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Adoption of Telemedicine for Multidisciplinary Care in Pediatric Otolaryngology
Karen K Hoi1, Stuart H Curtis2, Lynn Driver3
1University of Michigan Medical School, Ann Arbor, MI, USA.
Insights
Telemedicine offers a feasible solution for multidisciplinary pediatric otolaryngology clinics, ensuring continued care for complex patients during the COVID-19 pandemic and beyond.
Area of Science:
- Pediatric Otolaryngology
- Telemedicine
- Healthcare Management
Background:
- The COVID-19 pandemic necessitated social isolation, impacting in-person healthcare delivery.
- Multidisciplinary clinics in pediatric otolaryngology face unique challenges due to increased infection risks.
- Limited guidance exists for implementing telemedicine in these specialized clinics.
Purpose of the Study:
- To provide comprehensive guidance on best practices for telemedicine in pediatric otolaryngology multidisciplinary clinics.
- To support the adoption of telemedicine in this specialized healthcare setting.
- To address the challenges posed by the COVID-19 pandemic to patient care.
Main Methods:
- A review of existing literature on telemedicine in pediatric otolaryngology.
- Incorporation of experiences from a single tertiary care children's hospital.
- Development of best practice guidelines for telemedicine implementation.
Main Results:
- Successful adoption of telemedicine across 7 multidisciplinary pediatric otolaryngology clinics.
- Demonstrated feasibility for diverse specialties including aerodigestive disorders, hearing loss, and clefting.
- Telemedicine effectively managed patients with conditions like sleep disorders and velopharyngeal dysfunction.
Conclusions:
- Telemedicine is a viable and effective modality for multidisciplinary pediatric otolaryngology clinics.
- Optimizing telemedicine is crucial for managing complex pediatric otolaryngology cases.
- Telemedicine ensures continuity of care during and after the COVID-19 pandemic.
Objective:
The COVID-19 pandemic has introduced a period of social isolation that has challenged the ability of providers to uphold in-person patient care. Although commonplace in pediatric otolaryngology, multidisciplinary clinics pose a unique challenge during this time due to increased infection risk from multiple patient-provider interactions. Guidance on the application of telemedicine for multidisciplinary clinics in pediatric otolaryngology is limited.
Methods:
We provide comprehensive guidance on best practices for conducting telemedicine visits for a number of multidisciplinary otolaryngology clinics using our experiences at a single tertiary care children's hospital. A review of literature to support the adoption of telemedicine in multidisciplinary pediatric otolaryngology is also incorporated.
Results:
Telemedicine was successfully adopted for 7 multidisciplinary pediatric clinics with a variety of specialists: aerodigestive disorders, congenital hearing loss, microtia/aural atresia, orofacial clefting, sleep disorders, tracheostomy care, and velopharyngeal dysfunction.
Conclusions:
Telemedicine is feasible for a variety of multidisciplinary clinics and its optimization is critical for providing care to complex pediatric otolaryngology patients during the COVID-19 pandemic and beyond.
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