Jeffrey Olson, Dawn Beaulieu, Audrey Bennett, Robin Dalal, Baldeep Pabla, David A Schwartz, Elizabeth Scoville, Allison McCoy, Sara Horst
{"title":"远程医疗提高了炎性肠病患者在三级护理炎性肠病中心的滞留率。","authors":"Jeffrey Olson, Dawn Beaulieu, Audrey Bennett, Robin Dalal, Baldeep Pabla, David A Schwartz, Elizabeth Scoville, Allison McCoy, Sara Horst","doi":"10.1177/1357633X251349383","DOIUrl":null,"url":null,"abstract":"<p><p>BackgroundTelecare is increasingly important in managing patients with chronic diseases, including patients with inflammatory bowel disease (IBD). This study evaluates the impact of telecare on patient retention and access to tertiary care for patients with IBD.MethodsWe analyzed patient data from a tertiary care IBD center, comparing patterns pre-COVID (January 2018 to March 2020) and post-COVID (August 2020 to January 2023) as only post-COVID patients had availability of telecare for return visits. Patients were classified based on their visit types and drive times to the clinic. Statistical analyses were conducted using Pearson Chi Square analysis for categorical variables as well as Mann-Whitney U and Kruskal-Wallis statistical tests with Bonferroni correction for multiple tests.ResultsA total of 7040 patients were included. In the post-COVID period, 62% of return visit patients chose telecare, leading to increased retention rates (nonreturning patients decreased from 14% to 8%). Returning patient retention increased for 2 to 3 hours and more than 3 hours of drive time (+10% and +14%). Telecare return patients had significantly longer drive times (median 56.1 minutes) than nonreturn (median 45.7 minutes, p = 0.007) and in-person return prior to telecare availability (median 38.8, p < 0.001) patients. Patient satisfaction scores were high for both telecare and in-person visits. Telecare patients had lower rates of emergency department visits and hospital admissions.ConclusionTelecare significantly enhances patient retention and access to tertiary IBD care, particularly for patients living at greater distances. The study demonstrates that telecare is an effective strategy for maintaining multidisciplinary IBD care without compromising patient satisfaction or outcomes.</p>","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"1357633X251349383"},"PeriodicalIF":3.5000,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Telecare enhances the retention of patients with inflammatory bowel disease within a tertiary care inflammatory bowel disease center.\",\"authors\":\"Jeffrey Olson, Dawn Beaulieu, Audrey Bennett, Robin Dalal, Baldeep Pabla, David A Schwartz, Elizabeth Scoville, Allison McCoy, Sara Horst\",\"doi\":\"10.1177/1357633X251349383\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>BackgroundTelecare is increasingly important in managing patients with chronic diseases, including patients with inflammatory bowel disease (IBD). This study evaluates the impact of telecare on patient retention and access to tertiary care for patients with IBD.MethodsWe analyzed patient data from a tertiary care IBD center, comparing patterns pre-COVID (January 2018 to March 2020) and post-COVID (August 2020 to January 2023) as only post-COVID patients had availability of telecare for return visits. Patients were classified based on their visit types and drive times to the clinic. Statistical analyses were conducted using Pearson Chi Square analysis for categorical variables as well as Mann-Whitney U and Kruskal-Wallis statistical tests with Bonferroni correction for multiple tests.ResultsA total of 7040 patients were included. In the post-COVID period, 62% of return visit patients chose telecare, leading to increased retention rates (nonreturning patients decreased from 14% to 8%). Returning patient retention increased for 2 to 3 hours and more than 3 hours of drive time (+10% and +14%). Telecare return patients had significantly longer drive times (median 56.1 minutes) than nonreturn (median 45.7 minutes, p = 0.007) and in-person return prior to telecare availability (median 38.8, p < 0.001) patients. Patient satisfaction scores were high for both telecare and in-person visits. Telecare patients had lower rates of emergency department visits and hospital admissions.ConclusionTelecare significantly enhances patient retention and access to tertiary IBD care, particularly for patients living at greater distances. The study demonstrates that telecare is an effective strategy for maintaining multidisciplinary IBD care without compromising patient satisfaction or outcomes.</p>\",\"PeriodicalId\":50024,\"journal\":{\"name\":\"Journal of Telemedicine and Telecare\",\"volume\":\" \",\"pages\":\"1357633X251349383\"},\"PeriodicalIF\":3.5000,\"publicationDate\":\"2025-06-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Telemedicine and Telecare\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/1357633X251349383\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Telemedicine and Telecare","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/1357633X251349383","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
Telecare enhances the retention of patients with inflammatory bowel disease within a tertiary care inflammatory bowel disease center.
BackgroundTelecare is increasingly important in managing patients with chronic diseases, including patients with inflammatory bowel disease (IBD). This study evaluates the impact of telecare on patient retention and access to tertiary care for patients with IBD.MethodsWe analyzed patient data from a tertiary care IBD center, comparing patterns pre-COVID (January 2018 to March 2020) and post-COVID (August 2020 to January 2023) as only post-COVID patients had availability of telecare for return visits. Patients were classified based on their visit types and drive times to the clinic. Statistical analyses were conducted using Pearson Chi Square analysis for categorical variables as well as Mann-Whitney U and Kruskal-Wallis statistical tests with Bonferroni correction for multiple tests.ResultsA total of 7040 patients were included. In the post-COVID period, 62% of return visit patients chose telecare, leading to increased retention rates (nonreturning patients decreased from 14% to 8%). Returning patient retention increased for 2 to 3 hours and more than 3 hours of drive time (+10% and +14%). Telecare return patients had significantly longer drive times (median 56.1 minutes) than nonreturn (median 45.7 minutes, p = 0.007) and in-person return prior to telecare availability (median 38.8, p < 0.001) patients. Patient satisfaction scores were high for both telecare and in-person visits. Telecare patients had lower rates of emergency department visits and hospital admissions.ConclusionTelecare significantly enhances patient retention and access to tertiary IBD care, particularly for patients living at greater distances. The study demonstrates that telecare is an effective strategy for maintaining multidisciplinary IBD care without compromising patient satisfaction or outcomes.
期刊介绍:
Journal of Telemedicine and Telecare provides excellent peer reviewed coverage of developments in telemedicine and e-health and is now widely recognised as the leading journal in its field. Contributions from around the world provide a unique perspective on how different countries and health systems are using new technology in health care. Sections within the journal include technology updates, editorials, original articles, research tutorials, educational material, review articles and reports from various telemedicine organisations. A subscription to this journal will help you to stay up-to-date in this fast moving and growing area of medicine.