Department of Pediatrics (E Obregon), University of Florida, Gainesville; Perinatal Institute (E Obregon), Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Department of Pediatrics and Population Health (R Ortiz), Grossman School of Medicine, New York University, New York; Institute for Excellence in Health Equity (R Ortiz), New York University, Langone Health, New York.
Acad Pediatr. 2024 Jan-Feb;24(1):13-22. doi: 10.1016/j.acap.2023.06.025. Epub 2023 Jun 28.
Telehealth use in pediatrics increased during the COVID-19 pandemic and may improve health care access. It may also exacerbate health care disparities among families with limited English proficiency (LEP).
To systematically review the feasibility, acceptability, and/or associations between telehealth delivery and health outcomes for interventions delivered synchronously in the United States.
PubMed, Embase, and Scopus.
Original research exploring pediatric health outcomes after telehealth delivery and studies that explored the feasibility and acceptability including surveys and qualitative studies.
Patients 0 to 18 years with LEP and/or pediatric caregivers with LEP.
Two authors independently screened abstracts, conducted full-text review, extracted information using a standardized form, and assessed study quality. A third author resolved disagreements.
Of 1831 articles identified, 9 were included in the review. Half of the studies explored videoconferencing and the other half studied health care delivered by telephone. Feasibility studies explored telehealth for children with anxiety disorders and mobile phone support for substance abuse treatment among adolescents. Acceptability studies assessed parental medical advice-seeking behaviors and caregivers' general interest in telehealth. Health outcomes studied included follow-up of home parenteral nutrition, developmental screening, and cognitive behavioral therapy.
The articles were heterogeneous in approach and quality.
Telehealth appears acceptable and feasible among children in families with LEP, with a limited evidence base for specific health outcomes. We provide recommendations both for the implementation of pediatric telehealth and future research.
CRD42020204541.
在 COVID-19 大流行期间，儿科的远程医疗使用有所增加，这可能改善了医疗保健的可及性。但它也可能加剧英语水平有限（LEP）家庭的医疗保健差距。
系统综述美国同步提供的干预措施中，远程医疗服务的可行性、可接受性和/或与健康结果之间的关联。
PubMed、Embase 和 Scopus。
探索远程医疗服务后儿科健康结果的原始研究，以及探索可行性和可接受性的研究，包括调查和定性研究。
有 LEP 的 0 至 18 岁患者和/或有 LEP 的儿科护理人员。
两位作者独立筛选摘要、进行全文审查、使用标准化表格提取信息，并评估研究质量。第三位作者解决了分歧。
在 1831 篇文章中，有 9 篇被纳入综述。其中一半的研究探索了视频会议，另一半研究了通过电话提供的医疗服务。可行性研究探索了针对焦虑障碍儿童的远程医疗以及青少年手机支持药物滥用治疗。可接受性研究评估了父母的医疗咨询行为和护理人员对远程医疗的一般兴趣。研究的健康结果包括家庭肠外营养的随访、发育筛查和认知行为疗法。
这些文章在方法和质量上存在差异。
在有 LEP 的儿童家庭中，远程医疗似乎是可接受和可行的，但其特定健康结果的证据基础有限。我们为儿科远程医疗的实施和未来研究提供了建议。
PROSPERO 注册号：CRD42020204541。
