Overview on the Challenges and Benefits of Using Telehealth Tools in a Pediatric Population
Abstract
Telehealth in Pediatric Medicine presents many of the same benefits and challenges noted in adult-based medicine. In terms of health care delivery, the promise of improving access and reducing costs using telehealth in Pediatrics, particularly chronic care, is high. The ability to address clinician shortages and provide remote guidance for chronic care pathways from pediatric subspecialists to rural-based referring physicians is a developing model that represents a sustainable and cost-effective strategy to improve pediatric care. The adoption and implementation of consistent telehealth programs require a readjustment of current regulatory rules and a national discussion on reimbursement and compliance standards. Presently, state laws generally define the rules, whereby health systems or practices can use telehealth for patient care and education. Long-term telehealth program development depends on the ongoing value and use case provided by pediatric advocates for this emerging health care delivery model.
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The questionnaire included the System Usability Scale (SUS) and other measures using a 5-point Likert scale.
“Our questionnaire includes the System Usability Scale (SUS) [22], the comparison against the basic method of leaving a message, the health support experience, and a few VA-specific experience questions, using a 5-point Likert scale.”
From Talk2Care: An LLM-based Voice Assistant for Communication between Healthcare Providers and Older Adults (2024) · cites this paper as [22]
The questionnaire included the NASA Task Load Index (TLX) and the System Usability Scale (SUS).
“Our questionnaire includes the NASA Task Load Index (TLX) [50], the System Usability Scale (SUS) [22], the comparison against the basic method of processing messages, the work support experience, and a few dashboard user experience questions.”
From Talk2Care: An LLM-based Voice Assistant for Communication between Healthcare Providers and Older Adults (2024) · cites this paper as [22]
Cites
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“2017;24(1):17-21 tions have allowed “credentialing by proxy,” many smaller hospitals have not allowed the use of this option.(14,15,17) Although these concerns are not insignificant, it may be of a national interest to allow federally supported programs like ESRD and dialysis to access providers across state borders a…”
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Osman, M. A., Schick-Makaroff, K., Thompson, S., Bialy, L., Featherstone, R., Kurzawa, J., Zaidi, D., Okpechi, I., Habib, S., Shojai, S., et al. (2019) · BMJ Global Health · doi:10.1136/bmjgh-2019-001629 · Cited by 108 · see citing works
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- Authors
- Brophy, P. D.
- Affiliations
- University of Iowa (US)
- Corresponding author
- Brophy, Patrick D.
- ORCID
- Brophy, Patrick D.
- Venue
- Advances in Chronic Kidney Disease
- Publisher
- Elsevier BV
- Published
- 2017-01
- Volume
- 24
- Issue
- 1
- Pages
- 17-21
- ISSN
- 1548-5595 (ISSN-L)
- OpenAlex
- W2589953586
- Cited by
- 81
- References
- 4
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 11 · 2023: 17 · 2022: 10 · 2021: 14 · 2020: 9 · 2019: 5 · 2018: 3 · 2017: 1
- FWCI
- 4.62
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Advances in Chronic Kidney Disease (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Healthcare Systems and Technology
- Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
- Keywords
- telemedicine, chronic care, health care access, health care costs, clinician shortage, rural health care, telemedicine regulation, reimbursement
- MeSH terms
- Chronic Disease, Delivery of Health Care, Health Services Accessibility, Humans, Kidney Failure, Chronic, Pediatrics, Peritoneal Dialysis, Kidney Transplantation, Telemedicine, Renal Insufficiency, Chronic
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