International Telemedicine Consultations for Neurodevelopmental Disabilities

Pearl, Phillip L.; Sable, Craig; Evans, Sarah Helen; Knight, Joseph; Cunningham, Parker A; Lotrecchiano, Gaetano R.; Gropman, Andrea; Stuart, Sheela; Glass, Penny; Conway, Anne; Ramadan, Issam; Paiva, Tania; Batshaw, Mark L.; Packer, Roger J.

doi:10.1089/tmj.2013.0275

Cited by 26 publications

(17 citation statements)

References 5 publications

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“…41–44 Other centers have used telemedicine to provide peer-to-peer sub-specialty consultations 45,46 for developmental disabilities, in their local communities and internationally. 47 One study has even designed a diagnostic tool using home videos recorded by parents. 48 Specifically, a program in Kansas uses professional teams in the patient’s local community to perform standardized assessments, which are then presented to the family and a university-based medical center team that makes the final diagnostic assessment and provides recommendations via telemedicine.…”

Section: Additional Opportunities In Technology and Public Policymentioning

confidence: 99%

Whittling Down the Wait Time

Gordon-Lipkin

Foster

Peacock

2016

Pediatric Clinics of North America

130

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Section: Additional Opportunities In Technology and Public Policymentioning

confidence: 99%

Whittling Down the Wait Time

Gordon-Lipkin

Foster

Peacock

2016

Pediatric Clinics of North America

130

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“…The study presented by Pearl et al [11] demonstrates the reliability and clinical effectiveness of multidisciplinary care incorporating telemedicine in neurodevelopmental disabilities. The program was funded by the UAE government and was implemented through a two-step process involving site visits for initial assessment of healthcare needs and curriculum development for healthcare workers, followed by weekly videoconferencing sessions.…”

Section: A Children's National Medical Center: Specialized Servicesmentioning

confidence: 98%

“…Pilot studies in medically underserved areas have shown improvement in clinical outcomes and this could be the basis for addressing the regulatory issues that have been a barrier to implementation in the United States [10]. Recent use of telemedicine in neurodevelopmental disorders in the United Arab Emirates in conjunction with a number of site visits provided clinical and multi-disciplinary expertise in complex cases, as well as diagnostic workup, management recommendations, and procedural interventions [11]. This was also an invaluable method of providing educational conferences for providers to develop local expertise to support patient care.…”

Section: A Children's National Medical Center: Specialized Servicesmentioning

confidence: 99%

Delivering eHealthcare: A Perspective on Opportunities, Challenges, and Information Gaps

Helman

Addeo

Santoso

et al. 2015

2015 17th International Conference on E-Health Networking, Application &Amp; Services (HealthCom)

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The growth of eHealth has implications for a range of industries and stakeholders. In this paper we explore eHealth as a solution to the problems posed generally by rising healthcare costs and specifically by aging populations. We propose that the landscape of healthcare delivery and associated driving forces can be characterized in terms of quality, cost, and the balance of online-versus onsite healthcare delivery. Additionally, we explore how the eHealthcare value chain network can be configured to deliver both feasible and viable eHealthcare services to the end user. This paper begins by examining the context of the evolution of healthcare and is followed by an overview of the value-chain network model that we argue should underpin any business model that is developed in the pursuit of the effective delivery of healthcare. We examine some specific value drivers of eHealthcare that result in adoption and the challenges resulting in non adoption, provide case studies, discuss the technology implications, and conclude with the directions that we anticipate being of consequence in the future.

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“…Some children will present with normal skills, and will not require a comprehensive assessment. This may improve efficiency and save costs for the service provider (32 Telepractice also offers the opportunity for local SLPs to access educational and mentoring opportunities (131,(138)(139)(140). Telemedicine studies have reported improved communication between local doctors and paediatric subspecialists (138,139,141), with subsequent improvements in the quality and continuity of care (138,139,(141)(142)(143)(144)(145).…”

Section: Figure 6 Possible Telepractice Screening Pathwaymentioning

confidence: 99%

“…However, there is limited evidence to support telepractice for speech pathology management of complex paediatric patients. A literature search (see Chapter 4) found only seven studies that investigated the effectiveness of telepractice for speech pathology service delivery to CMC (33,139,140,(171)(172)(173). None of these studies investigated language screening or assessment, and only three studies examined the use of telepractice for assessment of speech production.…”

Section: Efficacy and Adoption Of Speech Pathology Telepracticementioning

confidence: 99%

Speech and language screening for children with medical complexity: A comparison of telepractice and in-person methods

Taylor¹

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Effective communication is vital for healthy development and successful educational and vocational outcomes. For children with medical complexity (CMC), the interaction between medical complexity and a speech and language impairment may put them at particular risk for adverse effects. It is important that these children are promptly assessed and diagnosed so that intervention can be started early. Medical complexity is rare in childhood, thus CMC usually access speech pathology services through tertiary facilities where staff have specialist experience and resources, and work as part of a coordinated tertiary team. Unfortunately these facilities are typically located in metropolitan centres, which may compromise service accessibility for CMC living in rural and remote locations.A potential solution to improve service accessibility is remote speech and language screening using telepractice. Telepractice screening allows the speech-language pathologist (SLP) to distinguish those children who need further assessment at the tertiary hospital from those with normal speech and language. This model is increasingly used for the delivery of tertiary medical services, however, there is little research to support the use of telepractice for paediatric speech and language screening, and very few studies have included CMC. Thus, the overall purpose of this research project was to investigate the role of telepractice for remote speech and language screening of CMC. To achieve this aim, two studies were carried out.The first study was an international survey of tertiary SLPs that aimed to describe access difficulties experienced by CMC, and to investigate the rate of telepractice adoption among SLPs who work with CMC. The survey was administered in 2011 (n = 46) and repeated in 2015 (n = 47). This survey identified widespread access difficulties experienced by CMC, highlighting a need for alternative service delivery models such as telepractice. Telepractice adoption among tertiary SLPs more than doubled between 2011 and 2015 (p < 0.05), and in 2015 the rates of telepractice adoption were higher (40%) than previously reported for the general speech pathology profession. Tertiary SLPs were willing to use telepractice with their CMC patients, and considered a wide range of patient groups and service types to be appropriate for telepractice delivery. However, some SLPs were reluctant to use telepractice for direct services such as screening, and a number of barriers to telepractice adoption were identified, including inability poor audio and image quality, lack of experience with telepractice, concerns about behaviour management and use of hands-on techniques, and concerns about the caregiver's inability to assist during telepractice sessions.ii The second study was an exploratory method comparison study that aimed to investigate the feasibility, validity, and acceptability of speech and language screening via telepractice for CMC.This study compared in-person speech and language screening with two telepractice screening ...

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International Telemedicine Consultations for Neurodevelopmental Disabilities

Cited by 26 publications

References 5 publications

Whittling Down the Wait Time

Whittling Down the Wait Time

Delivering eHealthcare: A Perspective on Opportunities, Challenges, and Information Gaps

Speech and language screening for children with medical complexity: A comparison of telepractice and in-person methods

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