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Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
RESEARCH ARTICLE (Open Access)

Survey on the use of general practice telehealth services for children during the COVID-19 pandemic

Ashwin Ramanathan A , Paddy Ramanathan B and Amit Saha C *
+ Author Affiliations
- Author Affiliations

A Resident Medical Officer, Joondalup Health Campus, Perth, WA, Australia.

B Director Wembley Downs Family Practice, Perth, WA, Australia.

C Consultant Paediatrician, St John of God Midland, Perth, WA, Australia.

* Correspondence to: amit.saha2@sjog.org.au

Australian Journal of Primary Health 28(6) 529-534 https://doi.org/10.1071/PY21153
Submitted: 7 July 2021  Accepted: 3 May 2022   Published: 15 June 2022

© 2022 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of La Trobe University. This is an open access article distributed under the Creative Commons Attribution 4.0 International License (CC BY)

Abstract

In 2020, the Australian Government introduced temporary Medicare Benefits Schedule item numbers for GP telehealth consultations to combat the spread of the COVID-19 pandemic. Patient satisfaction has been positive; however, the paediatric cohort has not been sufficiently investigated. We aimed to explore the rates of satisfaction of paediatric patients undergoing telehealth compared with standard consultations, as well as looking at any barriers faced. We developed and distributed an online survey to eligible patients (or their guardian) aged 0–17 years who underwent a general practice telehealth consultation between March 2020 and May 2020 at 12 participating medical centres in Perth. We received 68 total responses with 35 deemed complete. The mean (s.d.) age of participants was 8.22 (5.34) years. A total of 88.2% of participants indicated that the level of care provided via telehealth was equal to or better than a standard consultation. A total of 70.6% of patients reported no barriers faced, with the most common barrier being lack of examination (20.6%). This study describes high public satisfaction with telehealth GP consultations for paediatric patients, with a good level of patient outcomes and minimal barriers. There may be benefit to widespread and ongoing use of telehealth consultations for the paediatric population and the extension of the temporary Medicare Benefits Schedule items.

Keywords: child health, COVID-19, general practice, online survey, patient satisfaction, Perth, telehealth, temporary MBS.


References

Australian Government Services Australia (2020) Medicare item reports. Available at http://medicarestatistics.humanservices.gov.au/statistics/do.jsp?_PROGRAM=%2Fstatistics%2Fmbs_item_standard_report&DRILL=ag&group=99%2C+112%2C+113%2C+114%2C+149%2C+288%2C+384%2C+389%2C+2799%2C+2820%2C+3003%2C+3015%2C+6004%2C+6016%2C+13210%2C+16399%2C+17609%2C+2100%2C+2126%2C+2143%2C+2195%2C+2122%2C+2137%2C+2147%2C+2199%2C+2125%2C+2138%2C+2179%2C+10983%2C+10984&VAR=services&STAT=count&RPT_FMT=by+state&PTYPE=finyear&START_DT=201507&END_DT=201606

Benziger CP, Huffman MD, Sweis RN, Stone NJ (2021) The telehealth ten: a guide for a patient-assisted virtual physical examination. The American Journal of Medicine 134, 48–51.
The telehealth ten: a guide for a patient-assisted virtual physical examination.Crossref | GoogleScholarGoogle Scholar | 32687813PubMed |

Car J, Koh GC-H, Foong PS, Wang CJ (2020) Video consultations in primary and specialist care during the covid-19 pandemic and beyond. BMJ 371, m3945
Video consultations in primary and specialist care during the covid-19 pandemic and beyond.Crossref | GoogleScholarGoogle Scholar | 33082127PubMed |

Donelan K, Barreto EA, Sossong S, Michael C, Estrada JJ, Cohen AB, Wozniak J, Schwamm LH (2019) Patient and clinician experiences with telehealth for patient follow-up care. The American Journal of Managed Care 25, 40–44.

Kruse CS, Krowski N, Rodriguez B, Tran L, Vela J, Brooks M (2017) Telehealth and patient satisfaction: a systematic review and narrative analysis. BMJ Open 7, e016242
Telehealth and patient satisfaction: a systematic review and narrative analysis.Crossref | GoogleScholarGoogle Scholar | 28775188PubMed |

Myers KM, Valentine JM, Melzer SM (2008) Child and adolescent telepsychiatry: utilization and satisfaction. Telemedicine and e-Health 14, 131–137.
Child and adolescent telepsychiatry: utilization and satisfaction.Crossref | GoogleScholarGoogle Scholar | 18361702PubMed |

Orlando JF, Beard M, Kumar S (2019) Systematic review of patient and caregivers’ satisfaction with telehealth videoconferencing as a mode of service delivery in managing patients’ health. PLoS ONE 14, e0221848
Systematic review of patient and caregivers’ satisfaction with telehealth videoconferencing as a mode of service delivery in managing patients’ health.Crossref | GoogleScholarGoogle Scholar | 31469865PubMed |

Owen N (2020) Feasibility and acceptability of using telehealth for early intervention parent counselling. Advances in Mental Health 18, 39–49.
Feasibility and acceptability of using telehealth for early intervention parent counselling.Crossref | GoogleScholarGoogle Scholar |

Royal Australian College of General Practitioners (2020) New items for COVID-19 telehealth and phone services. Available at https://www.racgp.org.au/clinical-resources/covid-19-resources/telehealth/new-items-for-covid-19-telehealth-services

Smith AC, Kimble R, Mill J, Bailey D, O’Rourke P, Wootton R (2004) Diagnostic accuracy of and patient satisfaction with telemedicine for the follow-up of paediatric burns patients. Journal of Telemedicine and Telecare 10, 193–198.
Diagnostic accuracy of and patient satisfaction with telemedicine for the follow-up of paediatric burns patients.Crossref | GoogleScholarGoogle Scholar | 15273028PubMed |

Weinstein RS, Krupinski EA, Doarn CR (2018) Clinical examination component of telemedicine, telehealth, mhealth, and connected health medical practices. Medical Clinics of North America 102, 533–544.
Clinical examination component of telemedicine, telehealth, mhealth, and connected health medical practices.Crossref | GoogleScholarGoogle Scholar | 29650074PubMed |