Telemedicine use for pediatric asthma care: a mixed methods study

Pediatric Telemedicine

“…Others also described approaches that considered personal preferences, such as at the request of the provider or the patient. 23 , 24 …”

“… 18 These processes often caused confusion as some parents reported missed telemedicine visits because they forgot to schedule follow-up visits, which were previously scheduled by going to the front desk at the end of an in-person visit. 23 Thus, integrating scheduling and support into the telemedicine workflow can prevent delays in care caused by scheduling and technical issues.…”

“… 40 Additionally, while patient-generated measurements have the potential to increase the provider confidence and support a shift to alternating or supplementing in-person and telemedicine visits, parents may have low self-efficacy with regard to home measurements. 23 , 31 Thus, appropriate training of caregivers and better evidence are necessary to ensure successful use of home monitoring devices and a positive caregiver experience.…”

“…29 , 49 , 50 In the settings of both inpatient and outpatient care, telemedicine allows both parents (and other caregivers and family members) to be present. This can result in improved parent/caregiver experience 23 and may have larger implications for the child’s care long term.…”

“… 53 , 54 However, engaging with pediatric patients over video may be more challenging, particularly for children who are introverted or who lack communication skills. 23 This challenge may be exacerbated by a virtual encounter with a new provider who has never met the child in person. 23 Strategies and resources that aid providers in developing therapeutic alliance with patients could enhance virtual visits by increasing trust, improving patient and parent experience, and encouraging better communication by pediatric patients.…”