000 03653nam a22006017a 4500
008 210217s20232023 xxu||||| |||| 00| 0 eng d
022 _a1357-633X
024 _a10.1177/1357633X20983159 [doi]
040 _aOvid MEDLINE(R)
099 _a33476220
245 _aPilot assessment of an on-demand telehealth 'left without being seen' follow-up programme.
247 _aPilot assessment of an on-demand telehealth 'left without being seen' follow-up programme.
251 _aJournal of Telemedicine & Telecare. 29(4):304-307, 2023 May.
252 _aJ Telemed Telecare. 29(4):304-307, 2023 May.
253 _aJournal of telemedicine and telecare
260 _fFY2023
260 _c2023
260 _p2023 May
265 _sppublish
265 _tMEDLINE
266 _u2023-07-03
266 _d2021-02-17
267 _c2021
268 _aJournal of Telemedicine & Telecare. :1357633X20983159, 2021 Jan 21
269 _aJ Telemed Telecare. :1357633X20983159, 2021 Jan 21
269 _fFY2021
269 _saheadofprint
501 _aAvailable online through MWHC library: 2013 to the present
520 _aDISCUSSION: Results suggest patients can effectively self-manage their care needs.
520 _aINTRODUCTION: On-demand telehealth can have a high rate of patients requesting visits and dropping off without being seen by a provider, especially during the COVID-19 pandemic.
520 _aMETHODS: On-demand telehealth requests made to a large healthcare system in the USA between 15 March 2020 and 31 May 2020 were included for analysis with a focus on patients who were defined as left without being seen (LWBS). As part of a pilot program a registered nurse attempted to call LWBS patients within 24 hours of their telehealth request and asked if they were ok, if they sought care for their original visit reason, what that care was, or if they still needed guidance. This information and patient demographics were analyzed.
520 _aRESULTS: During the study period there were 21,610 completed on-demand telehealth visits and 1852 patients for whom there were LWBS attempted follow-ups. Most patients LWBS for a reason that originated from the patient and not associated with the provider or telehealth platform. The mean wait time for LWBS patients was 12.4 min compared to patients waiting 15.1 min before engaging with a provider to complete a visit. Of the 1852 total LWBS patients in the follow-up programme, 819 (44.2%) were successfully contacted with a follow-up phone call. Most of these patients (63.2%) already completed or planned to complete a telehealth visit, 13.6% indicated they no longer needed to see a provider, and 12.8% planned or already completed an in-person visit. Only 2.2% went to an emergency department.
546 _aEnglish
650 _a*COVID-19
650 _a*Telecommunications
650 _a*Telemedicine
650 _aCOVID-19/ep [Epidemiology]
650 _aFollow-Up Studies
650 _aHumans
650 _aPandemics
650 _zAutomated
651 _aMedStar Institute for Innovation
656 _aNational Center for Human Factors in Healthcare
657 _aJournal Article
700 _aAdams, Katharine
700 _aCalabrese, Mary
700 _aGomes, Kylie
700 _aRatwani, Raj M
790 _aAdams KT, Booker E, Calabrese M, Gomes K, Krevat SA, Ratwani RM, Sheridan MD
856 _uhttps://dx.doi.org/10.1177/1357633X20983159
_zhttps://dx.doi.org/10.1177/1357633X20983159
858 _yRatwani, Raj M
_uhttps://orcid.org/0000-0002-8623-6123
_zhttps://orcid.org/0000-0002-8623-6123
942 _cART
_dArticle
999 _c12819
_d12819