Achieving a Quintuple Aim for Telehealth in Pediatrics

Eli M Cahan; Vandna Mittal; Nirav R Shah; Sonoo Thadaney-Israni

doi:10.1016/j.pcl.2020.04.015

Achieving a Quintuple Aim for Telehealth in Pediatrics

Pediatr Clin North Am. 2020 Aug;67(4):683-705. doi: 10.1016/j.pcl.2020.04.015. Epub 2020 Jun 11.

Authors

Eli M Cahan¹, Vandna Mittal², Nirav R Shah³, Sonoo Thadaney-Israni⁴

Affiliations

¹ Clinical Excellence Research Center, Stanford School of Medicine, Stanford, CA 94305, USA; NYU School of Medicine, New York, NY 10010, USA. Electronic address: emcahan@stanford.edu.
² Stanford Children's Health, Stanford, CA 94305, USA.
³ Clinical Excellence Research Center, Stanford School of Medicine, Stanford, CA 94305, USA.
⁴ Department of Medicine, Stanford School of Medicine, Stanford, CA 94305, USA.

PMID: 32650867
DOI: 10.1016/j.pcl.2020.04.015

Abstract

Pediatric practice increasingly involves providing care for children with medical complexity. Telehealth offers a strategy for providers and health care systems to improve care for these patients and their families. However, lack of awareness related to the unintended negative consequences of telehealth on vulnerable populations--coupled with failure to intentional design best practices for telehealth initiatives--implies that these novel technologies may worsen health disparities in the long run. This article reviews the positive and negative implications of telehealth. In addition, to achieve optimal implementation of telehealth, it discusses 10 considerations to promote optimal care of children using these technologies.

Keywords: Bioethics; Equity; Pediatrics; Telehealth; Telemedicine; eHealth; mHealth.

Publication types

Review

MeSH terms

Chronic Disease / epidemiology
Chronic Disease / therapy*
Cost Control
Health Equity
Health Services Accessibility
Humans
Pediatrics*
Quality Improvement
Telemedicine / organization & administration*
United States / epidemiology
Vulnerable Populations*