David Geffen School of Medicine, Mattel Children's Hospital at University of California Los Angeles, Los Angeles, CA, USA.
J Dev Behav Pediatr. 2012 Oct;33(8):656-65. doi: 10.1097/DBP.0b013e3182690741.
Developmental-behavioral pediatrics (DBP) is recognized as one of the fields with the greatest shortages of pediatric subspecialists. Families who access care often must travel great distances to tertiary academic medical centers or endure long waiting lists. While the shortages are likely to persist due to limited provider availability and an increasing number of children with developmental and behavioral disorders being identified, our field must look to innovative ways to reduce the barriers to access. One such way is telehealth, the use of videoconferencing to deliver DBP services to underserved populations. We aim to describe the practical uses of telehealth for the delivery of diagnostic and management clinical services in a variety of settings and for the additional educational and research benefits of the modality. We will highlight the obstacles to setting up a successful DBP telehealth practice and direct readers to resources to address these in their communities. Most of all, we will demonstrate the benefit to families and children, practitioners, and health care systems of supplementing traditional in-person DBP services with telehealth modalities to enhance outreach and engagement with communities.
发展行为儿科学（DBP）被认为是儿科亚专科中最缺乏专业人才的领域之一。寻求医疗服务的家庭往往需要长途跋涉前往三级学术医疗中心，或者忍受漫长的候补名单。由于提供者数量有限，以及越来越多的儿童被诊断出患有发育和行为障碍，这种短缺情况可能会持续存在，但我们的领域必须寻求创新的方法来减少获得医疗服务的障碍。远程医疗是一种方法，它使用视频会议向服务不足的人群提供 DBP 服务。我们旨在描述远程医疗在各种环境下提供诊断和管理临床服务的实际应用，以及该模式的额外教育和研究益处。我们将重点介绍建立成功的 DBP 远程医疗实践所面临的障碍，并为读者提供在其所在社区解决这些问题的资源。最重要的是，我们将展示通过远程医疗模式补充传统的面对面 DBP 服务，以加强与社区的联系和参与，使家庭和儿童、从业者以及医疗保健系统受益。
