Evidence map›Paper›PMID 36498072›Full record

ArticleInternational journal of environmental research and public health2022

Evaluation of the Effectiveness of Telemedicine Visits in a Pediatric Gastroenterology Service in the Context of COVID-19.

Cristina Adroher Mas, Celia Calvo Aroca, Ricard Casadevall Llandrich, Francesc López Seguí, Javier Martin Carpi, Francesc García-Cuyàs

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

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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

1 citing paper in PubMed.

  1. 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.

Cristina Adroher MasSant Joan de Déu Hospital, Catalan Ministry of Health, 08950 Barcelona, Spain.
Celia Calvo ArocaSant Joan de Déu Hospital, Catalan Ministry of Health, 08950 Barcelona, Spain.
Ricard Casadevall LlandrichSant Joan de Déu Hospital, Catalan Ministry of Health, 08950 Barcelona, Spain.
Francesc López SeguíCenter for Research in Health and Economics, Pompeu Fabra University (CRES-UPF), 08002 Barcelona, Spain.ORCID 0000-0003-0977-0215
Javier Martin CarpiSant Joan de Déu Hospital, Catalan Ministry of Health, 08950 Barcelona, Spain.
Francesc García-CuyàsSant Joan de Déu Hospital, Catalan Ministry of Health, 08950 Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDuring the first months of COVID-19, the Gastroenterology, Hepatology and Nutrition service of the Hospital Sant Joan de Déu in Barcelona, a leading pediatric center in Spain, introduced a new model of non-face-to-face care.

objectiveTo evaluate the impact of telephone consultations compared to those conducted face-to-face on healthcare utilization. METHODOLOGY: Two main indicators of effectiveness are used: the degree of resolution (percentage of first telemedicine visits that did not generate any new visits in the following 4 and 12 months) and the average number of subsequent visits. A distinction was made between visits for general pathologies (less complex) and those for pathologies treated in monographic consultations (chronic or complex pathologies). Effectiveness at 4 and 12 months was also compared.

resultsAfter 4 months from the first visit, the degree of resolution is lower in the first telemedicine visits than in face-to-face visits for both general pathologies and those of monographic agendas for chronic and complex pathologies. After twelve months, the first general telemedicine visits are less resolute than face-to-face visits, while the resolution rate is the same for chronic and complex pathology visits. Each telemedicine visit generates on average more visits than face-to-face visits. In the short term, 133.4% more in the case of general visits and 51.4% more in the case of chronic and complex visits. In the long term, general telemedicine visits generate 57.31% more visits, while no statistically significant difference is observed between chronic and complex face-to-face and telemedicine visits.

conclusionThe results of this study show that the resolution capacity of the non-face-to-face model in pediatric care in the pandemic context is generally lower and generates more successive visits than the face-to-face model. This lower performance of the telemedicine model should be counterbalanced with its advantages.

Indexed as

COVID-19TelemedicineChildHumansPandemicsReferral and ConsultationSpainCOVIDeffectivenessgastroenterologyhealth economicsnon-face-to-face carepediatricstelemedicine

Identifiers

PMID36498072
PMCPMC9740743

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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.