Transitioning to Telehealth Services in a Pediatric Diabetes Clinic During COVID-19: An Interdisciplinary Quality Improvement Initiative

Brodar, Kaitlyn E.; Hong, Natalie; Liddle, Melissa; Hernandez, Lisandra; Waks, Judy; Sanchez, Janine; Delamater, Alan M.; Davis, Eileen M.

doi:10.1007/s10880-021-09830-z

Cited by 8 publications

(12 citation statements)

References 29 publications

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“…The recent transition to telepsychology as seen in response to the COVID‐19 pandemic may also offer more flexible options for care 2,3,36 . For example, families could complete a consultation via telehealth at a convenient time outside the medical visit.…”

Section: Discussionmentioning

confidence: 99%

Psychosocial screening in a pediatric diabetes clinic: Adolescents' and mothers' perspectives

et al. 2022

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Objective: Adolescents with type 1 diabetes (T1D) frequently experience psychosocial concerns, and mental health screening is becoming increasingly common in routine diabetes care. However, little is known about what adolescents or their caregivers think about the role of mental health screening and intervention within the context of comprehensive diabetes care, or how their diabetes care providers should be involved in navigating mental health concerns. This study used qualitative methods to obtain the perspectives of adolescents with T1D and their caregivers regarding these issues.Methods: Participants were 13 adolescents with T1D (ages 12-19 years; M = 15.1 years; 53.8% female; 61.5% Hispanic/Latinx White) and 13 mothers, recruited from an outpatient pediatric endocrinology clinic in South Florida, who participated in semi-structured interviews via video teleconference. Thematic content analysis was used to evaluate participants' responses.Results: Adolescents and their mothers reported positive experiences with the clinic's psychosocial screening procedures and appreciated meeting with the psychology team during visits. They wanted the clinic to offer more opportunities for peer support. Mothers highlighted barriers to seeking mental health care outside of the clinic and the importance of mental health professionals understanding diabetes. Mothers also wanted the clinic to offer more on-site therapeutic services.Discussion: Study participants valued psychosocial screening and supported addressing mental health as a routine part of diabetes comprehensive care.

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Section: Discussionmentioning

confidence: 99%

Psychosocial screening in a pediatric diabetes clinic: Adolescents' and mothers' perspectives

et al. 2022

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“…However, there are still limitations in telemedicine including unavailability to perform a suitable physical examination, obstacles in wide spread because of difficulty of Internet construction in certain regions and populations, and challenges in establishing harmonious relationship with patients or helping resolve behavior problems or making effective communication and gaining collaboration[ 73 , 74 ]. In addition, it should be emphasized that in-clinic visits are indispensable in some care processes at a certain frequency.…”

Section: Introductionmentioning

confidence: 99%

“…To provide efficient help, local support groups should coordinate with the hospital team for better T1D management[ 43 ]. Interdisciplinary collaboration via staff meetings or other forms at a regular basis improves patient care equality, allowing medical providers to learn from others and perform medical service from a more holistic view[ 74 , 76 ]. To connect with individual patients, clinics should ask families about stress on finance and society due to the pandemic, which may influence their coordination with medical providers as well[ 74 ].…”

Section: Introductionmentioning

confidence: 99%

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Children with type 1 diabetes in COVID-19 pandemic: Difficulties and solutions

Shi¹,

Wu²,

Wei³

et al. 2022

WJCP

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Children/adolescents with type 1 diabetes (T1D) require holistic approach and continuous care. However, the coronavirus disease 2019 (COVID-19) pandemic has made challenges for the T1D children and their caregivers, professionals, and the healthcare system. This minireview aims to consolidate and discuss the difficulties and solutions of children with type 1 diabetes in the COVID-19 pandemic. T1D has been the most common type of diabetes in children and adolescents and the last decades has seen a rapid increase in the prevalence of T1D in youths worldwide, which deserves a public concern particularly in the COVID-19 pandemic. As reported in previous studies, T1D is a risk factor related to severe cases, while the virus may induce new-onset diabetes and serious complications. Moreover, restriction strategies influence medical availability and lifestyle, impact glycemic control and compilation management, and thus pose stress on families and health providers of youths with T1D, especially on those with certain fragile conditions. Therefore, special treatment plans are required for children provided by caregivers and the local health system. Latest health tools such as improved medical devices and telemedicine service, as well as a combined support may benefit in this period. This minireview emphasises that continued medical access and support are required to prevent deteriorated condition of children and adolescents with diabetes throughout this pandemic. Therefore, strategies are supposed to be formulated to mitigate the difficulties and stress among this group, particularly in the most at-risk population. Proposed solutions in this minireview may help individuals and the health system to overcome these problems and help youths with T1D in better diabetes management during such emergency situations.

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“…Fever clinics play an important role in the timely screening and rapid isolation of COVID-19 patients. After the outbreak of COVID-19, the relevant research on fever clinics and fever sentinels increased rapidly from the perspectives of epidemiology, nursing, public emergency management, architecture, and other disciplines that focus on the emergency management process and enhancement strategies for fever clinics and fever sentinels [10][11][12][13], the standardization and innovative construction of internal architectural spaces [14,15], and the configuration standards and emergency response capabilities of primary healthcare institutions [16][17][18]. Due to the different levels of construction of healthcare institutions and the differences in the development of COVID-19 in each city, the construction and settings of fever sentinels also display uneven and mismatched problems.…”

Section: Introductionmentioning

confidence: 99%

COVID-19: Evaluation of Fever Clinic and Fever Sentinel Configuration—A Case Study of Harbin, China

Feng

et al. 2022

Sustainability

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The COVID-19 pandemic has placed the inequalities in health services in countries around the world under severe pressure. As crucial pillars in the prevention and control of COVID-19, fever clinics and fever sentinels are important sites for the screening, diagnosis, and isolation of patients. This study comprehensively evaluated the spatial-layout characteristics, configuration quantity, and service capacity of 42 fever clinics and 418 fever sentinels in Harbin from the perspective of supply by using GIS spatial-analysis methods such as kernel density analysis. From the perspective of demand, we evaluated the accessibility of fever clinics with the modified two-step floating catchment area (2SFCA) method; the OD cost matrix method and Voronoi diagram method were used to evaluate the accessibility and service pressure of fever sentinels. This study found that a monocentric clustering characterizes the spatial layout of fever clinics, and the design of fever clinics in new urban areas and marginal rural areas is relatively lacking. The spatial layout of fever sentinels includes blank areas, and the service pressure in the central city area is relatively high. Combined with the assessment results, the study discussed optimization strategies and implementation paths for improving the public health and epidemic prevention system for COVID-19 in terms of four aspects: the transformation of governance practice, the spatial-planning response, the digital infrastructure response, and guarantees of policies and regulations.

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Transitioning to Telehealth Services in a Pediatric Diabetes Clinic During COVID-19: An Interdisciplinary Quality Improvement Initiative

Cited by 8 publications

References 29 publications

Psychosocial screening in a pediatric diabetes clinic: Adolescents' and mothers' perspectives

Psychosocial screening in a pediatric diabetes clinic: Adolescents' and mothers' perspectives

Children with type 1 diabetes in COVID-19 pandemic: Difficulties and solutions

COVID-19: Evaluation of Fever Clinic and Fever Sentinel Configuration—A Case Study of Harbin, China

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