Brophy Patrick D
The Stead Family Department of Pediatrics, University of Iowa, Iowa City, IA.
Adv Chronic Kidney Dis. 2017 Jan;24(1):17-21. doi: 10.1053/j.ackd.2016.12.003.
Telehealth in Pediatric Medicine presents many of the same benefits and challenges noted in adult-based medicine. In terms of health care delivery, the promise of improving access and reducing costs using telehealth in Pediatrics, particularly chronic care, is high. The ability to address clinician shortages and provide remote guidance for chronic care pathways from pediatric subspecialists to rural-based referring physicians is a developing model that represents a sustainable and cost-effective strategy to improve pediatric care. The adoption and implementation of consistent telehealth programs require a readjustment of current regulatory rules and a national discussion on reimbursement and compliance standards. Presently, state laws generally define the rules, whereby health systems or practices can use telehealth for patient care and education. Long-term telehealth program development depends on the ongoing value and use case provided by pediatric advocates for this emerging health care delivery model.
儿科医学中的远程医疗具有许多与成人医学中相同的益处和挑战。在医疗服务提供方面，利用远程医疗改善儿科尤其是慢性病护理的可及性并降低成本，前景广阔。解决临床医生短缺问题以及为从儿科专科医生到农村转诊医生的慢性病护理路径提供远程指导的能力，是一种正在发展的模式，代表了改善儿科护理的可持续且具成本效益的策略。采用和实施一致的远程医疗项目需要重新调整当前的监管规则，并就报销和合规标准进行全国性讨论。目前，各州法律通常规定了相关规则，据此卫生系统或医疗机构可以将远程医疗用于患者护理和教育。远程医疗项目的长期发展取决于儿科倡导者为这种新兴医疗服务模式持续提供的价值和应用案例。
