Introduction
The purpose of this analysis was to evaluate the effects of an advanced practice nurse-delivered telehealth intervention on health care utilization by children with medical complexity (CMC). Because CMC account for a large share of health care utilization costs, finding effective ways to care for them is an important challenge requiring exploration.
Method
This was a secondary analysis of data from a randomized clinical trial with a control group and two intervention groups. The focus of the analysis was planned and unplanned clinical and therapy visits by CMC over a 30-month data collection period. Non-parametric tests were used to compare visit counts between and within the three groups.
Results
The number of unplanned visits decreased over time across all groups, with the greatest decrease in the video telehealth intervention group. Planned visits were higher in the video telehealth group across all time periods.
Discussion
APRN-delivered telehealth care coordination may support a shift from unplanned to planned health care service use among CMC.
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