{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T19:38:38Z","timestamp":1791229118199,"version":"4.1.0"},"reference-count":25,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T00:00:00Z","timestamp":1651363200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Telemedicine and e-Health"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">Describe a comprehensive overview of a telehealth implementation process that highlights attitudes and satisfaction scores toward telehealth from patients, providers, and staff in an academic pediatric ophthalmology practice during the early months of the coronavirus disease 2019 (COVID-19) pandemic.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">The electronic medical record data for telehealth and in-person visits, as well as a patient experience survey in pediatric ophthalmology were retrospectively reviewed for March 1 to July 31, 2020 and March 1 to July 31, 2019. Patient experience survey results were retrospectively reviewed. All current providers and staff were invited to participate in an anonymous and voluntary survey focused on attitudes at the time of telehealth implementation.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">During March 1 to July 31, 2020, there was significant increase in telehealth visits (<\/jats:italic>\n                      n\n                      <jats:italic toggle=\"yes\">\u2009=\u20091,006) compared with the same period in 2019 (<\/jats:italic>\n                      n\n                      <jats:italic toggle=\"yes\">\u2009=\u200922). Evaluation and management (E &amp; M) codes (<\/jats:italic>\n                      n\n                      <jats:italic toggle=\"yes\">\u2009=\u2009527) were the most commonly used billing codes, and strabismus, nystagmus, and irregular eye movement (<\/jats:italic>\n                      n\n                      <jats:italic toggle=\"yes\">\u2009=\u2009496) were the most common telehealth primary diagnoses. The telehealth attitudes survey showed more positive responses from providers than staff. The patient experience survey showed more favorable scores for telehealth visits compared with clinic visits. However, only about 50% of the respondents were satisfied with the technology in terms of ease and quality of connection during their telehealth visits.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">Telehealth was a satisfactory alternative to clinic visits in our academic pediatric ophthalmology practice during the early phase of the COVID-19 pandemic. Providers and staff had largely positive attitudes toward telehealth; however, future efforts should include strategies to increase staff buy in. Patients had high satisfaction scores with telehealth visits despite connection challenges.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/tmj.2021.0189","type":"journal-article","created":{"date-parts":[[2021,9,14]],"date-time":"2021-09-14T16:37:46Z","timestamp":1631637466000},"page":"675-681","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Pediatric Ophthalmology Provider and Staff Attitudes and Patient Satisfaction in Telehealth Implementation During COVID-19"],"prefix":"10.1177","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7939-9645","authenticated-orcid":false,"given":"Allison I.","family":"Summers","sequence":"first","affiliation":[{"name":"Elks Children's Eye Clinic, Casey Eye Institute, Oregon Health and Science University, Portland, Oregon, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annie","family":"Kuo","sequence":"additional","affiliation":[{"name":"Elks Children's Eye Clinic, Casey Eye Institute, Oregon Health and Science University, Portland, Oregon, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tosha","family":"Zaback","sequence":"additional","affiliation":[{"name":"Elks Children's Eye Clinic, Casey Eye Institute, Oregon Health and Science University, Portland, Oregon, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison R.","family":"Loh","sequence":"additional","affiliation":[{"name":"Elks Children's Eye Clinic, Casey Eye Institute, Oregon Health and Science University, Portland, Oregon, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitchell V.","family":"Brinks","sequence":"additional","affiliation":[{"name":"Comprehensive Ophthalmology and Community Outreach Program, and Casey Eye Institute, Oregon Health and Science University, Portland, Oregon, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle R.","family":"Hribar","sequence":"additional","affiliation":[{"name":"Department of Medical Informatics and Clinical Epidemiology, Casey Eye Institute, Oregon Health and Science University, Portland, Oregon, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,5,11]]},"reference":[{"key":"e_1_3_4_2_2","unstructured":"The Council of State Governments. COVID-19 Resources For State Leaders. 2020. Available at https:\/\/web.csg.org\/covid19\/executive-orders\/ (last accessed November23 2020)."},{"key":"e_1_3_4_3_2","unstructured":"U.S. Department of Health and Human Services. Notification of Enforcement Discretion for Telehealth Remote Communications During the COVID-19 Nationwide Public Health Emergency. 2020. Available at https:\/\/www.hhs.gov\/hipaa\/for-professionals\/special-topics\/emergency-preparedness\/notification-enforcement-discretion-telehealth\/index.html (last accessed November23 2020)."},{"key":"e_1_3_4_4_2","unstructured":"U.S. Department of Health and Human Services. Telehealth: Delivering Care Safely During COVID-19. Available at https:\/\/www.hhs.gov\/coronavirus\/telehealth\/index.html (last accessed November23 2020)."},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2014.0053"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2015.05.009"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-020-05881-4"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciaa1057"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6936a5"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017-2334"},{"key":"e_1_3_4_11_2","unstructured":"Primary Care Collaborative Larry A. Green Center. Primary Care & COVID-19: Week 2 Survey Primary care practices on their response to the COVID-19 crisis. Primary Care Collaborative. 2020. 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Human Understanding. Our Purpose. Available at https:\/\/nrchealth.com\/our-purpose\/ (last accessed November23 2020)."},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0040-1712939"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.1111\/jan.12480"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.1111\/jan.12196"},{"key":"e_1_3_4_26_2","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2020.0009"}],"container-title":["Telemedicine and e-Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/tmj.2021.0189","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/tmj.2021.0189","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/tmj.2021.0189","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:31:03Z","timestamp":1777588263000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/tmj.2021.0189"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5]]},"references-count":25,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022,5]]}},"alternative-id":["10.1089\/tmj.2021.0189"],"URL":"https:\/\/doi.org\/10.1089\/tmj.2021.0189","relation":{},"ISSN":["1530-5627","1556-3669"],"issn-type":[{"value":"1530-5627","type":"print"},{"value":"1556-3669","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,5]]}}}