Use of Telehealth in Pediatric Palliative Care
Use of Telehealth in Pediatric Palliative Care
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DOI：
10.1089/tmj.2016.0251
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发表时间：
2017-11-01
影响因子：
4.7
通讯作者：
Slamon, Nicholas B.
中科院分区：
文献类型：
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作者：
Winegard, Billie;Miller, Elissa G.;Slamon, Nicholas B.
目的：儿科专科护理，包括多学科姑息治疗，往往位于城市学术中心或儿童医院。远程医疗为原本无法获得服务的患者提供了护理的机会。我们列举了远程医疗被用来为原本不能接受这种服务的患者提供咨询服务的案例。方法：我们讨论了在姑息治疗和丧亲随访的背景下远程医疗用于患者和家庭咨询的案例。住在离医院很远、获得服务机会有限的患者之后，会有一个以医院为基础的儿科姑息治疗小组。结果：我们医院的姑息社工通过远程健康对患者、家属和社会工作者进行远程健康咨询是成功的。结论：远程健康有助于缓解获得服务和护理的差距，这在儿科和精神健康领域尤为突出。对于这一系列病例中的患者来说，接受咨询服务并满足原本无法解决的需求是一种有效的方式。
Objectives:Pediatric subspecialty care, including multidisciplinary palliative care, tends to be located in urban academic centers or children's hospitals. Telehealth provides the opportunity to care for patients who would otherwise not be able to access services. We present cases wherein telehealth was used to provide counseling services to patients who would not have been able to receive this service.Methods:We discuss cases of telehealth use for patient and family counseling in the setting of palliative care and bereavement follow-up. Patients who live a great distance from the hospital with limited access to services were followed by a hospital-based pediatric palliative care team. Patients and families gave feedback after use of telehealth for counseling services.Results:Counseling through telehealth by our hospital-based palliative care social worker was successful for all parties involved: patient, family, and social worker.Conclusions:Telehealth helps relieve disparity in access to services and care, which is particularly problematic in pediatrics and mental health. For the patients in this case series, it was an effective modality to receive counseling services and meet needs that otherwise would not have been addressed.