Although use of telehealth may have begun centuries ago and has grown considerably through the 20th century, the coronavirus disease 2019 pandemic skyrocketed telemedicine's reach, including its use in pediatrics. The American Academy of Pediatrics endorses telehealth as a "critical infrastructure to efficiently implement the medical home model of care." Particularly for children with medical complexity (CMC), telehealth offers great promise to improve access to continuous, coordinated primary care, reduce time to pediatric subspecialty care, and support distance education for both pediatric providers and patients and their families. This article details the numerous benefits of telehealth to CMC with an emphasis on its use as an extender of the medical home, describes the venues in which telehealth augments access to safe, high-quality care, presents best practices in engaging in telehealth encounters, and enumerates barriers that may exacerbate current health inequities. We review current published telehealth patient-/caregiver-level, clinician-level, and payor-level outcomes while revealing research gaps and opportunities. [Pediatr Ann. 2024;53(3):e74-e81.].

中文翻译：

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远程医疗和医疗复杂性的儿童。


尽管远程医疗的使用可能早在几个世纪前就开始了，并且在 20 世纪已大幅增长，但 2019 年冠状病毒病的大流行使远程医疗的覆盖范围猛增，包括其在儿科的使用。美国儿科学会认可远程医疗作为“有效实施家庭医疗护理模式的关键基础设施”。特别是对于患有医疗复杂性 (CMC) 的儿童，远程医疗提供了巨大的希望，可以改善获得持续、协调的初级保健的机会，减少儿科专科护理的时间，并支持儿科提供者和患者及其家人的远程教育。本文详细介绍了远程医疗给 CMC 带来的众多好处，重点介绍了远程医疗作为医疗之家的扩展，描述了远程医疗增强获得安全、高质量护理的场所，介绍了参与远程医疗的最佳实践，以及列举了可能加剧当前健康不平等的障碍。我们回顾了当前发表的远程医疗患者/护理人员级别、临床医生级别和支付者级别的结果，同时揭示了研究差距和机会。 [小儿安。 2024；53(3)：e74-e81。]。