zdmeЗдоровье мегаполисаCity Healthcare2713-2617ГБУ «НИИОЗММ ДЗМ»10.47619/2713-2617.zm.2024.v.5i4p1;124-130zdme-157Research ArticleОБЗОРЫREVIEWSОсновы применения технологий телемедицины в педиатрической практикеFundamentals of Using Telemedicine for Pediatric Carehttps://orcid.org/0000-0001-5946-094XКлимовЮ. А.KlimovV. A.

Климов Юрий Андреевич – канд. мед. наук, декан лечебного факультета 

129226, Москва, ул. Вильгельма Пика, д. 4, стр. 1

 

Yury A. Klimov – Candidate of Medical Sciences, Dean of General Medicine  Department

4, bld. 1, Vilgelma Pika ul., Moscow, 129226

yklimov@rambler.ruРоссийский государственный социальный университетRussian State Social University20242612202454часть 1124130Copyright © Климов Ю.А., 20242024Климов Ю.А.Klimov V.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.city-healthcare.com/jour/article/view/157Введение

Введение. Ускоренное внедрение телемедицины  реализовалось  в  период  пандемии  и  обеспечило сбор  важных  данных  и  сведений  о  возможности  дистанционной  медпомощи,  в  том  числе  детям в плане образования, развития, разработки и налаживания клинических технологий диагностики, терапии  и  ухода  в  условиях  семьи.  Внедрение  телемедицины  еще  нуждается  в  серьезной  адаптации к реалиям жизни. В этой связи требуется изучение базовых основ и механизмов внедрения телемедицины в работу с детьми.

Цель – определить важные моменты применения телемедицины в педиатрии с позиций современной модели оказания медицинской помощи детям.

Материалы и методы

Материалы и методы. Работа представляет собой краткий теоретический обзор современных научных представлений об основах применения телемедицинских технологий в  педиатрической  практике и написана с использованием контент-анализа публикаций, посвященных рассматриваемому вопросу.

Результаты

Результаты. Телемедицина признана потенциальной  стратегией  улучшения  доступа  к  медицинской помощи для разных категорий населения и особенно для детей, нуждающихся в специализированном лечении.

Background

Background. The pandemic has accelerated the implementation of telemedicine and provided with important insights into the feasibility of remote medical care, including for children in terms of child development and learning, as well as the creation and adoption of clinical technologies for diagnosis, therapy, and care in a family setting. In addition, the real-life needs are still to be addressed within the implementation of telemedicine. In this regard, it is crucial to study the fundamentals and basic mechanisms for introducing telemedicine in pediatric care.

Purpose

Purpose. To identify the insights into the use of telemedicine in pediatrics from the standpoint of a modern model of pediatric care.

Materials and methods

Materials and methods. The author reviewed the modern scientific knowledge about the application of telemedicine in pediatric care via the content analysis of relevant publications.

Results

Results. Telemedicine has proven to be a potential strategy for improving access to care for different population groups, especially for children in need of a specialized treatment.

телемедицинадневной стационарпедиатрическая службаметоды реабилитацииtelemedicineday hospitalpediatric servicerehabilitation methodsReferencesYang L., Brown-JohnsonC.G., Miller-KuhlmannR., et al. Accelerated launch of video visits in ambulatory neurology during COVID-19: Key lessons from the Stanford experience. Neurology. 2020;95(7):305–311.Yang L., Brown-JohnsonC.G., Miller-KuhlmannR., etal. Accelerated launch of video visits in ambulatory neurology during COVID-19: Key lessons from the Stanford experience. Neurology. 2020;95(7):305–311.Kapoor S., Eldib A., Hiasat J., et al. Developing a pediatric ophthalmology telemedicine program in the COVID-19 crisis. Journal of Pediatric Ophthalmology & Strabismus. 2020;24(4):204–208 e202.Kapoor S., Eldib A., Hiasat J., et al. Developing a pediatric ophthalmology telemedicine program in the COVID-19 crisis. Journal of Pediatric Ophthalmology & Strabismus. 2020;24(4):204–208 e202.Haynes S.C., Kamerman-Kretzmer R.J., Khan S.S., et al. Telemedicine use for pediatric asthma care: a mixed methods study. Journal of Asthma. 2022.Haynes S.C., Kamerman-Kretzmer R.J., Khan S.S., et al. Telemedicine use for pediatric asthma care: a mixed methods study. Journal of Asthma. 2022.Haynes S.C., Kompala T., Tancredi D.J., et al. Factors associated with discontinuation of subspecialty diabetes care during the COVID-19 pandemic: a multi-site retrospective cohort study. Diabetes Care. 2022;45(2):e34–e36.Haynes S.C., Kompala T., Tancredi D.J., et al. Factors associated with discontinuation of subspecialty diabetes care during the COVID-19 pandemic: a multi-site retrospective cohort study. Diabetes Care. 2022;45(2):e34–e36.Yang L., Brown-Johnson C.G., Miller-Kuhlmann R., et al. Accelerated launch of video visits in ambulatory neurology during COVID-19: Key lessons from the Stanford experience. Neurology. 2020;95(7):305–311.Yang L., Brown-Johnson C.G., Miller-Kuhlmann R., et al. Accelerated launch of video visits in ambulatory neurology during COVID-19: Key lessons from the Stanford experience. Neurology. 2020;95(7):305–311.Haynes S.C., Kamerman-Kretzmer R.J., Khan S.S., et al. Telemedicine use for pediatric asthma care: a mixed methods study. Journal of Asthma. 2022.Haynes S.C., Kamerman-Kretzmer R.J., Khan S.S., et al. Telemedicine use for pediatric asthma care: a mixed methods study. Journal of Asthma. 2022.Fiks A.G., Jenssen B.P., Ray K.N. A defining moment for pediatric primary care telehealth. JAMA Pediatric. 2021;175(1):9–10.Fiks A.G., Jenssen B.P., Ray K.N. A defining moment for pediatric primary care telehealth. JAMA Pediatric. 2021;175(1):9–10.Yang L., Brown-Johnson C.G., Miller-Kuhlmann R., et al. Accelerated launch of video visits in ambulatory neurology during COVID-19: Key lessons from the Stanford experience. Neurology. 2020;95(7):305–311.Yang L., Brown-Johnson C.G., Miller-Kuhlmann R., et al. Accelerated launch of video visits in ambulatory neurology during COVID-19: Key lessons from the Stanford experience. Neurology. 2020;95(7):305–311.Tanaka M.J., Oh L.S., Martin S.D., et al. Telemedicine in the era of COVID-19: the virtual orthopaedic examination. The Journal of Bone and Joint Surgery. 2020/Tanaka M.J., Oh L.S., Martin S.D., et al. Telemedicine in the era of COVID-19: the virtual orthopaedic examination. The Journal of Bone and Joint Surgery. 2020/Kapoor S., Eldib A., Hiasat J., et al. Developing a pediatric ophthalmology telemedicine program in the COVID-19 crisis. Journal of Pediatric Ophthalmology and Strabismus. 2020;24(4):204–208 e202.Kapoor S., Eldib A., Hiasat J., et al. Developing a pediatric ophthalmology telemedicine program in the COVID-19 crisis. Journal of Pediatric Ophthalmology and Strabismus. 2020;24(4):204–208 e202.Sinsky C.A., Jerzak J.T., Hopkins K.D. Telemedicine and Team-Based Care: The Perils and the Promise. Mayo Clinic Proceedings. 2021;96:2:429-437.Sinsky C.A., Jerzak J.T., Hopkins K.D. Telemedicine and Team-Based Care: The Perils and the Promise. Mayo Clinic Proceedings. 2021;96:2:429-437.Morgan G.J., Craig B., Grant B., et al. Home videoconferencing for patients with severe congenital heart disease following discharge. Congenital heart disease. 2008;3(5):317–324.Morgan G.J., Craig B., Grant B., et al. Home videoconferencing for patients with severe congenital heart disease following discharge. Congenital heart disease. 2008;3(5):317–324.Young N.L., Barden W., McKeever P., et al. Taking the call-bell home: a qualitative evaluation of Tele-HomeCare for children. Health & Social Care in the Community. 2006;14(3):231–241.Young N.L., Barden W., McKeever P., et al. Taking the call-bell home: a qualitative evaluation of Tele-HomeCare for children. Health & Social Care in the Community. 2006;14(3):231–241.Morgan G.J., Craig B., Grant B., et al. Home videoconferencing for patients with severe congenital heart disease following discharge. Congenital heart disease. 2008;3(5):317–324.Morgan G.J., Craig B., Grant B., et al. Home videoconferencing for patients with severe congenital heart disease following discharge. Congenital heart disease. 2008;3(5):317–324.Tanaka M.J., Oh L.S., Martin S.D., et al. Telemedicine in the era of COVID-19: the virtual orthopaedic examination. The Journal of Bone and Joint Surgery. 2020Tanaka M.J., Oh L.S., Martin S.D., et al. Telemedicine in the era of COVID-19: the virtual orthopaedic examination. The Journal of Bone and Joint Surgery. 2020Umoren R.A., Gray M.M., Handley S., et al. In-hospital telehealth supports care for neonatal patients in strict isolation. American Journal of Perinatology. 2020;37(08):857–860.Umoren R.A., Gray M.M., Handley S., et al. In-hospital telehealth supports care for neonatal patients in strict isolation. American Journal of Perinatology. 2020;37(08):857–860.Yager P.H. Remote parent participation in intensive care unit rounds. Clinical and Experimental Pediatrics. 2020;67(4):655–659.Yager P.H. Remote parent participation in intensive care unit rounds. Clinical and Experimental Pediatrics. 2020;67(4):655–659.Sequeira G.M., Kidd K.M., Rankine J., et al. Gender-diverse youth’s experiences and satisfaction with telemedicine for gender-affirming care during the COVID-19 pandemic. Transgender Health. 2021Sequeira G.M., Kidd K.M., Rankine J., et al. Gender-diverse youth’s experiences and satisfaction with telemedicine for gender-affirming care during the COVID-19 pandemic. Transgender Health. 2021Barney A., Buckelew S., Mesheriakova V., et al. The COVID-19 pandemic and rapid implementation of adolescent and young adult telemedicine: challenges and opportunities for innovation. Journal of Adolescent Health. 2020;67(2):164–171Barney A., Buckelew S., Mesheriakova V., et al. The COVID-19 pandemic and rapid implementation of adolescent and young adult telemedicine: challenges and opportunities for innovation. Journal of Adolescent Health. 2020;67(2):164–171Haynes S.C., Kamerman-Kretzmer R.J., Khan S.S., et al. Telemedicine use for pediatric asthma care: a mixed methods study. Journal of Asthma. 2022Haynes S.C., Kamerman-Kretzmer R.J., Khan S.S., et al. Telemedicine use for pediatric asthma care: a mixed methods study. Journal of Asthma. 2022Curfman A., McSwain S.D., Chuo J., et al. Pediatric Telehealth in the COVID-19 Pandemic Era and Beyond. Pediatrics. 2021;148(3):e2020047795.Curfman A., McSwain S.D., Chuo J., et al. Pediatric Telehealth in the COVID-19 Pandemic Era and Beyond. Pediatrics. 2021;148(3):e2020047795.Sasangohar F., Davis E., Kash B.A., et al. Remote patient monitoring and telemedicine in neonatal and pediatric settings: Scoping literature review. Journal of Medical Internet Research. 2018;20(12):e295.Sasangohar F., Davis E., Kash B.A., et al. Remote patient monitoring and telemedicine in neonatal and pediatric settings: Scoping literature review. Journal of Medical Internet Research. 2018;20(12):e295.Sasangohar F., Davis E., Kash B.A., et al. Remote patient monitoring and telemedicine in neonatal and pediatric settings: Scoping literature review. Journal of Medical Internet Research. 2018;20(12):e295.Sasangohar F., Davis E., Kash B.A., et al. Remote patient monitoring and telemedicine in neonatal and pediatric settings: Scoping literature review. Journal of Medical Internet Research. 2018;20(12):e295.Tomines A. Pediatric telehealth: Approaches by specialty and implications for general pediatric care. Advanced Pediatrics. 2019;66:55–85.Tomines A. Pediatric telehealth: Approaches by specialty and implications for general pediatric care. Advanced Pediatrics. 2019;66:55–85.

The authors declare that there are no conflicts of interest present.