Telehealth in Pediatric Gastroenterology Can Be a Sustainable Long-Term Option: A Single-Center Experience

Leinwand, Kristina; Blodgett, Nicole Petsas; Ramraj, Ramya

doi:10.7812/tpp/20.191

Cited by 4 publications

(4 citation statements)

References 13 publications

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“…TH allows the provision of clinical care through virtual patient consultations and patient education, remote monitoring, wireless health applications, and electronic transmission of imaging and medical reports (41,42). The literature demonstrates equivalent to superior health outcomes with virtual care (43)(44)(45)(46)(47). The advantages of TH include consistently improved access, adherence, and education (self-efficacy) in adolescents at reduced costs through fewer in-person visits (43).…”

Section: Discussionmentioning

confidence: 99%

“…Virtual platforms have enhanced both interdisciplinary and multidisciplinary care as they facilitate virtual meetings incorporating all team members through synchronous (same call) or asynchronous (consecutive calls) visits (36,52). The most robust literature in pediatric GI touts TH for adolescent patients with IBD to optimize infliximab infusion intervals through multidisciplinary care, proactive symptom monitoring, and web-assisted calprotectin-based treatment algorithms to detect early relapse (IBD-Live) (44,46,(56)(57)(58)(59). Pilot studies used TH to educate patient-families with intestinal failure to prevent central line associated bloodstream infections (60).…”

Section: Impactsmentioning

confidence: 99%

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North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Position Statement for Telehealth

Franciosi

Berg

Rosen

et al. 2023

Journal of Pediatric Gastroenterology &Amp; Nutrition

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Telehealth (TH) broadly encompasses remote activities of clinical care (telemedicine), provider and patient education, and general health services. The use of synchronous video for TH first occurred in 1964 and then catapulted to the forefront in 2020 during the coronavirus disease 2019 public health emergency. Due to the sudden need for increased TH utilization by nearly all health care providers at that time, TH became essential to clinical practice. However, its sustainable future is unclear in part given that best practices for TH in pediatric gastroenterology (GI), hepatology, and nutrition remain undefined and non-standardized. Key areas for review include historical perspective, general and subspeciality usage, health care disparities, quality of care and the provider-patient interaction, logistics and operations, licensure and liability, reimbursement and insurance coverage, research and quality improvement (QI) priorities, and future use of TH in pediatric GI with a call for advocacy. This position paper from the Telehealth Special Interest Group of North American Society of Gastroenterology, Hepatology and Nutrition provides recommendations for pediatric GI-focused TH best practices, reviews areas for research and QI growth, and presents advocacy opportunities.

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Section: Discussionmentioning

confidence: 99%

Section: Impactsmentioning

confidence: 99%

North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Position Statement for Telehealth

Franciosi

Berg

Rosen

et al. 2023

Journal of Pediatric Gastroenterology &Amp; Nutrition

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“…As discussed, existing research examining the virtual delivery of integrated multidisciplinary care for children and adolescents with IBD is extremely limited. Pediatric gastroenterology programs with existing telemedicine clinics offered virtual care less frequently to IBD patients prior to the global pandemic [45]. Research examining telephone consultations between IBD providers and patients and families for IBD care offered promising results in that patient quality of life is consistent across both groups [51].…”

Section: Discussionmentioning

confidence: 99%

“…However, telemedicine was used less frequently for patients with IBD. Face-to-face visits were more commonly assigned for these patients due to the complicated nature of the disease or for visits requiring multidisciplinary care [45].…”

Section: Telemedicine In Pediatric Ibdmentioning

confidence: 99%

Telemedicine and Integrated Multidisciplinary Care for Pediatric IBD Patients: A Review

Potthoff

2021

Children

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The global COVID-19 pandemic brought with it an unprecedented, widespread implementation of telemedicine services, requiring pediatric inflammatory bowel disease (IBD) providers to shift in-person clinic visits to a virtual platform. With the passing of the one-year anniversary of the global pandemic, telemedicine continues to be offered and utilized. Although it remains unclear as to the extent to which telemedicine services will be used in the future, it is critical to understand how integrated multidisciplinary treatment—the standard of care in pediatric IBD—is delivered through a virtual platform. This paper provides an overview of the existing literature examining integrated multidisciplinary care for pediatric IBD provided via telemedicine. The author also presents one integrated multidisciplinary IBD program’s response to the global pandemic and subsequent transition to telemedicine. Challenges around implementation and directions for future research in this area are also discussed.

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COVID-19 and Pediatric Gastroenterology

Taylor

Mallon

2021

Pediatric Clinics of North America

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Synopsis: Pediatric gastroenterologists took on a variety of challenges during the COVID-19 pandemic, including learning about a new disease and how to recognize and manage it, prevent its spread among their patients and health professions colleagues, and make decisions about managing patients with chronic gastrointestinal and liver problems in light of the threat. They adapted their practice to accommodate drastically reduced in-person visits, adopting telehealth, and instituting new protocols to perform endoscopies safely. The workforce pipeline was also affected by the pandemic because of its impact on trainee education, clinical experience, research, and job searches.

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Telehealth in Pediatric Gastroenterology Can Be a Sustainable Long-Term Option: A Single-Center Experience

Cited by 4 publications

References 13 publications

North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Position Statement for Telehealth

North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Position Statement for Telehealth

Telemedicine and Integrated Multidisciplinary Care for Pediatric IBD Patients: A Review

COVID-19 and Pediatric Gastroenterology

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