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Achieving a Quintuple Aim for Telehealth in Pediatrics
Eli M Cahan1, Vandna Mittal2, Nirav R Shah3
1Clinical Excellence Research Center, Stanford School of Medicine, Stanford, CA 94305, USA; NYU School of Medicine, New York, NY 10010, USA.
Pediatric Clinics of North America
|July 12, 2020
Summary
Telehealth can improve care for medically complex children, but risks worsening health disparities if not implemented thoughtfully. This review highlights 10 considerations for optimal telehealth use in pediatrics.
Area of Science:
- Pediatric healthcare
- Health technology
- Health equity
Background:
- Pediatric practice increasingly serves children with medical complexity.
- Telehealth presents opportunities to enhance care delivery for these children and their families.
- Potential negative consequences of telehealth may exacerbate existing health disparities.
Purpose of the Study:
- To review the positive and negative implications of telehealth in pediatric care.
- To identify key considerations for the optimal implementation of telehealth for children with medical complexity.
Main Methods:
- Literature review of telehealth's impact on pediatric patients.
- Analysis of potential benefits and drawbacks of telehealth services.
- Development of best practice recommendations for telehealth implementation.
Main Results:
- Telehealth offers significant benefits for managing children with medical complexity.
- Unintended negative consequences and lack of best practices can worsen health disparities.
- Ten specific considerations are proposed for optimizing telehealth in pediatric care.
Conclusions:
- Thoughtful and intentional design of telehealth is crucial for equitable care.
- Addressing potential disparities is essential for realizing telehealth's full potential in pediatrics.
- Implementing the 10 considerations can promote optimal telehealth outcomes for children.
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