Using telehealth to support pediatricians in newborn care.

Using telehealth to support pediatricians in newborn care.
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DOI:
10.1016/j.cppeds.2021.100952
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发表时间:
2021-01
影响因子:
1.6
通讯作者:
Chuo J
Chuo J
中科院分区:
医学4区
文献类型:
--
作者:
Fang JL;Chuo J

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这篇基于临床的综述将讨论远程医疗计划如何改善新生儿、其护理人员和初级保健儿科医生获得专科护理的机会。远程复苏支持儿科医生在复杂的,高风险的新生儿复苏,提高产房护理的质量,并减少转移到更高水平的护理的几率。新生儿医生和其他儿科专家使用远程医疗提供更有效的咨询,积极影响管理决策和患者的结果。当儿科医生提供家庭视频访问并与初级保健儿科医生进行虚拟会面时,从NICU出院的婴儿经历更少的急诊室访问和再次入院。随着新生儿远程医疗计划的进一步实施和传播,重要的是这些计划继续经过深思熟虑的设计,以实现与患者和护理人员,提供者,医疗保健系统和支付者相关的可衡量价值。
This clinical scenario-based review will discuss how telehealth programs improve access to specialty care for neonates, their caregivers, and primary care pediatricians. Tele-resuscitation supports pediatricians during complex, high-risk newborn resuscitations, improves the quality of delivery room care, and reduces odds of transfer to a higher level of care. Neonatologists and other pediatric specialists use telehealth to provide more effective consultations that positively influence management decisions and patient outcomes. When neonatologists provide video visits to home and meet virtually with primary care pediatricians, infants discharged from the NICU experience fewer emergency room visits and hospital re-admissions. With further implementation and dissemination of neonatal telemedicine programs, it is important that these programs continue to be thoughtfully designed to achieve measurable value that is relevant to patients and caregivers, providers, healthcare systems, and payers.
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