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Published on: August 1, 2019
[Virtual consultations in paediatrics]
Ole Haubjerg Nielsen1, Grete Katrine Teilmann
1ole.haubjerg.nielsen@regionh.dk.
Insights
Telemedicine in pediatrics rapidly expanded during COVID-19, showing high parental satisfaction and comparable outcomes to in-person visits. However, technological barriers and a lack of child/adolescent perspectives highlight the need for guidelines and education.
Area of Science:
- Pediatric healthcare
- Digital health technologies
- Public health during pandemics
Background:
- The COVID-19 pandemic accelerated the global adoption of telemedicine and virtual consultations in pediatrics.
- Existing research indicates significant parental satisfaction with telemedicine services.
- Technological challenges represent a primary obstacle to widespread telemedicine implementation.
Purpose of the Study:
- To review the current state of telemedicine in pediatrics.
- To identify barriers and facilitators for its implementation.
- To highlight areas for future development, including guidelines and education.
Main Methods:
- Literature review of studies on pediatric telemedicine.
- Analysis of research focusing on parental satisfaction, technological barriers, clinical outcomes, and stakeholder perspectives.
- Synthesis of findings to identify gaps in current knowledge and practice.
Main Results:
- Telemedicine has demonstrated comparable clinical outcomes to in-person visits in some studies.
- Parental perspectives are largely positive, but child and adolescent viewpoints are underrepresented.
- Technological infrastructure and accessibility remain significant implementation barriers.
Conclusions:
- Further research is needed to understand the experiences of children and adolescents with telemedicine.
- Development of specific guidelines and educational programs for pediatric telemedicine is crucial.
- Addressing technological barriers is essential for optimizing virtual care in pediatrics.
Abstract:
During the COVID-19 pandemic, telemedicine and virtual consultations have been rapidly implemented in paediatrics all over the world. Previous and current studies have shown satisfaction with telemedicine, especially from a parental perspective. The largest barrier for implementation is technology. Some studies have found telemedicine equal to in-person visits. Only few studies have measured clinical outcomes, and the perspective of the child and adolescents as well as healthcare personal is rarely examined. There is a need of developing guidelines and education in paediatric telemedicine, as argued in this review.
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