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Pediatric Obesity Care via Telemedicine: Expanding the Path Forward-A Review
Valerie M O'Hara1, Danielle Louder2, Starr V Johnston3
1Maine Medical Center Weight and Wellness Clinic, 41 Donald B. Dean Drive Suite A, South Portland, ME, 04106, USA. voharado@gmail.com.
Insights
The pediatric obesity epidemic is worsening, especially in underserved areas. Telemedicine expansion offers a vital solution, providing equitable access to care with comparable outcomes to in-person visits.
Area of Science:
- Pediatric Endocrinology
- Public Health
- Health Services Research
Background:
- The prevalence of pediatric obesity in the USA is increasing, disproportionately affecting rural and underserved populations.
- Access to specialized pediatric obesity care is geographically limited, with a scarcity of obesity medicine specialists in non-urban areas.
- Traditional in-person care models present significant access barriers, including travel and appointment availability.
Purpose of the Study:
- To review current data on the intersection of the pediatric obesity epidemic and the expansion of telemedicine.
- To assess telemedicine's role in addressing the need for equitable obesity care in children.
- To evaluate the potential of telemedicine to overcome access barriers in pediatric obesity management.
Main Methods:
- Literature review of recent data on pediatric obesity prevalence and telemedicine utilization.
- Analysis of telemedicine's impact on obesity care outcomes compared to traditional in-person visits.
- Examination of policy and practice changes facilitating telemedicine adoption during the pandemic.
Main Results:
- Telemedicine utilization and acceptance have increased significantly, with similar or improved obesity care outcomes.
- Geographic disparities in obesity medicine specialist availability persist, highlighting the need for broader access solutions.
- Telemedicine effectively expands reach and decreases access barriers for pediatric obesity care, particularly in underserved regions.
Conclusions:
- Telemedicine presents a critical and creative remedy to address the escalating pediatric obesity epidemic.
- Leveraging telemedicine is essential for providing chronic, effective obesity care to all children, regardless of location.
- Reimagining comprehensive care delivery models for pediatric obesity, incorporating telemedicine, is urgently needed.
Purpose Of Review:
Review latest data regarding the intersection of pediatric obesity epidemic with telemedicine expansion to meet the need of equitable obesity care in children.
Recent Findings:
Prevalence of pediatric obesity in the USA continues to worsen particularly in rural, underserved areas. Although there is an increasing number of obesity medicine specialists over the last decade, availability varies by geographic location. Pre-pandemic centers were limited, rarely located in rural areas, and required in-person visits for reimbursement. Telemedicine changes, responding to pandemic needs, provided increase in telemedicine utilization and acceptance with similar or improved obesity care outcomes. Given pediatric obesity prevalence and need for chronic, effective obesity care, leveraging telemedicine to expand reach and decrease access barriers provides a critical and creative remedy. Data cites similar outcomes between telemedicine and in-person care. The time to reimagine a full spectrum of care delivery for pediatric obesity is now.
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