Potential use of telemedicine in paediatrics: a single-centre retrospective review

Zenaz Zarir Sarkari1, Corey Fish2

  • 1University of California Los Angeles, Los Angeles, California, USA.

BMJ Paediatrics Open
|March 7, 2023
PubMed

Insights

Telemedicine offers potential for pediatric care access but has limitations for urgent situations. A review found few in-person visits could be diagnosed and treated remotely, highlighting the need for better pediatric remote care tools.

Area of Science:

  • Pediatric Healthcare
  • Telemedicine Technology
  • Digital Health

Background:

  • Telemedicine adoption is increasing across healthcare, including pediatrics.
  • While expanding access, current telemedicine limitations raise concerns for direct replacement of in-person pediatric care, especially in acute settings.

Purpose of the Study:

  • To evaluate the suitability of telemedicine for definitive diagnosis and treatment in pediatric acute/urgent care settings.
  • To identify limitations of current telemedicine for direct replacement of in-person pediatric visits.

Main Methods:

  • Retrospective review of in-person pediatric visits.
  • Analysis of cases to determine if telemedicine would have allowed definitive diagnosis and treatment.

Main Results:

  • Only a small percentage of in-person pediatric visits were deemed suitable for definitive diagnosis and treatment via telemedicine.
  • Significant limitations exist for using current telemedicine in acute or urgent pediatric care.

Conclusions:

  • Current telemedicine is not a suitable replacement for in-person pediatric care in acute/urgent settings.
  • Development of improved data collection and tools is necessary for effective pediatric remote care implementation.