Telehealth for Children with Special Health Care Needs: Promoting Comprehensive Systems of Care

Farmer, Janet E.; Muhlenbruck, Laura

doi:10.1177/000992280104000205

Cited by 33 publications

(19 citation statements)

References 13 publications

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“…This model may not be as effective for families and practices in more remote rural areas of the county, where outcomes may vary as a result of the extreme challenges of gaining access to specialized care and where other approaches such as telehealth interventions may be essential. 40,41 Additional research with larger and more diverse samples will be required to determine optimal rural service delivery strategies for CSHCN.…”

Section: Discussionmentioning

confidence: 99%

Comprehensive Primary Care for Children With Special Health Care Needs in Rural Areas

Farmer¹,

Clark²,

Sherman³

et al. 2005

Pediatrics

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Section: Discussionmentioning

confidence: 99%

Comprehensive Primary Care for Children With Special Health Care Needs in Rural Areas

Farmer¹,

Clark²,

Sherman³

et al. 2005

Pediatrics

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“…Live telemedicine involves real-time, two-way transmission between a patient and provider and is most commonly used for ambulatory subspecialty consultations. Several studies have demonstrated that this type of care results in high-quality care, with high satisfaction rates reported by providers, patients, and caregivers (15)(16)(17)(18)(19). Store-and-forward telemedicine involves a specialist's review of a recorded health history with digital images or video.…”

Section: Overview Of Telemedicinementioning

confidence: 99%

Addressing health disparities in rural communities using telehealth

2015

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The regionalization of pediatric services has resulted in differential access to care, sometimes creating barriers to those living in underserved, rural communities. These disparities in access contribute to inferior healthcare outcomes among infants and children. We review the medical literature on telemedicine and its use to improve access and the quality of care provided to pediatric patients with otherwise limited access to pediatric subspecialty care. We review the use of telemedicine for the provision of pediatric subspecialty consultations in the settings of ambulatory care, acute and inpatient care, and perinatal and newborn care. Studies demonstrate the feasibility and efficiencies gained with models of care that use telemedicine. By providing pediatric subspecialty care in more convenient settings such as local primary care offices and community hospitals, pediatric patients are more likely to receive care that adheres to evidence-based guidelines. In many cases, telemedicine can significantly improve provider, patient, and family satisfaction, increase measures of quality of care and patient safety, and reduce overall costs of care. Models of care that use telemedicine have the potential to address pediatric specialists' geographic misdistribution and address disparities in the quality of care delivered to children in underserved communities.

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“…Moreover, mental health issues are the second most commonly searched health concern on the Internet (Rabasca, 2000). However, with some noteworthy exceptions, on-line interventions have been adopted infrequently with pediatric populations (see Farmer & Muhlenbruck, 2001;Wade, 2004). Comparisons of on-line interventions with traditional face-toface therapy indicate that on-line treatment results in comparable outcomes while possessing several advantages over conventional treatment (Greist, 1998;I.…”

Section: Emerging Technologies and On-line Therapeutic Interventionsmentioning

confidence: 99%

A Web-based family problem-solving intervention for families of children with traumatic brain injury

Wade

Wolfe

Pestian

2004

Behavior Research Methods, Instruments, & Computers

111

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We developed a Web-based intervention for pediatric traumatic brain injury (TBI) and examined its feasibility for participants with limited computer experience. Six families, including parents, siblings, and children with TBI, were given computers, Web cameras, and high-speed Internet access. Weekly videoconferences with the therapist were conducted after participants completed on-line interactive experiences on problem solving, communication, and TBI-specific behavior management. Families were assigned to videoconference with NetMeeting (iBOT cameras) or ViaVideo. Participants ranked the Web site and videoconferences as moderately to very easy to use. ViaVideo participants rated videoconferencing significantly more favorably relative to face-to-face meetings than did NetMeeting participants. Both the Web site and videoconferencing were rated as very helpful. All families demonstrated improved outcomes on one or more target behaviors, including increased understanding of the injury and improved parent-child relationships. All parents and siblings and all but 1 child with TBI said they would recommend the program to others. We conclude that a face-to-face intervention can be successfully adapted to the Web for families with varied computer experience.

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Telehealth for Children with Special Health Care Needs: Promoting Comprehensive Systems of Care

Cited by 33 publications

References 13 publications

Comprehensive Primary Care for Children With Special Health Care Needs in Rural Areas

Comprehensive Primary Care for Children With Special Health Care Needs in Rural Areas

Addressing health disparities in rural communities using telehealth

A Web-based family problem-solving intervention for families of children with traumatic brain injury

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