Login
Communauté Vinci
Extérieur
Si votre nom d'utilisateur ne se termine pas par @vinci.be ou @student.vinci.be, utilisez le formulaire ci-dessous pour accéder à votre compte de lecteur.
Titre : | Parent Experience and Cost Savings Associated With a Novel Tele-physiatry Program for Children Living in Rural and Underserved Communities (2022) |
Auteurs : | Loren Davidson ; Sarah C. Haynes ; Amanda Favila-Meza ; Jeffrey S. Hoch ; Daniel J. Tancredi ; Alanna D. Bares ; Jamie Mouzoon ; James P. Marcin |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 103, n° 1, 2022) |
Article en page(s) : | p. 8-13 |
Note générale : | https://doi.org/10.1016/j.apmr.2021.07.807 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Disparités d'accès aux soins ; Enfants handicapés ; Médecine physique et de réadaptation ; Population rurale ; Réadaptation ; Télémédecine |
Résumé : |
Objective
The aim of this study was to investigate parent and therapist experience and cost savings from the payer perspective associated with a novel tele-physiatry program for children living in rural and underserved communities. Design We designed a noninferiority, cluster-randomized crossover study at 4 school-based clinics to evaluate parent experience and perceived quality of care between a telemedicine-based approach in which the physiatrist conducts the visit remotely with an in-person therapist and a traditional in-person physiatrist clinic. Setting Four school-based clinics in Northern California. Participants A total of 268 encounters (124 telemedicine and 144 in-person) were completed by 200 unique patients (N=200). Interventions Not applicable. Main Outcome Measures Parent and therapist experience scores. Results For parents and therapists, experience and perceived quality of care were high with no significant differences between telemedicine and in-person encounters. For parents whose children received a telemedicine encounter, 40 (54.8%) reported no preference for their child's subsequent encounter, 21 (28.8%) preferred a physiatrist telemedicine visit, and 12 (16.4%) preferred a physiatrist in-person visit. From the payer perspective, costs were $100 higher for in-person clinics owing to physician mileage reimbursement. Conclusions We found that school-based tele-physiatry for children with special health care needs is not inferior to in-person encounters with regard to parent and provider experience and perceived quality of care. Tele-physiatry was also associated with an average cost savings of $100 per clinic to the payer. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999321013678#! |