Use of Telemedicine to Follow Special Needs Children

Robinson, Sally S.; Seale, Deborah E.; Tiernan, Kathleen M.; Berg, Bobbye

doi:10.1089/153056203763317657

Cited by 28 publications

(13 citation statements)

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“…Telemedicine videoconferencing replaced in person examination, with virtual consultations reducing sometimes painful trips to the clinic and allowing for diagnosis, referrals, and recommendations on physical care [45-48,52]. Additionally, simultaneous communication among multiple providers, school staff, and the caregiver improved coordination of care with fewer physical trips to multiple clinics [45-48,52]. Such consultations also bridged geographical barriers to care (eg, for patients in rural areas) and increased access to specialists.…”

Section: Resultsmentioning

confidence: 99%

Health Information Technology to Facilitate Communication Involving Health Care Providers, Caregivers, and Pediatric Patients: A Scoping Review

Gentles¹,

Lokker²,

McKibbon³

2010

J Med Internet Res

148

110

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Background Pediatric patients with health conditions requiring follow-up typically depend on a caregiver to mediate at least part of the necessary two-way communication with health care providers on their behalf. Health information technology (HIT) and its subset, information communication technology (ICT), are increasingly being applied to facilitate communication between health care provider and caregiver in these situations. Awareness of the extent and nature of published research involving HIT interventions used in this way is currently lacking. Objective This scoping review was designed to map the health literature about HIT used to facilitate communication involving health care providers and caregivers (who are usually family members) of pediatric patients with health conditions requiring follow-up. Methods Terms relating to care delivery, information technology, and pediatrics were combined to search MEDLINE, EMBASE, and CINAHL for the years 1996 to 2008. Eligible studies were selected after three rounds of duplicate screening in which all authors participated. Data regarding patient, caregiver, health care provider, HIT intervention, outcomes studied, and study design were extracted and maintained in a Microsoft Access database. Stage of research was categorized using the UK’s Medical Research Council (MRC) framework for developing and evaluating complex interventions. Quantitative and qualitative descriptive summaries are presented. Results We included 104 eligible studies (112 articles) conducted in 17 different countries and representing 30 different health conditions. The most common conditions were asthma, type 1 diabetes, special needs, and psychiatric disorder. Most studies (88, 85%) included children 2 to 12 years of age, and 73 (71%) involved home care settings. Health care providers operated in hospital settings in 96 (92%) of the studies. Interventions featured 12 modes of communication (eg, Internet, intranets, telephone, video conferencing, email, short message service [SMS], and manual downloading of information) used to facilitate 15 categories of functions (eg, support, medication management, education, and monitoring). Numerous patient, caregiver, and health care relevant outcomes have been measured. Most outcomes concerned satisfaction, use, usability, feasibility, and resource use, although behavior changes and quality of life were also reported. Most studies (57 studies, 55%) were pilot phase, with a lesser proportion of development phase (24 studies, 23%) and evaluation phase (11 studies, 11%) studies. HIT interventions addressed several recurring themes in this review: establishing continuity of care, addressing time constraints, and bridging geographical barriers. ConclusionsHIT used in pediatric care involving caregivers has been implemented differently in a range of disease settings, with varying needs influenc...

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Section: Resultsmentioning

confidence: 99%

Health Information Technology to Facilitate Communication Involving Health Care Providers, Caregivers, and Pediatric Patients: A Scoping Review

Gentles¹,

Lokker²,

McKibbon³

2010

J Med Internet Res

148

110

View full text Add to dashboard Cite

show abstract

“…For example, when describing the results of an 8-year telemedicine project designed to evaluate the efficacy of team-to-team interdisciplinary telemedicine evaluations for children with special needs in rural Iowa, Harper (2006) stated “team-to-team consultation permits comprehensive parent and professional dialogue, professionally guided evaluation procedures, real-time discussion of evaluation results, treatment recommendations, and coordination of care” (p. 12). In addition to benefits associated with real-time remote consultation among team members, this and other research have found a high level of satisfaction among participants, improved access to services, and significant economic savings ( Baharav & Reiser, 2010 ; Cason, 2009 ; Harper, 2006 ; Heimerl & Rasch, 2009 ; Karp et al, 2000 ; Kelso et al, 2009 ; Robinson, Seale, Tiernan, & Berg, 2003 ). Use of telerehabilitation in EI services has the potential to connect team members remotely to discuss evaluation results, treatment recommendations, and coordinate care as well as facilitate co-treatments with specialists and local therapists and provide access to specific disciplines not available within a local community.…”

Section: Telerehabilitation: An Adjunct Service Delivery Model For Eamentioning

confidence: 56%

Telerehabilitation: An Adjunct Service Delivery Model for Early Intervention Services

Cason

2011

Int J Telerehab

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Early Intervention (EI) services for children birth through two years of age are mandated by Part C of the Individuals with Disabilities Education Act (IDEA); however, personnel shortages, particularly in rural areas, limit access for children who qualify. Telerehabilitation has the potential to build capacity among caregivers and local providers as well as promote family-centered services through remote consultation. This article provides an overview of research related to telerehabilitation and early intervention services; discusses the feasibility of telerehabilitation within traditional EI service delivery models; examines telecommunications technology associated with telerehabilitation; and provides hypothetical case examples designed to illustrate potential applications of telerehabilitation in early intervention.

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“…Prior research has supported the use of telemedicine in addressing ongoing care needs of CSHCN in rural communities, [9][10][11] but no reports of acute illness care via telemedicine among either rural or urban CSCHN have been published. Findings reported herein support the safety and effectiveness of the Health-e-Access care model, as implemented for both CSHCN and CRS.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness and Safety of Acute Care Telemedicine for Children with Regular and Special Healthcare Needs

McConnochie

Ronis

Wood

et al. 2015

Telemedicine and e-Health

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Use of Telemedicine to Follow Special Needs Children

Cited by 28 publications

References 0 publications

Health Information Technology to Facilitate Communication Involving Health Care Providers, Caregivers, and Pediatric Patients: A Scoping Review

Health Information Technology to Facilitate Communication Involving Health Care Providers, Caregivers, and Pediatric Patients: A Scoping Review

Telerehabilitation: An Adjunct Service Delivery Model for Early Intervention Services

Effectiveness and Safety of Acute Care Telemedicine for Children with Regular and Special Healthcare Needs

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