Addressing health disparities in rural communities using telehealth

James P Marcin, Ulfat Shaikh, Robin H Steinhorn

Research output: Contribution to journalReview article

32 Citations (Scopus)

Abstract

The regionalization of pediatric services has resulted in differential access to care, sometimes creating barriers to those living in underserved, rural communities. These disparities in access contribute to inferior healthcare outcomes among infants and children. We review the medical literature on telemedicine and its use to improve access and the quality of care provided to pediatric patients with otherwise limited access to pediatric subspecialty care. We review the use of telemedicine for the provision of pediatric subspecialty consultations in the settings of ambulatory care, acute and inpatient care, and perinatal and newborn care. Studies demonstrate the feasibility and efficiencies gained with models of care that use telemedicine. By providing pediatric subspecialty care in more convenient settings such as local primary care offices and community hospitals, pediatric patients are more likely to receive care that adheres to evidence-based guidelines. In many cases, telemedicine can significantly improve provider, patient, and family satisfaction, increase measures of quality of care and patient safety, and reduce overall costs of care. Models of care that use telemedicine have the potential to address pediatric specialists' geographic misdistribution and address disparities in the quality of care delivered to children in underserved communities.

Original languageEnglish (US)
Pages (from-to)169-176
Number of pages8
JournalPediatric Research
Volume79
Issue number1-2
DOIs
StatePublished - Jan 1 2016

Fingerprint

Telemedicine
Rural Population
Pediatrics
Health
Quality of Health Care
Perinatal Care
Community Hospital
Feasibility Studies
Patient Safety
Ambulatory Care
Patient Satisfaction
Inpatients
Primary Health Care
Referral and Consultation
Newborn Infant
Guidelines
Delivery of Health Care
Costs and Cost Analysis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Addressing health disparities in rural communities using telehealth. / Marcin, James P; Shaikh, Ulfat; Steinhorn, Robin H.

In: Pediatric Research, Vol. 79, No. 1-2, 01.01.2016, p. 169-176.

Research output: Contribution to journalReview article

@article{bfbd2088535b40efaa281e9e728ec00a,
title = "Addressing health disparities in rural communities using telehealth",
abstract = "The regionalization of pediatric services has resulted in differential access to care, sometimes creating barriers to those living in underserved, rural communities. These disparities in access contribute to inferior healthcare outcomes among infants and children. We review the medical literature on telemedicine and its use to improve access and the quality of care provided to pediatric patients with otherwise limited access to pediatric subspecialty care. We review the use of telemedicine for the provision of pediatric subspecialty consultations in the settings of ambulatory care, acute and inpatient care, and perinatal and newborn care. Studies demonstrate the feasibility and efficiencies gained with models of care that use telemedicine. By providing pediatric subspecialty care in more convenient settings such as local primary care offices and community hospitals, pediatric patients are more likely to receive care that adheres to evidence-based guidelines. In many cases, telemedicine can significantly improve provider, patient, and family satisfaction, increase measures of quality of care and patient safety, and reduce overall costs of care. Models of care that use telemedicine have the potential to address pediatric specialists' geographic misdistribution and address disparities in the quality of care delivered to children in underserved communities.",
author = "Marcin, {James P} and Ulfat Shaikh and Steinhorn, {Robin H}",
year = "2016",
month = "1",
day = "1",
doi = "10.1038/pr.2015.192",
language = "English (US)",
volume = "79",
pages = "169--176",
journal = "Pediatric Research",
issn = "0031-3998",
publisher = "Lippincott Williams and Wilkins",
number = "1-2",

}

TY - JOUR

T1 - Addressing health disparities in rural communities using telehealth

AU - Marcin, James P

AU - Shaikh, Ulfat

AU - Steinhorn, Robin H

PY - 2016/1/1

Y1 - 2016/1/1

N2 - The regionalization of pediatric services has resulted in differential access to care, sometimes creating barriers to those living in underserved, rural communities. These disparities in access contribute to inferior healthcare outcomes among infants and children. We review the medical literature on telemedicine and its use to improve access and the quality of care provided to pediatric patients with otherwise limited access to pediatric subspecialty care. We review the use of telemedicine for the provision of pediatric subspecialty consultations in the settings of ambulatory care, acute and inpatient care, and perinatal and newborn care. Studies demonstrate the feasibility and efficiencies gained with models of care that use telemedicine. By providing pediatric subspecialty care in more convenient settings such as local primary care offices and community hospitals, pediatric patients are more likely to receive care that adheres to evidence-based guidelines. In many cases, telemedicine can significantly improve provider, patient, and family satisfaction, increase measures of quality of care and patient safety, and reduce overall costs of care. Models of care that use telemedicine have the potential to address pediatric specialists' geographic misdistribution and address disparities in the quality of care delivered to children in underserved communities.

AB - The regionalization of pediatric services has resulted in differential access to care, sometimes creating barriers to those living in underserved, rural communities. These disparities in access contribute to inferior healthcare outcomes among infants and children. We review the medical literature on telemedicine and its use to improve access and the quality of care provided to pediatric patients with otherwise limited access to pediatric subspecialty care. We review the use of telemedicine for the provision of pediatric subspecialty consultations in the settings of ambulatory care, acute and inpatient care, and perinatal and newborn care. Studies demonstrate the feasibility and efficiencies gained with models of care that use telemedicine. By providing pediatric subspecialty care in more convenient settings such as local primary care offices and community hospitals, pediatric patients are more likely to receive care that adheres to evidence-based guidelines. In many cases, telemedicine can significantly improve provider, patient, and family satisfaction, increase measures of quality of care and patient safety, and reduce overall costs of care. Models of care that use telemedicine have the potential to address pediatric specialists' geographic misdistribution and address disparities in the quality of care delivered to children in underserved communities.

UR - http://www.scopus.com/inward/record.url?scp=84956870900&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84956870900&partnerID=8YFLogxK

U2 - 10.1038/pr.2015.192

DO - 10.1038/pr.2015.192

M3 - Review article

C2 - 26466080

AN - SCOPUS:84956870900

VL - 79

SP - 169

EP - 176

JO - Pediatric Research

JF - Pediatric Research

SN - 0031-3998

IS - 1-2

ER -