The DOI matches its Crossref record; 19 of the 19 references it cites were found in a registry or an index.
Analyzing 2,589 child neurology telehealth encounters necessitated by the COVID-19 pandemic
Open accessAbstract
OBJECTIVE: To assess the rapid implementation of child neurology telehealth outpatient care with the onset of the coronavirus disease 2019 (COVID-19) pandemic in March 2020. METHODS: This was a cohort study with retrospective comparison of 14,780 in-person encounters and 2,589 telehealth encounters, including 2,093 audio-video telemedicine and 496 scheduled telephone encounters, between October 1, 2019 and April 24, 2020. We compared in-person and telehealth encounters for patient demographics and diagnoses. For audio-video telemedicine encounters, we analyzed questionnaire responses addressing provider experience, follow-up plans, technical quality, need for in-person assessment, and parent/caregiver satisfaction. We performed manual reviews of encounters flagged as concerning by providers. RESULTS: There were no differences in patient age and major ICD-10 codes before and after transition. Clinicians considered telemedicine satisfactory in 93% (1,200 of 1,286) of encounters and suggested telemedicine as a component for follow-up care in 89% (1,144 of 1,286) of encounters. Technical challenges were reported in 40% (519 of 1,314) of encounters. In-person assessment was considered warranted after 5% (65 of 1,285) of encounters. Patients/caregivers indicated interest in telemedicine for future care in 86% (187 of 217) of encounters. Participation in telemedicine encounters compared to telephone encounters was less frequent among patients in racial or ethnic minority groups. CONCLUSIONS: We effectively converted most of our outpatient care to telehealth encounters, including mostly audio-video telemedicine encounters. Providers rated the vast majority of telemedicine encounters to be satisfactory, and only a small proportion of encounters required short-term in-person follow-up. These findings suggest that telemedicine is feasible and effective for a large proportion of child neurology care. Additional strategies are needed to ensure equitable telemedicine use.
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“Another challenge of remote consultations stems from infrastructure and device technical issues [234,243].”
From Toward Safer Diagnoses: A SEIPS-Based Narrative Review of Diagnostic Errors (2026) · cites this paper as [243]
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Crossing the Quality Chasm: A New Health System for the 21st Century
Committee on Quality of Health Care in America (2002) · Journal for Healthcare Quality · doi:10.1111/j.1945-1474.2002.tb00463.x · Cited by 8,508
Virtually perfect? Telemedicine for COVID-19
Hollander, J. E., & Carr, B. G. (2020) · New England Journal of Medicine · doi:10.1056/nejmp2003539 · Cited by 2,970
Telemedicine: A guide to assessing telecommunications in healthcare
Field, M. J. (1997) · Journal of Imaging Informatics in Medicine · doi:10.1007/bf03168648 · Cited by 376
Safety and efficacy of thrombolysis in telestroke: A systematic review and meta-analysis
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The Promise of Telemedicine for Movement Disorders: an Interdisciplinary Approach
the International Parkinson and Movement Disorder Society Telemedicine Task Force, Ben‐Pazi, H., Browne, P. J., Chan, P., Cubo, E., Guttman, M., Hassan, A., Hatcher-Martin, J. M., Mari, Z. K., Moukheiber, E. S., et al. (2018) · Current Neurology and Neuroscience Reports · doi:10.1007/s11910-018-0834-6 · Cited by 124
A Comparison of Epilepsy Patients in a Traditional Ambulatory Clinic and a Telemedicine Clinic
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Challenges of Telemedicine during the COVID-19 pandemic: a systematic review
Ftouni, R., AlJardali, B., Hemdanieh, M., Ftouni, L., & Salem, N. (2022) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-022-01952-0 · Cited by 331
Satisfaction with the use of telehealth during COVID-19: An integrative review
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“Several studies noted that patients and healthcare providers were willing to continue to use telehealth as part of their follow-up visits even after the COVID-19 pandemic ( Dobrussin et al., 2020 ; Holtz et al., 2020 ; Li et al., 2020 ; Rametta et al., 2020 ).”
InfluentialTelehealth: Opportunities to Improve Access, Quality, and Cost in Pediatric Care
Curfman, A. L., Hackell, J. M., Herendeen, N. E., Alexander, J. J., Marcin, J. P., Moskowitz, W. B., Bodnar, C. E. F., Simon, H. K., & McSwain, S. D. (2022) · PEDIATRICS · doi:10.1542/peds.2021-056035 · Cited by 82
Metadata
- Authors
- Rametta, S. C., Fridinger, S. E., Gonzalez, A. K., Xian, J., Galer, P. D., Kaufman, M., Prelack, M. S., Sharif, U., Fitzgerald, M. P., Melamed, S. E., Malcolm, M. P., Kessler, S. K., Stephenson, D. J., Banwell, B. L., Abend, N. S., & Helbig, I.
- Affiliations
- University of Pennsylvania (US)
- Corresponding author
- Helbig, Ingo
- ORCID
- Venue
- Neurology
- Published
- 2020-09
- Volume
- 95
- Issue
- 9
- Pages
- e1257-e1266
- ISSN
- 0028-3878 (ISSN-L)
- 1526-632X
- PMC
- PMC7538222
- OpenAlex
- W3034062233
- Cited by
- 129
- References
- 19
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 11 · 2023: 19 · 2022: 34 · 2021: 44 · 2020: 10
- FWCI
- 20.06
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc-nd
- Locations
- Neurology (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Funders
- Children's Hospital of Philadelphia
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Oncology › COVID-19 and healthcare impacts
- Health Sciences › Dentistry › General Dentistry › Dental Research and COVID-19
- Keywords
- telemedicine, pediatric neurology, COVID-19 pandemic, outpatient care, caregiver satisfaction, racial and ethnic disparities, technical challenges
- MeSH terms
- COVID-19, Adolescent, Child, Child, Preschool, Female, Humans, Job Satisfaction, Male, Minority Groups, Neurology, Pediatrics, Pneumonia, Viral, Surveys and Questionnaires, Retrospective Studies, Cohort Studies, Caregivers, Patient Satisfaction, Telemedicine, Coronavirus Infections, Pandemics
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