The shortage of child and adolescent psychiatrists in China

Wang, Shuai; Ungvari, Gabor S.; Xiang, Yu‐Tao

doi:10.1016/j.ajp.2022.103404

Cited by 1 publication

(1 citation statement)

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“…While there is some variability in how the term virtual care is used in the literature, the Women's College Hospital Institute for Health Systems Solutions and Virtual Care defines it as any interaction between patients, caregivers, and providers that occurs remotely, using any form of communication or information technology, with the aim of facilitating or maximizing the quality or effectiveness of patient care. 27 Virtual care has been deployed to help with many aspects of the care continuum -it has been proposed as a solution to a shortage of mental health care providers for youth and young adults, [28][29][30] and virtual care has also been used successfully to increase access to gender affirming care to pediatric patients who may live in regions without such services. 31 A systematic review found that mobile health technologies, such as the use of smartphones, tablets, and patient monitoring devices to communicate health information to the care team (asynchronous virtual care), have been shown to improve postoperative outcomes for pediatric patients and attendance at postoperative procedures, as well as reliably monitoring patients' pain.…”

Section: Virtual Carementioning

confidence: 99%

Shortages of Care and Medical Devices Affecting the Pediatric Patient Population

Jones,

Walter

2023

cjht

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What Is the Issue? Shortage events, the phenomena when demand exceeds supply, can affect both medical care and medical devices. The COVID-19 pandemic caused a global shortage event, the consequences of which are still being experienced beyond the peak of the pandemic (e.g., the lack of pediatric pain medication available in fall 2022). Children are vulnerable to shortage events as they represent a small proportion of the overall population, have distinct needs, and the pediatric medical device market has historically offered a lack of options. What Are the Technologies? Technologies such as artificial intelligence (AI)-enabled devices, point of care testing, and virtual care options could contribute to alleviating shortages in pediatric care. Technologies such as 3D printing, alternative interventions such as tracheostomy during shortages of mechanical ventilators, and the reprocessing of single use devices such as ventilator tubes have been suggested in times of pediatric medical device shortages. Solutions to shortage events can take the form of novel devices, interventions, or policies; however, due to the complexity of this problem, a multipronged approach is likely needed. What Is the Potential Impact? Shortages can cause delayed intervention, which has health and financial costs. When cancer diagnoses and treatments are delayed, overall survival rates decrease. High-quality early intervention can change a child’s developmental trajectory and improve outcomes for children, families, and communities. Finding solutions to shortages, particularly for children as they are already at risk for health inequities, is crucial to ensure good health care outcomes in the long-term. What Else Should We Know? During a shortage event, alternative interventions may have different safety profiles or require different training than default practices. Equity should be a consideration when implementing technologies, interventions, and policies to address shortage events so that these solutions do not end up replicating or exacerbating existing inequities.

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