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State of telemedicine use in pediatric surgery in the USA-where we stand and what we can gain from the COVID-19 pandemic: a scoping review

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World Journal of Pediatric Surgery 2021年第1期4卷 43-48页

作者： Gregory Metzger Kris Jatana jordan apfeld Katherine J Deans Peter C Minneci Ihab Halaweish Department of Surgery The Ohio State University Wexner Medical CenterColumbusOhioUSA Department of Pediatric Surgery Nationwide Children's HospitalColumbusOhioUSA Department of Pediatric Otolaryngology Nationwide Children's HospitalColumbusOhioUSA Center for Surgical Outcomes Research Nationwide Children's HospitalColumbusOhioUSA

Background Within the last decade,the use of telemedicine within in primary care in the USA has greatly expanded;however,use remains uncommon in surgical *** spread of Coronavirus disease 2019(COVID-19)prompted healthcare institutions to limit in-person contact,resulting in an increase in telemedicine across all specialties,including pediatric *** aims of this review were to evaluate potential barriers that limited the use of telemedicine in pediatric surgery prior to the COVID-19 period and to define how best to incorporate its use into a pediatric surgical practice going *** A scoping review was performed to identify gaps in the literature pertaining to the use of telemedicine within general pediatric surgery in the USA prior to the outbreak of ***,a focused evaluation of the legislative and organizational policies on telemedicine was ***,findings were summarized and recommendations for future research developed in the context of understanding and overcoming barriers that have plagued widespread adoption in the *** Despite evidence of telemedicine being safe and well received by adult surgical patients,a total of only three studies representing original research on the use of telemedicine within pediatric surgery were *** and organizational policies regarding telemedicine have been altered in response to COVID-19,likely resulting in an increase in the use of telemedicine among pediatric *** Telemedicine offers a safe and effective option for patients seeking an alternative to the in-person clinic *** increased utilization of telemedicine during the COVID-19 pandemic will provide an opportunity to learn how best to leverage the technology to decrease disparities and to overcome previous barriers.

关键词： pediatric overcome prompt

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