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Society for Developmental & Behavioral Pediatrics Position Statement on Telehealth.

Robert D Keder¹, Shruti Mittal², Kimberlly Stringer³

¹Department of Pediatrics, Developmental & Behavioral Pediatrics, Connecticut Children's Medical Center, University of Connecticut School of Medicine, Farmington, CT.

Journal of Developmental and Behavioral Pediatrics : JDBP

|December 2, 2021

Summary

Telehealth offers a promising model for developmental and behavioral pediatrics (DBP) care, improving access for children and families. Policy changes are needed to ensure continued equitable access to these vital telehealth services.

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Area of Science:

Pediatrics
Health Services Research
Digital Health

Background:

Telehealth has the potential to improve access to subspecialty care, particularly in developmental and behavioral pediatrics (DBP).
The COVID-19 pandemic accelerated telehealth adoption in DBP, highlighting its utility for home-based assessments, medication management, and therapeutic interventions.
While telehealth reduces barriers like transportation and missed work, it also exposes disparities in broadband access, device availability, and digital literacy.

Purpose of the Study:

To advocate for policies supporting ongoing, equitable home-based telehealth care in DBP.
To ensure continued equitable access to developmental and behavioral pediatrics services.
To evaluate the benefits and challenges of telehealth versus in-person care and identify optimal care models.

Main Methods:

Policy analysis and advocacy.
Review of telehealth benefits and challenges in DBP.
Identification of clinical scenarios favoring telehealth or in-person care.

Main Results:

Telehealth has proven effective in delivering DBP services and overcoming traditional access barriers.
Equitable access via telehealth requires addressing digital determinants of health, including connectivity and literacy.
The future of telehealth in DBP is uncertain due to expiring temporary policies.

Conclusions:

Continued legislative and policy support is crucial for sustaining telehealth in DBP.
Addressing digital health equity is essential for ensuring all children can access DBP services.
A balanced approach recognizing the strengths of both telehealth and in-person care is needed for optimal patient outcomes.