Trends in Post-Discharge Follow-Up and Policies for Virtual Care Compensation

Overview

This study examines trends in timely postdischarge follow-up rates among hospitalized children in Ontario, Canada, from 2011 to 2024. It evaluates the impact of a virtual care remuneration policy on these follow-up rates and highlights disparities in access based on socioeconomic factors.

Background

Timely follow-up after hospital discharge is crucial for preventing adverse events in children, such as rehospitalizations. National guidelines recommend follow-up within 7 days post-discharge, yet many children miss these appointments. Virtual care has emerged as a potential solution to improve access to follow-up care, but concerns about equity persist.

Data Highlights

No specific numerical data or trial data provided in the source material.

Key Findings

• Timely postdischarge follow-up is associated with improved health outcomes.
• 28% to 62% of children miss scheduled postdischarge visits across various jurisdictions.
• 85% of families express interest in using virtual care for postdischarge follow-up.
• Virtual care may exacerbate inequities in access to follow-up care.
• Changes in follow-up rates may vary by hospitalization type and equity factors.

Clinical Implications

Healthcare providers should consider the role of virtual care in facilitating timely postdischarge follow-up, especially for vulnerable populations. Awareness of potential inequities in access to virtual care is essential for improving follow-up rates.

Conclusion

The study highlights the importance of timely postdischarge follow-up and the evaluation of virtual care remuneration policies.

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