Table 3.
Use of telehealth for pediatric emergency care and the clinical care of children.
| EDa characteristics | All EDs in sample (N=378), n (%) | EDs with telestroke only (n=106), n (%) | EDs with telestroke and pediatric telehealth (n=214), n (%) | EDs with pediatric telehealth only (n=58), n (%) | |||||
| Who typically cares for a child presenting to the ED at 6 PM on a typical day? | |||||||||
|
|
Pediatric emergency physician | 19 (5.0) | 8 (7.5) | 6 (2.8) | 5 (8.6) | ||||
|
|
General emergency physician | 289 (76.5) | 94 (88.7) | 145 (67.8) | 50 (86.2) | ||||
|
|
General pediatrician | 23 (6.1) | 9 (8.5) | 9 (4.2) | 5 (8.6) | ||||
|
|
Physician of another specialty | 90 (23.8) | 17 (16.0) | 62 (29.0) | 11 (19.0) | ||||
|
|
Physician assistant or nurse practitioner | 252 (66.7) | 70 (66.0) | 148 (69.2) | 34 (58.6) | ||||
| Professional available for in-person pediatric consultation | |||||||||
|
|
Pediatrics attending | 109 (28.8) | 45 (42.4) | 43 (20.1) | 21 (36.2) | ||||
|
|
Pediatrics trainee | 9 (2.4) | 3 (2.8) | 4 (1.9) | 2 (3.4) | ||||
|
|
Family medicine attending | 128 (33.9) | 34 (32.1) | 76 (35.5) | 18 (31.0) | ||||
|
|
Family medicine trainee | 11 (2.9) | 3 (2.8) | 5 (2.3) | 3 (5.2) | ||||
|
|
Other | 40 (10.6) | 10 (9.4) | 24 (11.2) | 6 (10.3) | ||||
|
|
None | 144 (38.1) | 32 (30.2) | 92 (43.0) | 20 (34.5) | ||||
| Does a physician assistant or nurse practitioner ever provide care for a child in the ED? (yes) | 283 (74.9) | 77 (72.6) | 164 (76.6) | 42 (72.4) | |||||
| If yes to above, are they supervised by the on-site attending? (yes) | 174/283 (61.5) | 56/77 (72.7) | 81/164 (49.4) | 37/42 (88.1) | |||||
| In 2016, approximate number of telehealth consultations for pediatric emergency care | |||||||||
|
|
None | 37 (9.8) | N/Ab | 29 (13.6) | 8 (13.8) | ||||
|
|
<12 (<1/month) | 164 (43.4) | N/A | 127 (59.2) | 37 (63.8) | ||||
|
|
12-25 (every 3-4 weeks) | 40 (10.6) | N/A | 32 (15.0) | 8 (13.8) | ||||
|
|
26-52 (every 1-2 weeks) | 12 (3.2) | N/A | 10 (4.7) | 2 (3.5) | ||||
|
|
>52 (>1/week) | 8 (2.1) | N/A | 8 (3.7) | 0 (0) | ||||
| In 2016, did your ED ever use telehealth for pediatric mental health consultation? (yes) | 82 (21.7) | N/A | 69 (32.2) | 13 (22.4) | |||||
aED: emergency department.
bN/A: not applicable; no pediatric telehealth services.