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Cited by 23Telemedicine and Telehealth ImplementationDental Research and COVID-19Healthcare Systems and Technology

COVID-19 Era Effect on Pandemic and Post-pandemic Pediatric Telemedicine Use: A Survey of the European Academy of Pediatrics Research in Ambulatory Settings Network

Open access
Reingold, Stephen M., Hadjipanayis, Adamos, van Esso, Diego, del Torso, Stefano, Dornbusch, Hans Jürgen, de Guchtenaere, Ann, Pancheva, Rouzha, Mujkic, Aida +13 more·2021·Frontiers in Pediatrics
DOI 10.3389/fped.2021.713930PMC PMC8570300
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Abstract

Background: During the COVID-19 pandemic, telemedicine use has increased within community pediatrics. This trend runs counter to reluctance to adaptation of the new mode of healthcare that existed prior to the pandemic. Little is known about what we can expect after the pandemic: if physicians will opt for telemedicine modalities and if tele-pediatrics will continue to be a significant mode of community pediatric care. Objective: The goal of this study was to survey primary pediatric care providers as to their experiences and clinical decision making with telemedicine modalities prior to and during the COVID-19 pandemic, as well as their projected use after the pandemic ends. Material and methods: Using the EAPRASnet database we surveyed pediatricians throughout Europe, using a web-based questionnaire. The survey was performed during the COVID-19 pandemic (June–July 2020), assessed telemedicine use for several modalities, prior to and during the pandemic as well as predicted use after the pandemic will have resolved. Participants were also surveyed regarding clinical decision making in two hypothetical clinical scenarios managed by telemedicine. Results: A total of 710 physicians participated, 76% were pediatricians. The percentage of respondents who reported daily use for at least 50% of all encounters via telemedicine modalities increased during the pandemic: phone calls (4% prior to the pandemic to 52% during the pandemic), emails (2–9%), text messages (1–6%), social media (3–11%), cell-phone pictures/video (1–9%), and video conferencing (1–7%) (p < 0.005). The predicted post-pandemic use of these modalities partially declined to 19, 4, 3, 6, 9, and 4%, respectively (p < 0.005), yet demonstrating a prospectively sustained use of pictures/videos after the pandemic. Reported high likelihood of remotely treating suspected pneumonia and acute otitis media with antibiotics decreased from 8 to 16% during the pandemic to an assumed 2 and 4% after the pandemic, respectively (p < 0.005). Conclusions: This study demonstrates an increased utilization of telemedicine by pediatric providers during the COVID-19 pandemic, as well as a partially sustained effect that will promote telemedicine use as part of a hybrid care provision after the pandemic will have resolved.

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  • Prior to COVID-19, strides in teledermatology had lagged at least in part from a lack of confidence in telediagnoses and fears of missing or delaying critical diagnoses.

    “Prior to the COVID-19 pandemic, strides in teledermatology had lagged at least in part from a lack of confidence in telediagnoses and fears of missing or delaying critical diagnoses [12].”

    From A Glance at the Practice of Pediatric Teledermatology Pre- and Post–COVID-19: Narrative Review (2022) · cites this paper as [12]

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  1. [1]NEJM Catalyst. What is Telehealth. (2018). 10.1056/CAT.18.0268 · DOI

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Authors
Reingold, S. M., Hadjipanayis, A., van Esso, D., del Torso, S., Dornbusch, H. J., de Guchtenaere, A., Pancheva, R., Mujkic, A., Syridou, G., Valiulis, A., Mazur, A., Rios, J., Spreitzer, M. V., Mamenko, M., D'Avino, A., Kubatova, G., Geitmann, K., Wyder, C., Altorjai, P., Michailidou, K., & Grossman, Z.
Affiliations
  • Kupat Holim Meuchedet (IL)
  • European University Cyprus (CY)
  • Medical University of Graz (AT)
  • Medical University of Varna (BG)
  • National and Kapodistrian University of Athens (GR)
  • University of Rzeszów (PL)
  • Hospital Beatriz Ângelo (PT)
  • Shupyk National Healthcare University of Ukraine (UA)
  • Therapiezentrum Burgau (DE)
  • Cyprus Institute of Neurology and Genetics (CY)
  • Maccabi Healthcare Services (IL)
Corresponding author
Reingold, Stephen M.
ORCID
Venue
Frontiers in Pediatrics
Publisher
Frontiers Media SA
Published
2021-10-22
Volume
9
Pages
713930-713930
ISSN
2296-2360 (ISSN-L)
DOI
10.3389/fped.2021.713930
PMC
PMC8570300
OpenAlex
W3211100976
Cited by
23
References
36
Citations by year
2025: 4 · 2024: 4 · 2023: 6 · 2022: 8 · 2021: 1
FWCI
4.12
Type
journal article
Language
en
Open access
Licence
Locations
  • Frontiers in Pediatrics (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, other-oa)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Ghent University Academic Bibliography (Ghent University) (submittedVersion, other-oa)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
  • Health Sciences › Dentistry › General Dentistry › Dental Research and COVID-19
  • Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Healthcare Systems and Technology
Keywords
telemedicine, COVID-19 pandemic, pediatric primary care, videoconferencing, telephone consultation, acute otitis media, hybrid care

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