Document Type
Article
Publication Date
4-2022
Identifier
DOI: 10.1177/1357633X20969531; PMCID: PMC8980450
Abstract
Access to paediatric neurology care is complex, resulting in significant wait times and negative patient outcomes. The goal of the American Academy of Pediatrics National Coordinating Center for Epilepsy's project, Access Improvement and Management of Epilepsy with Telehealth (AIM-ET), was to identify access and management challenges in the deployment of telehealth technology. AIM-ET organised four paediatric neurology teams to partner with primary-care providers (PCP) and their multidisciplinary teams. Telehealth visits were conducted for paediatric epilepsy patients. A post-visit survey assessed access and satisfaction with the telehealth visit compared to an in-person visit. Pre/post surveys completed by PCPs and neurologists captured telehealth visit feasibility, functionality and provider satisfaction. A provider focus group assessed facilitators and barriers to telehealth. Sixty-one unique patients completed 75 telehealth visits. Paired t-test analysis demonstrated that telehealth enhanced access to epilepsy care. It reduced self-reported out-of-pocket costs (ppp
Journal Title
Journal of telemedicine and telecare
Volume
28
Issue
3
First Page
213
Last Page
223
MeSH Keywords
COVID-19; Child; Epilepsy; Humans; Neurology; Pediatrics; Telemedicine
Keywords
Paediatric epilepsy; health-care transition; learning collaborative; medical home; quality improvement; rural; seizures; subspecialty paediatrics; team-based care; telehealth; telemedicine; underserved
Recommended Citation
Gali K, Joshi S, Hueneke S, et al. Barriers, access and management of paediatric epilepsy with telehealth. J Telemed Telecare. 2022;28(3):213-223. doi:10.1177/1357633X20969531
Comments
This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
Publisher's Link: https://doi.org/10.1177/1357633x20969531