Telehealth Implementation, Treatment Attendance, and Socioeconomic Disparities in Treatment Utilization in a Community Mental Health Setting During the COVID-19 Pandemic: A Retrospective Analysis of Electronic Health Record Data

Exploring the Role of Technology in the Implementation of Social Accountability in Medical Education: A Brief Review

Social accountability has been acknowledged as an important facet of medical education delivery as it envisages that healthcare professionals have the responsibility to be accountable for health-related community needs. The purpose of the current review is to identify the factors that determine the success of social accountability in medical education and explore different ways in which technology can aid in the implementation of social accountability initiatives in medical institutions. The successful implementation of socially accountable medical education depends on a broad gamut of factors, which can be associated with different stakeholders, including the role of technology in facilitating the implementation of the same. Owing to the fact that technology has reached every aspect of human life, it is our responsibility to explore its scope in promoting the attainment of competencies pertaining to social accountability among medical students. In conclusion, social accountability in medical education has multiple benefits and has emerged as the need of the hour. The integration of technology into socially accountable medical education plays a defining role in improving the effectiveness of educational activities, facilitating better community and student engagement, and eventually contributing to the production of socially responsible healthcare professionals.

Treatment Utilization Pattern of Preschool Children With Attention-Deficit/Hyperactivity Disorder

OBJECTIVE

The aim of this study was to identify patterns of ADHD care, including factors that guide selection and sequencing of treatments in a large nationwide sample of preschool-aged youth over the past 6 years.

METHOD

A retrospective cohort study utilizing a large electronic health record (TriNetX) of nearly 24,000 children ages 3 to 6 diagnosed with ADHD.

RESULTS

One in three preschoolers with ADHD were prescribed psychotropic medication, most commonly methylphenidate and guanfacine. One in 10 had at least one psychotherapy billing code during the entire assessment with most youth starting medication before psychotherapy. Rates of most treatments, including polypharmacy, increased with comorbid psychiatric disorders or sleep problems and over the course of the coronavirus pandemic.

CONCLUSION

Rates of treatment have increased over time but are still largely inconsistent with published care guidelines that advise therapy before medication. Clinicians appear to prioritize psychiatric comorbidity and sleep problems when selecting treatments.