Perceptions of Telehealth in Pediatric Pulmonary Clinic Post-Pandemic.

Abstract

Introduction: Providing medical care by telehealth is increasingly common since its widespread adoption during the COVID-19 pandemic. The optimal way to incorporate telehealth into existing care models is unknown. The goal of this study was to understand patient and caregiver experience with telehealth in a large pediatric pulmonary clinic following the COVID-19 pandemic. We hypothesized there would be continued favorable perceptions given its convenience, though concerns around limited in-person assessments may persist.

Methods: This was a cross-sectional survey study of patients and caregivers who attended a telehealth visit in our pediatric pulmonary clinic in 2023.

Results: Of 992 eligible participants, 185 completed the survey (19% response rate). Seventy-one percent reported their telehealth visit was more convenient than in-person care and 95% felt telehealth was an acceptable alternative. Considering lack of in-person assessments, including physical exam, vital signs, lung function testing, lab studies and imaging, 75% were not concerned, 21% felt somewhat concerned, and 4% felt very concerned. There was no difference in rates of concern by patient's age, visit diagnosis or reason for visit. Considering future use, 94% of respondents reported they would use telehealth again in the future.

Conclusions: Attendees of a telehealth visit at a single center pediatric pulmonary clinic report favorable experiences citing convenience, similar acceptability relative to in-person care and a desire for continued access in the future. Concerns remain around limited in-person assessments and further work is needed to understand for whom and in what capacity telehealth leads to optimal outcomes.