Telehealth - A Clinical Practice Initiative in Pediatrics

IF 2 4区医学 Q2 HEALTH POLICY & SERVICES

Journal of Pediatric Health Care Pub Date : 2026-09-01 Epub Date: 2026-04-16 DOI:10.1016/j.pedhc.2026.02.005

Juliana Helena Zamariola MSc, Maria Angela Bellomo-Brandão PhD, Adriana Gut Lopes Riccetto PhD, Maria Ângela Reis De Góes Monteiro Antonio PhD, Elizete Aparecida Lomazi PhD

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引用次数: 0

Abstract

Introduction

Pediatric gastroenterology centers consistently receive high volume of referrals from primary health care (PHC) for diagnostic and management clarification.

Methods

We present a telehealth program that connects PHC pediatric nurse practitioners with a tertiary team of pediatric gastroenterologists. During weekly virtual meetings over a four-month period, the health professionals discussed data from 121 referred patients.

Results

The telehealth program enabled 55% of patients to schedule timely appointments at the tertiary outpatient clinic. Approximately 20% of patients were advised to remain at the PHC for management as recommended by specialists virtually. Approximately 25% of referral forms were sent back for clarification. Pediatric Nurse Practitioners (PNPs) played a central role in managing diagnostic methods, treatment decisions, and follow-up calls.

Discussion

PNPs connected primary and tertiary care, thereby improving the effectiveness of patient care. The telehealth program reduced waiting times for specialist assessments, and it provided online therapeutic orientation for one-quarter of the patients discussed.

查看原文本刊更多论文

远程医疗-儿科临床实践倡议。

儿科胃肠病学中心一直收到大量的转诊从初级卫生保健（PHC）诊断和管理澄清。方法：我们提出了一个远程医疗计划，连接初级保健儿科护士从业人员与儿科胃肠病学的三级团队。在为期四个月的每周虚拟会议中，卫生专业人员讨论了121名转诊患者的数据。结果：远程医疗计划使55%的患者能够在三级门诊及时预约。大约20%的患者被建议留在初级保健中心接受专家建议的管理。大约25%的转介表格被退回澄清。儿科执业护士（PNPs）在管理诊断方法，治疗决策和随访呼叫中发挥了核心作用。讨论：PNPs连接初级和三级保健，从而提高患者护理的有效性。远程保健方案缩短了专家评估的等待时间，并为讨论的四分之一的患者提供了在线治疗指导。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pediatric Health Care NURSING-PEDIATRICS

CiteScore

3.40

自引率

10.70%

发文量

140

审稿时长

24 days

期刊介绍： The Journal of Pediatric Health Care, the official journal of the National Association of Pediatric Nurse Practitioners, provides scholarly clinical information and research regarding primary, acute and specialty health care for children of newborn age through young adulthood within a family-centered context. The Journal disseminates multidisciplinary perspectives on evidence-based practice and emerging policy, advocacy and educational issues that are of importance to all healthcare professionals caring for children and their families.