Children's Hospital of Philadelphia and University of Pennsylvania Perelman School of Medicine, 34th Civic Center Blvd, Philadelphia, PA 19104, United States.
Children's Hospital of Philadelphia and University of Pennsylvania Perelman School of Medicine, United States.
Semin Perinatol. 2021 Aug;45(5):151429. doi: 10.1016/j.semperi.2021.151429. Epub 2021 Apr 5.
The COVID-19 pandemic has caused an explosive adoption of telehealth in pediatrics . However, there remains substantial variation in evaluation methods and measures of these programs despite introduction of measurement frameworks in the last five years. In addition, for neonatal health care, assessing a telehealth program must measure its benefits and costs for four stakeholder groups - patients, providers, healthcare system, and payers. Because of differences in their role within the health system, each group's calculation of telehealth's value may align or not with one another, depending on how it is being used. Therefore, a common mental model for determining value is critical in order to use telehealth in ways that produce win-win situations for most if not all four stakeholder groups. In this chapter, we present important principles and concepts from previously published frameworks to propose an approach to telehealth evaluation that can be used for perinatal health. Such a framework will then drive future development and implementation of telehealth programs to provide value for all relevant stakeholders in a perinatal health care system.
COVID-19 大流行促使儿科领域的远程医疗得到了爆炸式的应用。然而，尽管在过去五年中引入了测量框架，但这些项目的评估方法和措施仍然存在很大差异。此外，对于新生儿保健，评估远程医疗计划必须衡量其对四个利益相关者群体（患者、提供者、医疗保健系统和支付者）的收益和成本。由于他们在医疗系统中的角色不同，每个群体对远程医疗价值的计算可能与其他群体一致或不一致，具体取决于其使用方式。因此，为了以大多数（如果不是全部）四个利益相关者群体双赢的方式使用远程医疗，确定价值的共同心理模型至关重要。在这一章中，我们提出了之前发表的框架中的重要原则和概念，以提出一种可用于围产期健康的远程医疗评估方法。这样的框架将推动远程医疗计划的未来发展和实施，为围产期保健系统中的所有相关利益相关者提供价值。
