This study identified ways that telehealth systems are used to enhance service delivery for children with special health care needs. Various health professionals utilize telehealth to provide physical and behavioral health care, to conduct developmental evaluations, and to address family/social concerns. Telehealth is used most for follow-up visits after in-person specialty care and for child evaluation with treatment recommendations to local care providers. Telehealth systems have the potential to increase access to specialized services and to enhance community-based services for rural and underserved children. However, inadequate reimbursement poses a significant barrier to the development of these services.
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References
1.
1. Glied S.Getting the incentives right for children. Health Serv Res.1998;33: 1143-1160.
2.
2. McPherson M, Arango P, Fox H, et al. A new definition of children with special health care needs [comment]. Pediatrics. 1998;102:137-140.
3.
3. Newacheck PW, Strickland B, Shonkoff JP, et al. An epidemiologic profile of children with special health care needs. Pediatrics. 1998;102:117-123.
4.
4. Williams RG, Stein LD, Leslie LK. Training pediatricians for the evolving generalist-specialist interface in the managed care era. Pediatrics. 1998;101:779-783;discussion 783-784.
5.
5. Fiene jl, Taylor PA. Serving rural families of developmentally disabled children: a case management model. Soc Work. 1991;36:323-327.
6.
6. Hicks LL, Bopp KD. Integrated pathways for managing rural health services. Health Care Manage Rev.1996;21:65-72.
7.
7. Lishner DM, Richardson M, Levine P, Patrick D.Access to primary health care among persons with disabilities in rural areas: a summary of the literature. J Rural Health. 1996;12:45-53.
8.
8. Healy A.Bright future for telemedicine. Health Connections.1998;5:2-2.
9.
9. Puskin DS. Opportunities and challenges to telemedicine in rural America. J Med Syst.1995;19:59-67.
10.
10. Allen A, Cox R, Thomas C.Telemedicine in Kansas. Kans Med.1992;93:323-325.
11.
11. Institute of Medicine (US) Committee on Evaluating Clinical Applications of Telemedicine. Telemedicine: a guide to assessing telecommunications in health care. Washington: National Academy Press; 1996.
12.
12. Mattioli L, Goertz K, Ardinger R, et al. Pediatric cardiology: auscultation from 280 miles away. Kans Med.1992;93:326-326,347-350.
13.
13. Chaves-Carballo E.Diagnosis of childhood migraine by compressed interactive video. Kans Med.1992;93:353-353.
14.
14. Rennert WP, Hayes WS, Hauser GJ, et al. The role of telemedicine in triage decisions for pediatric emergency patients. Va Med Q1996;123:171-172.
15.
15. Crump WJ, Kumar R, Orsak G, Pfeil T.A field trial of 2 telemedicine camera systems in a family practice. Arch Fam Med.1998;7:174-176.
16.
16. Whitten P, Cook DJ, Shaw P, et al. Telekid care: bringing health care into schools. Telemed j.1998;4:335-343.
17.
17. Ermer DJ. Experience with a rural telepsychiatry clinic for children and adolescents. Psychiatr Serv.1999;50: 260-261.
18.
18. Hufford BJ, Glueckauf RL, Webb PM. Home-based, interactive videoconferencing for adolescents with epilepsy and their families. Rehab Psychol.1999;44:176-193.
19.
19. Karp WB, Grigsby RK, McSwiggan-Hardin M, et al. The use of telemedicine for children with special health care needs. Pediatrics. 2000;105:843-847.
21. American Academy of Pediatrics Ad Hoc Task Force on the Definition of the Medical Home. The medical home. Pediatrics. 1992;90:774-774.
22.
22. Sia CC. Abraham Jacobi Award Address, April 14, 1992: The medical home: pediatric practice and child advocacy in the 1990s. Pediatrics. 1992;90:419-423.
23.
23. Harper DC, Starr GA, Downey D, Dimmit S.Specialized interdisciplinary team care for children with disabilities and consultations to their community service providers. Paper presented at the American Telemedicine Association Annual Meeting; April 19, 1999; Salt Lake City, Utah.
24.
24. Dick PT, Filler R, Pavan A.Participant satisfaction and comfort with multidisciplinary pediatric telemedicine consultations. J Pediatr Surg.1999;34:137-141.
