Department of Pediatrics, Massachusetts General Hospital, 175 Cambridge Street, CPZS-5, Boston, MA 02114, USA.
Pediatr Clin North Am. 2020 Aug;67(4):655-659. doi: 10.1016/j.pcl.2020.04.008. Epub 2020 Jun 11.
Although most pediatric intensive care units invite parents to participate in daily rounds, many families face barriers preventing them from being physically present on rounds. Telehealth for remote parent participation on daily rounds offers one solution to this problem. However, barriers threaten the implementation and sustainability of such programs. Highly reliable, user-friendly telehealth technologies coupled with adequate human resources to address logistical challenges and clinical champions to affect culture change are key. Further research is needed to better quantify the impact of such programs on patient and parent outcomes and to convince hospital leadership to invest in telehealth solutions.
尽管大多数儿科重症监护病房都邀请家长参与日常查房,但许多家庭面临各种障碍,无法亲自到场。远程家长参与日常查房的远程医疗提供了一种解决方案。然而,各种障碍威胁着此类项目的实施和可持续性。高度可靠、用户友好的远程医疗技术,加上足够的人力资源来解决后勤挑战,以及能够影响文化变革的临床拥护者,是关键。需要进一步研究来更好地量化这些项目对患者和家长结果的影响,并说服医院领导层投资远程医疗解决方案。