Clinical Excellence Research Center, Stanford School of Medicine, Stanford, CA 94305, USA; NYU School of Medicine, New York, NY 10010, USA.
Stanford Children's Health, Stanford, CA 94305, USA.
Pediatr Clin North Am. 2020 Aug;67(4):683-705. doi: 10.1016/j.pcl.2020.04.015. Epub 2020 Jun 11.
Pediatric practice increasingly involves providing care for children with medical complexity. Telehealth offers a strategy for providers and health care systems to improve care for these patients and their families. However, lack of awareness related to the unintended negative consequences of telehealth on vulnerable populations--coupled with failure to intentional design best practices for telehealth initiatives--implies that these novel technologies may worsen health disparities in the long run. This article reviews the positive and negative implications of telehealth. In addition, to achieve optimal implementation of telehealth, it discusses 10 considerations to promote optimal care of children using these technologies.
儿科实践越来越多地涉及为患有复杂疾病的儿童提供护理。远程医疗为医疗服务提供者和医疗保健系统提供了一种策略，以改善这些患者及其家庭的护理。然而，由于对远程医疗对弱势群体产生意外负面影响的认识不足，再加上未能为远程医疗计划设计最佳实践，这些新技术可能会在长期内加剧健康差距。本文回顾了远程医疗的积极和消极影响。此外，为了实现远程医疗的最佳实施，本文讨论了 10 个考虑因素，以促进使用这些技术对儿童进行最佳护理。
