Provider Perspectives on the Impact of the COVID-19 Pandemic on Newborn Screening

Bibliographic Details
Title: Provider Perspectives on the Impact of the COVID-19 Pandemic on Newborn Screening
Authors: Jessica I. Gold, Ian M. Campbell, Can Ficicioglu
Source: International Journal of Neonatal Screening, Vol 7, Iss 3, p 38 (2021)
Publisher Information: MDPI AG, 2021.
Publication Year: 2021
Collection: LCC:Pediatrics
Subject Terms: newborn screening, telemedicine, COVID-19 pandemic, telegenetics, Pediatrics, RJ1-570
More Details: The onset of the COVID-19 pandemic caused significant changes in healthcare delivery. Telemedicine rapidly and unexpectedly became the primary vehicle for ambulatory management. As newborn screen (NBS) referrals require varying levels of acuity, whether telemedicine could be used as a safe and effective medium to return these results were unknown. We sent an online survey to metabolism providers internationally to investigate triage differences of abnormal NBS results during the COVID-19 pandemic. The survey compared personal practice for the periods of March–June 2019 and March–June 2020. Responses were received from 44 providers practicing in 8 countries. Nearly all (93%) practiced in areas of widespread SARS-COV-2 community transmission during spring 2020. There was a significant expansion of telemedicine use for NBS referrals at the onset of the COVID-19 pandemic (OR: 12, 95% CI: 3.66–39.3, p < 0.0001). Telehealth primarily replaced in-person ambulatory metabolism visits. The increased frequency of virtual care was similar across NBS analytes. Providers found telehealth for NBS referral equally efficacious to in-person care. Institutional patient surveys showed no difference in satisfaction with provider communication, provider empathy, or appointment logistics. Our survey was limited by unprecedented disruption in healthcare delivery, necessitating further validation of telegenetics for NBS in the post-pandemic era. Nevertheless, our findings demonstrate that telemedicine is potentially a viable and practical tool for triaging abnormal NBS results.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2409-515X
Relation: https://www.mdpi.com/2409-515X/7/3/38; https://doaj.org/toc/2409-515X
DOI: 10.3390/ijns7030038
Access URL: https://doaj.org/article/d984cd8734b046289559dac69cab3af8
Accession Number: edsdoj.984cd8734b046289559dac69cab3af8
Database: Directory of Open Access Journals
More Details
ISSN:2409515X
DOI:10.3390/ijns7030038
Published in:International Journal of Neonatal Screening
Language:English