kristin N RayDepartment of Pediatrics, University of Pittsburgh School of Medicine, UPMC Children's Hospital of Pittsburgh, 3414 Fifth Avenue, Pittsburgh, PA, 15213, USA. Electronic address: Kristin.ray@chp.edu.
James C BohnhoffDepartment of Pediatrics, University of Pittsburgh School of Medicine, UPMC Children's Hospital of Pittsburgh, 3414 Fifth Avenue, Pittsburgh, PA, 15213, USA.
Kelsey SchweibergerDepartment of Pediatrics, University of Pittsburgh School of Medicine, UPMC Children's Hospital of Pittsburgh, 3414 Fifth Avenue, Pittsburgh, PA, 15213, USA.
Gina M SequeiraSeattle Children's Hospital, Division of Adolescent Medicine, Seattle, WA, 98105, USA.
Janel HanmerDepartment of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Jeremy M KahnDepartment of Health Policy and Management, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, USA; Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
University of Pittsburgh · USSeattle Children's Hospital · US

Funding

PEDSnet Scholars: A Training Program for Pediatric Learning Health System ResearchersK12HS026393 · AHRQ · CHILDREN'S HOSP OF PHILADELPHIA · PI FORREST, CHRISTOPHER B, MOON, JEANHEE · 2018 to 2022
$4.0M
SPROUT-CTSA Collaborative Telehealth Research NetworkU01TR002626 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CHUO, JOHN, MCSWAIN, STEVEN D · 2019 to 2023
$3.6M
Optimizing Pediatric Subspecialty Care Through Telemedicine and e-ConsultationsK23HD088642 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI RAY, KRISTIN N · 2017 to 2020
$520k
AHRQ HHS K12 HS026393NCATS NIH HHS U01 TR002626NICHD NIH HHS K23 HD088642
6 · The paper itself

Abstract

backgroundEvidence-based strategies are needed to support appropriate use of telemedicine for initial outpatient subspecialty consultative visits. To inform such strategies we performed a survey of general pediatricians and pediatric subspecialists about use of telemedicine for patients newly referred for pediatric subspecialty care.

methodsWe developed and fielded an e-mail and postal survey of a national sample of 840 general pediatricians and 840 pediatric subspecialists in May and June 2020.

resultsOf 266 completed surveys (17% response rate), 204 (76%) thought telemedicine should be offered for some and 29 (11%) thought telemedicine should be offered for all initial subspecialist visits. Most respondents who indicated telemedicine should be offered for some initial consultations believed this decision should be made by subspecialty attendings (176/204, 86%). Respondents prioritized several data elements to inform this decision, including clinical information and family-based contextual information (e.g., barriers to in-person care, interest in telemedicine, potential communication barriers). Factors perceived to reduce appropriateness of telemedicine for subspecialty consultation included need for interpreter services and prior history of frequent no-shows. Responses from generalists and subspecialists rarely differed significantly.

conclusionsSurvey results suggest potential opportunities to support the appropriate use of telemedicine for initial outpatient pediatric subspecialty visits through structured transfer of specific clinical and contextual information at the time of referral and through strategies to mitigate perceived communication or engagement barriers. IMPLICATION: Pediatric physician beliefs about telemedicine for initial outpatient subspecialty consultative visits may inform future interventions to support appropriate telemedicine use. LEVEL OF EVIDENCE: Survey of a national sample of clinicians.

Indexed as

OutpatientsTelemedicineChildHumansPediatriciansReferral and ConsultationSpecializationElectronic consultationReferralSubspecialtyTelehealthTelemedicine

Identifiers

PMID34875456
PMCPMC8881319
OpenAlexW4200226823

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.