ArticleFamily medicine2023
Trends in Pediatric Primary Care Visits During the COVID-19 Pandemic: Opportunity to Address Adolescent Behavioral Health Through Telemedicine.
Article in Family medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Impact of COVID-19 Pandemic on Pediatrics Primary Healthcare Visits in a University Based Family and Community Medicine Center in Saudi Arabia.Medical archives (Sarajevo, Bosnia and Herzegovina) · 2026Article
- Pediatric and Young Adult Cancer Incidence in the United States During the COVID-19 Pandemic.Pediatric blood & cancer · 2025Article
- Cost-Effectiveness of Universal Routine Depression Screening for Adolescents in Primary Care.JAMA health forum · 2025Article
- One size doesn't fit all: regional dynamics in pediatric emergency visits during the SARS-CoV-2 pandemic.Frontiers in public health · 2025Article
- The impact of COVID-19 on hay fever treatment in Japan: A retrospective cohort study based on the Japanese claims database.Clinical and translational allergy · 2024Article
- Disparities in accessing specialty behavioral health services during the COVID-19 pandemic and why we need pediatric integrated primary care.Frontiers in psychiatry · 2024Article
- The Evolving Landscape of Using Telehealth to Address Pediatric Mental Health in a Postpandemic Era.Academic pediatricsReview
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesThe COVID-19 pandemic impacted the volume and nature of pediatric primary care visits nationwide. This study aimed to identify trends in pediatric visits at our institution during the pandemic to reveal opportunities to improve care of children and adolescents.
methodsWe performed a retrospective chart review of all pediatric visits conducted at a single family medicine clinic within a large academic medical center in Northern California from January 1, 2019, through September 30, 2021. Data collected for each visit included age, sex, type of visit (preventive or problem-focused), reason for visit (if problem-focused), and mode of visit (in-person or telehealth). We analyzed data using descriptive statistics and χ2 tests.
resultsA total of 4,844 pediatric visits occurred during the study period. Visit volume dropped 9% from 2019 to 2020 and recovered to prepandemic levels in 2021. During the study period from 2019 to 2021, the percentage of problem-focused visits increased from 30% to 37% (P=.008) among adolescents, driven largely by an increase in the percentage of behavioral health visits from 14% to 29% (P<.001). We found no significant changes in the age or sex of patients seen. Telemedicine visit volume decreased from 2020 to 2021 in all age categories except for adolescents, which remained stable at 43% of all visits.
conclusionsA sharp increase in behavioral health concerns among adolescents stands out as the most notable impact of COVID-19 on pediatric care at our institution. Our findings raise questions about how behavioral health care can be optimized for adolescents in the postpandemic era.
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