Feasibility of Post-hospitalization Telemedicine Video Visits for Children With Medical Complexity

J Pediatr Health Care. 2022 Mar-Apr;36(2):e22-e35. doi: 10.1016/j.pedhc.2021.10.001. Epub 2021 Dec 5.


Objectives: To evaluate feasibility and acceptability of post-hospitalization telemedicine video visits (TMVV) during hospital-to-home transitions for children with medical complexity (CMC); and explore associations with hospital utilization, caregiver self-efficacy (CSE), and family self-management (FSM).

Method: This non-randomized pilot study assigned CMC (n=28) to weekly TMVV for four weeks post-hospitalization; control CMC (n=20) received usual care without telemedicine. Feasibility was measured by time to connection and proportion of TMVV completed; acceptability was measured by parent-reported surveys. Pre/post-discharge changes in CSE, FSM, and hospital utilization were assessed.

Results: 64 TMVV were completed; 82 % of patients completed 1 TMVV; 54 % completed four TMVV. Median time to TMVV connection was 1 minute (IQR=2.5). Parents reported high acceptability of TMVV (mean 6.42; 1 -7 scale). CSE and FSM pre/post-discharge were similar for both groups; utilization declined in both groups post-discharge.

Discussion: Post-hospitalization TMVV for CMC were feasible and acceptable during hospital-to-home transitions.

Keywords: Telehealth; children with medical complexity; hospital-to-home; transitions of care.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aftercare
  • Child
  • Feasibility Studies
  • Hospitalization
  • Humans
  • Patient Discharge*
  • Pilot Projects
  • Telemedicine*