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The role of telehealth in pediatric emergency care
Mohsen Saidinejad1,2, Isabel Barata3, Ashley Foster4
1The Lundquist Institute for Biomedical Innovation at Harbor UCLA Torrance California USA.
Insights
Telehealth improves pediatric emergency care access, especially in rural areas. It provides timely consultations, preventing delays and unnecessary transports for critically ill children.
Area of Science:
- Pediatric Emergency Medicine
- Health Services Research
- Digital Health
Background:
- Pediatric emergency care has historically been uneven, particularly in underserved regions.
- Telehealth has emerged as a critical tool to bridge gaps in specialized pediatric care.
- Rural and underresourced communities often face challenges with access to pediatric specialists.
Purpose of the Study:
- To provide an overview of telehealth applications in pediatric emergency medicine.
- To discuss the impact of the COVID-19 pandemic on pediatric telehealth services.
- To highlight challenges associated with implementing and sustaining telehealth programs.
Main Methods:
- Literature review of telehealth in pediatric emergency medicine.
- Analysis of telehealth's role in improving pediatric readiness.
- Examination of telehealth's impact during the COVID-19 pandemic.
Main Results:
- Telehealth enhances timely and safe management of pediatric emergencies.
- It reduces unnecessary transports to specialized pediatric centers.
- Telehealth is crucial for improving healthcare access in critical access areas.
Conclusions:
- Telehealth is a valuable component of pediatric readiness and emergency care.
- It effectively addresses disparities in care for children in remote or underresourced areas.
- Overcoming implementation and maintenance challenges is key to maximizing telehealth benefits.
Abstract:
In 2006, the Institute of Medicine published a report titled "Emergency Care for Children: Growing Pains," in which it described pediatric emergency care as uneven at best. Since then, telehealth has emerged as one of the great equalizers in care of children, particularly for those in rural and underresourced communities. Clinicians in these settings may lack pediatric-specific specialization or experience in caring for critically ill or injured children. Telehealth consultation can provide timely and safe management for many medical problems in children and can prevent many unnecessary and often long transport to a pediatric center while avoiding delays in care, especially for time-sensitive and acute interventions. Telehealth is an important component of pediatric readiness of hospitals and is a valuable tool in facilitating health care access in low resourced and critical access areas. This paper provides an overview of meaningful applications of telehealth programs in pediatric emergency medicine, discusses the impact of the COVID-19 pandemic on these services, and highlights challenges in setting up, adopting, and maintaining telehealth services.
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