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Telemedicine and Integrated Multidisciplinary Care for Pediatric IBD Patients: A Review
1Division of Gastroenterology, Hepatology and Nutrition, Pritzker Department of Psychiatry and Behavioral Health, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611, USA.
Insights
The COVID-19 pandemic accelerated telemedicine adoption in pediatric inflammatory bowel disease (IBD) care. This review examines virtual multidisciplinary IBD treatment delivery and future research needs.
Area of Science:
- Pediatric Gastroenterology
- Digital Health
- Healthcare Management
Background:
- The COVID-19 pandemic necessitated a rapid shift to telemedicine for pediatric inflammatory bowel disease (IBD) care.
- Telemedicine delivery of integrated multidisciplinary care, the standard for pediatric IBD, requires examination.
- The long-term role of telemedicine in pediatric IBD remains to be determined.
Purpose of the Study:
- To review existing literature on telemedicine-delivered integrated multidisciplinary care for pediatric IBD.
- To present a case study of a pediatric IBD program's transition to telemedicine during the pandemic.
- To identify challenges and future research directions for telemedicine in pediatric IBD.
Main Methods:
- Literature review of studies on telemedicine for pediatric IBD.
- Description of a single integrated multidisciplinary IBD program's adaptation to telemedicine.
- Discussion of implementation challenges and research gaps.
Main Results:
- Limited existing literature specifically addresses telemedicine for integrated multidisciplinary pediatric IBD care.
- The transition to telemedicine presented operational and clinical challenges.
- The need for further research into effective virtual multidisciplinary care models is highlighted.
Conclusions:
- Telemedicine offers a viable platform for delivering integrated multidisciplinary care in pediatric IBD, though challenges exist.
- Further research is crucial to optimize virtual care delivery and ensure equitable access for pediatric IBD patients.
- Adapting multidisciplinary care models for telemedicine is essential for the future of pediatric IBD management.
Abstract:
The global COVID-19 pandemic brought with it an unprecedented, widespread implementation of telemedicine services, requiring pediatric inflammatory bowel disease (IBD) providers to shift in-person clinic visits to a virtual platform. With the passing of the one-year anniversary of the global pandemic, telemedicine continues to be offered and utilized. Although it remains unclear as to the extent to which telemedicine services will be used in the future, it is critical to understand how integrated multidisciplinary treatment-the standard of care in pediatric IBD-is delivered through a virtual platform. This paper provides an overview of the existing literature examining integrated multidisciplinary care for pediatric IBD provided via telemedicine. The author also presents one integrated multidisciplinary IBD program's response to the global pandemic and subsequent transition to telemedicine. Challenges around implementation and directions for future research in this area are also discussed.
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