Telemedicine for Children with Developmental Disabilities: A More Effective Clinical Process Than Office-Based Care
Telemedicine for Children with Developmental Disabilities: A More Effective Clinical Process Than Office-Based Care
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DOI：
10.1089/tmj.2013.0379
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发表时间：
2015-02-01
影响因子：
4.7
通讯作者：
Blakemore, Susan D.
中科院分区：
文献类型：
--
作者：
Langkamp, Diane L.;McManus, Mark D.;Blakemore, Susan D.
工作背景：关于使用远程医疗治疗发育障碍儿童的文献有限，大多描述了远程医疗用于将患者与远程专科多学科护理联系起来。父母普遍对这种照料表示满意，并认为这种照料与亲自照料同样有效。在这里，我们报告使用以学校为基础的异步远程医疗连接儿童DD与初级保健提供者。材料与方法：我们开发了远程健康儿童，一个以学校为基础的计划，使用异步远程医疗连接儿童与DD与他们的初级保健医生照顾轻微疾病。我们在入学时和孩子第一次远程医疗就诊后对父母进行了调查，以评估满意度。我们描述了4个案例，说明了好处，特别是对儿童的DD和具有挑战性的行为，这表明异步远程医疗实际上可能是上级传统的在办公室访问在某些情况下。结果：大多数家长对该方案表示高度满意。已确定的好处包括减少对儿童和父母的压力，以及由于儿童的更大合作而增加成功进行医疗检查的可能性。在某些情况下，使用异步或“存储和转发”远程医疗技术的访问可能上级，因为访问的速度可以根据DD儿童的需要进行调整。结论：需要对患有DD的儿童和青少年，特别是患有DD和具有挑战性行为的儿童使用异步远程医疗进行更多的研究。
Background: The literature on the use of telemedicine for children with developmental disabilities (DD) is limited and mostly describes telemedicine being used to link patients with distant subspecialty multidisciplinary care. Parents generally have reported satisfaction with such care and have perceived it to be equally effective as in-person care. Here we report on the use of school-based asynchronous telemedicine to connect children with DD with primary care providers. Materials and Methods: We developed Tele-Health-Kids, a school-based program using asynchronous telemedicine to connect children with DD with their primary care physician for the care of minor illnesses. We surveyed parents at enrollment and after the child's first telemedicine visit to assess satisfaction. We describe 4 cases that illustrate benefits, particularly for children with DD and challenging behaviors, suggesting that asynchronous telemedicine may actually be superior to traditional in-office visits in some circumstances. Results: Most parents expressed a high level of satisfaction with the program. Benefits identified include decreased stress to the child and the parents as well as increasing the likelihood of a successful medical examination due to greater cooperation by the child. Visits using asynchronous or "store and forward" telemedicine technology may be superior in some situations by allowing the visit to be performed at a pace that can be adjusted to the needs of the child with DD. Conclusions: More research in the use of asynchronous telemedicine for children and youth with DD, particularly for children with DD and challenging behaviors, is needed.