Adoption of Telemedicine for Multidisciplinary Care in Pediatric Otolaryngology
Adoption of Telemedicine for Multidisciplinary Care in Pediatric Otolaryngology
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DOI：
10.1177/0003489421997651
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发表时间：
2021-02-25
影响因子：
1.4
通讯作者：
Bohm, Lauren A.
中科院分区：
文献类型：
--
作者：
Hoi, Karen K.;Curtis, Stuart H.;Bohm, Lauren A.
目的：新冠肺炎大流行引入了一段社会隔离期，挑战了提供者维持面对面患者护理的能力。虽然在儿科耳鼻喉科很常见，但由于多个患者与提供者的相互作用增加了感染风险，多学科诊所在这一时期构成了独特的挑战。远程医疗在儿科耳鼻喉科多学科临床中的应用指导是有限的。方法：我们利用我们在一家三级保健儿童医院的经验，为许多多学科耳鼻喉科诊所提供进行远程医疗访问的最佳实践的全面指导。文献回顾支持远程医疗在多学科儿科耳鼻咽喉科中的应用。结果：远程医疗被成功地应用于7个多学科的儿科诊所，有不同的专家：空气消化障碍、先天性听力损失、小耳/耳道闭锁、口面部裂、睡眠障碍、气管切开护理和腭咽闭合功能障碍。结论：远程医疗适用于各种多学科诊所，其优化对于在新冠肺炎大流行期间及以后为复杂的儿科耳鼻咽喉科患者提供护理至关重要。
Objective: The COVID-19 pandemic has introduced a period of social isolation that has challenged the ability of providers to uphold in-person patient care. Although commonplace in pediatric otolaryngology, multidisciplinary clinics pose a unique challenge during this time due to increased infection risk from multiple patient-provider interactions. Guidance on the application of telemedicine for multidisciplinary clinics in pediatric otolaryngology is limited. Methods: We provide comprehensive guidance on best practices for conducting telemedicine visits for a number of multidisciplinary otolaryngology clinics using our experiences at a single tertiary care children's hospital. A review of literature to support the adoption of telemedicine in multidisciplinary pediatric otolaryngology is also incorporated. Results: Telemedicine was successfully adopted for 7 multidisciplinary pediatric clinics with a variety of specialists: aerodigestive disorders, congenital hearing loss, microtia/aural atresia, orofacial clefting, sleep disorders, tracheostomy care, and velopharyngeal dysfunction. Conclusions: Telemedicine is feasible for a variety of multidisciplinary clinics and its optimization is critical for providing care to complex pediatric otolaryngology patients during the COVID-19 pandemic and beyond.