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Telehealth in pediatric emergency medicine
Dana A Schinasi1, Shireen M Atabaki2, Mark D Lo3
1Department of Pediatrics, Division of Emergency Medicine, Northwestern University Feinberg School of Medicine, United States; Telehealth Programs, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, 225 East Chicago Avenue, Box 32, Chicago, IL 60611-2605, United States.
Insights
Telehealth offers new ways to improve pediatric emergency care. This paper explores telehealth applications, challenges, and strategies for successful implementation in pediatric emergency medicine (PEM).
Area of Science:
- Healthcare Technology
- Pediatric Emergency Medicine
- Telemedicine
Background:
- Modern healthcare integrates technology, enabling telehealth adoption.
- Telehealth presents opportunities to advance pediatric emergency care.
- Pediatric emergency departments (EDs) can serve as both originating and distant sites for telehealth.
Purpose of the Study:
- To introduce telehealth applications in pediatric emergency medicine (PEM).
- To present barriers and strategies for implementing and sustaining PEM telehealth programs.
- To discuss financial, policy, and evaluation considerations for telehealth in PEM.
Main Methods:
- Review of telehealth applications in pediatric emergency departments.
- Analysis of barriers to adoption, implementation, and sustainability.
- Discussion of cost, finance, policy, and evaluation strategies.
Main Results:
- Telehealth has diverse applications in PEM, serving as originating and distant sites.
- Barriers to telehealth adoption exist but can be overcome with strategic planning.
- Financial, policy, and evaluation frameworks are crucial for program success.
Conclusions:
- Telehealth integration in PEM is feasible and offers significant potential.
- Addressing barriers and considering financial, policy, and evaluation aspects are key to sustainability.
- Strategic implementation can enhance the delivery of pediatric emergency care through telehealth.
Abstract:
Modern technologies and contemporary clinical practice have set the stage for the integration of telehealth into existing models of healthcare. These models of telehealth care offer novel opportunities for advancing pediatric emergency care. In this manuscript, we introduce applications of telehealth in pediatric emergency medicine (PEM) with the pediatric emergency department (ED) both as originating site and distant site. We present barriers to adoption, implementation, and sustaining PEM telehealth programs, as well as strategies to overcome those. We discuss cost and finances as well as policy considerations and implications. Lastly, we review strategies for evaluation to assess program impact and ensure sustainability.
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