Gattu Rajender, Teshome Getachew, Lichenstein Richard
From the Division of Pediatric Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD.
Pediatr Emerg Care. 2016 Feb;32(2):123-30. doi: 10.1097/PEC.0000000000000712.
The aim of this study was to review current literature relating to telemedicine in pediatric emergency medicine including its clinical applications and challenges associated with its implementation.
We reviewed the literature using standard search methods in accordance with preferred reporting items for systematic reviews and meta-analysis. We included the studies done in emergency settings for all age groups and narrowed our search to the articles that are relevant to "impact on quality of care" and "patient outcome." We also described current telemedicine uses, software, hardware, and other requirements needed for pediatric emergency applications.
Telemedicine has a potential role in pediatric emergency medicine for real-time decision making to improve quality of care for children. Logistic and legal challenges exist for pediatric emergency medicine applications similar to its uses in other settings.
Current frameworks exist in the use of telemedicine for pediatric emergency medicine. Research is still needed to see whether clinical outcomes are improved with pediatric emergency telemedicine solutions. Practical issues regarding training, accessibility, and resource allocation should be explored as pediatric emergency telemedicine evolves.
本研究旨在回顾当前与儿科急诊医学中的远程医疗相关的文献，包括其临床应用以及实施过程中面临的挑战。
我们按照系统评价和荟萃分析的首选报告项目，使用标准检索方法回顾文献。我们纳入了针对所有年龄组在急诊环境中开展的研究，并将检索范围缩小到与“对医疗质量的影响”和“患者结局”相关的文章。我们还描述了当前远程医疗在儿科急诊应用中的用途、软件、硬件及其他所需条件。
远程医疗在儿科急诊医学中具有实时决策的潜在作用，可提高儿童医疗质量。儿科急诊医学应用面临后勤和法律挑战，这与它在其他环境中的应用类似。
目前存在用于儿科急诊医学的远程医疗框架。仍需开展研究以确定儿科急诊远程医疗解决方案是否能改善临床结局。随着儿科急诊远程医疗的发展，应探讨有关培训、可及性和资源分配的实际问题。
