Department of Pediatrics, UC Davis School of Medicine, UC Davis Center for Health and Technology, 4610 X Street, Suite 2300, Sacramento, CA 95817, USA.
Department of Pediatrics, UC Davis School of Medicine, UC Davis Center for Health and Technology, 4610 X Street, Suite 2300, Sacramento, CA 95817, USA.
Adv Pediatr. 2022 Aug;69(1):1-11. doi: 10.1016/j.yapd.2022.04.002. Epub 2022 Apr 5.
The accelerated uptake of telemedicine during the coronavirus disease 2019 pandemic has resulted in valuable experience and evidence on the delivery of telemedicine for pediatric patients. The pandemic has also highlighted inequities and opportunities for improvement. This review discusses lessons learned during the pandemic, focusing on provider-to-patient virtual encounters. Recent evidence on education and training, developing and adapting clinical workflows, patient assessment and treatment, and family-centered care is reviewed. Opportunities for future research in pediatric telemedicine are discussed, specifically with regard to engaging pediatric patients, improving and measuring access to care, addressing health equity, and expanding the evidence base.
在 2019 冠状病毒病大流行期间,远程医疗的加速普及为儿科患者远程医疗的提供带来了宝贵的经验和证据。这场大流行也凸显了不平等现象和改进的机会。这篇综述讨论了大流行期间的经验教训,重点是医患之间的虚拟交流。最近关于教育和培训、制定和调整临床工作流程、患者评估和治疗以及以家庭为中心的护理的证据也进行了回顾。还讨论了儿科远程医疗未来研究的机会,特别是在吸引儿科患者、改善和衡量获得医疗服务的机会、解决公平问题以及扩大证据基础方面。