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Semin Perinatol ; 45(5): 151429, 2021 08.
Artículo en Inglés | MEDLINE | ID: mdl-33994012

RESUMEN

The COVID-19 pandemic has caused an explosive adoption of telehealth in pediatrics . However, there remains substantial variation in evaluation methods and measures of these programs despite introduction of measurement frameworks in the last five years. In addition, for neonatal health care, assessing a telehealth program must measure its benefits and costs for four stakeholder groups - patients, providers, healthcare system, and payers. Because of differences in their role within the health system, each group's calculation of telehealth's value may align or not with one another, depending on how it is being used. Therefore, a common mental model for determining value is critical in order to use telehealth in ways that produce win-win situations for most if not all four stakeholder groups. In this chapter, we present important principles and concepts from previously published frameworks to propose an approach to telehealth evaluation that can be used for perinatal health. Such a framework will then drive future development and implementation of telehealth programs to provide value for all relevant stakeholders in a perinatal health care system.


Asunto(s)
COVID-19 , Servicios de Salud del Niño , Neonatología/tendencias , Atención Perinatal , Consulta Remota , Telemedicina , COVID-19/epidemiología , COVID-19/prevención & control , Servicios de Salud del Niño/organización & administración , Servicios de Salud del Niño/tendencias , Femenino , Accesibilidad a los Servicios de Salud , Humanos , Salud del Lactante/tendencias , Recién Nacido , Control de Infecciones/métodos , Atención Perinatal/organización & administración , Atención Perinatal/tendencias , Embarazo , Evaluación de Programas y Proyectos de Salud , Consulta Remota/organización & administración , Consulta Remota/estadística & datos numéricos , SARS-CoV-2 , Telemedicina/métodos , Telemedicina/organización & administración , Estados Unidos/epidemiología
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