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Demographic Factors Associated With Successful Telehealth Visits in Inflammatory Bowel Disease Patients.
Shah, Kaustav P; Triana, Austin J; Gusdorf, Roman E; McCoy, Allison B; Pabla, Baldeep; Scoville, Elizabeth; Dalal, Robin; Beaulieu, Dawn B; Schwartz, David A; Griffith, Michelle L; Horst, Sara N.
  • Shah KP; Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
  • Triana AJ; Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
  • Gusdorf RE; Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
  • McCoy AB; Vanderbilt University Medical Center, Department of Bioinformatics, Nashville, Tennessee, USA.
  • Pabla B; Vanderbilt University Medical Center, Department of Medicine, Division of Gastroenterology, Hepatology, and Nutrition, Nashville, Tennessee, USA.
  • Scoville E; Vanderbilt University Medical Center, Department of Medicine, Division of Gastroenterology, Hepatology, and Nutrition, Nashville, Tennessee, USA.
  • Dalal R; Vanderbilt University Medical Center, Department of Medicine, Division of Gastroenterology, Hepatology, and Nutrition, Nashville, Tennessee, USA.
  • Beaulieu DB; Vanderbilt University Medical Center, Department of Medicine, Division of Gastroenterology, Hepatology, and Nutrition, Nashville, Tennessee, USA.
  • Schwartz DA; Vanderbilt University Medical Center, Department of Medicine, Division of Gastroenterology, Hepatology, and Nutrition, Nashville, Tennessee, USA.
  • Griffith ML; Vanderbilt University Medical Center, Department of Medicine, Division of Diabetes, Endocrinology, and Metabolism, Nashville, Tennessee, USA.
  • Horst SN; Vanderbilt University Medical Center, Department of Medicine, Division of Gastroenterology, Hepatology, and Nutrition, Nashville, Tennessee, USA.
Inflamm Bowel Dis ; 28(3): 358-363, 2022 03 02.
Article in English | MEDLINE | ID: covidwho-1769283
ABSTRACT

BACKGROUND:

This study evaluated synchronous audiovisual telehealth and audio-only visits for patients with inflammatory bowel disease (IBD) to determine frequency of successful telehealth visits and determine what factors increase the likelihood of completion.

METHODS:

Data were collected from March to July 2020 in a tertiary care adult IBD clinic that was transitioned to a fully telehealth model. A protocol for telehealth was implemented. A retrospective analysis was performed using electronic medical record (EMR) data. All patients were scheduled for video telehealth. If this failed, providers attempted to conduct the visit as audio only.

RESULTS:

Between March and July 2020, 2571 telehealth visits were scheduled for adult patients with IBD. Of these, 2498 (99%) were successfully completed by video or phone. Sixty percent were female, and the median age was 41 years. Eighty six percent of the population was white, 8% black, 2% other, and 4% were missing. Seventy-five percent had commercial insurance, 15% had Medicare, 5% had Medicaid, and 5% had other insurance. No significant factors were found for an attempted but completely failed visit. Using a multivariate logistic regression model, increasing age (odds ratio, 1.80; 95% CI, 1.55-2.08; P < 0.05), noncommercial insurance status (odds ratio, 1.89; 95% CI, 1.61-2.21; P < 0.05), and black race (odds ratio, 2.07; 95% CI, 1.38-3.08; P < 0.05) increased the likelihood of a video encounter failure.

CONCLUSIONS:

There is a high success rate for telehealth within an IBD population with defined clinic protocols. Certain patient characteristics such as age, race, and health insurance type increase the risk of failure of a video visit.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Inflammatory Bowel Diseases / Telemedicine / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Adult / Aged / Female / Humans Country/Region as subject: North America Language: English Journal: Inflamm Bowel Dis Journal subject: Gastroenterology Year: 2022 Document Type: Article Affiliation country: Ibd

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Inflammatory Bowel Diseases / Telemedicine / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Adult / Aged / Female / Humans Country/Region as subject: North America Language: English Journal: Inflamm Bowel Dis Journal subject: Gastroenterology Year: 2022 Document Type: Article Affiliation country: Ibd