Use of Telemedicine Healthcare Systems in Pediatric Assistance at Territorial Level: Consensus Document of the Italian Society of Telemedicine (SIT), of the Italian Society of Preventive and Social Pediatrics (SIPPS), of the Italian Society of Pediatric Primary Care (SICuPP), of the Italian Federation of Pediatric Doctors (FIMP) and of the Syndicate of Family Pediatrician Doctors (SIMPeF)

Author:

Esposito Susanna1,Rosafio Cristiano2,Antodaro Francesco2,Argentiero Alberto1ORCID,Bassi Marta3,Becherucci Paolo4,Bonsanto Fabio5,Cagliero Andrea6,Cannata Giulia1,Capello Fabio7ORCID,Cardinale Fabio8,Chiriaco Tiziana910,Consolaro Alessandro1112,Dessì Angelica13,Di Mauro Giuseppe14,Fainardi Valentina1,Fanos Vassilios13,Guarino Alfredo15,Li Calzi Giada10,Lodi Elisa16,Maghnie Mohamad3ORCID,Manfredini Luca17,Malorgio Emanuela6,Minuto Nicola3ORCID,Modena Maria Grazia16ORCID,Montori Rossano2,Moscatelli Andrea18ORCID,Patrone Elisa19,Pescio Elena11,Poeta Marco15ORCID,Ravelli Angelo1220,Spelta Maddalena11,Suppiej Agnese21ORCID,Vai Sergio5,Villa Luca19,Zanini Rinaldo9ORCID,Botti Renato10,Gaddi Antonio Vittorino22

Affiliation:

1. Pediatric Clinic, Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy

2. Family Pediatrics, AUSL Modena, 41124 Modena, Italy

3. Department of Pediatrics, IRCCS Giannina Gaslini, 16147 Genoa, Italy

4. Family Pediatrics, 50139 Florence, Italy

5. Alma Mater University, 40126 Bologna, Italy

6. Family Pediatrics, 10121 Turin, Italy

7. UO Territorial Pediatrics, Primary Care Department, AUSL Bologna, 40126 Bologna, Italy

8. UOC of Pediatrics and ED with an Allergy-Pneumological and Immuno-Rheumatological Focus, Giovanni XXIII Pediatric Hospital, University of Bari, 70124 Bari, Italy

9. Health Department, ASL Roma 3, 00125 Rome, Italy

10. General Management, IRCCS Istituto Giannina Gaslini, 16147 Genoa, Italy

11. Pediatric and Rheumatology Clinic, IRCCS Istituto Giannina Gaslini, 16147 Genoa, Italy

12. Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics and Maternal-Child Sciences (DINOGMI), University of Genoa, 16126 Genoa, Italy

13. Department of Surgical Sciences, University of Cagliari, 09127 Cagliari, Italy

14. Family Pediatrics, 81100 Caserta, Italy

15. Section of Pediatrics, Department of Translational Medical Sciences, University of Naples Federico II, 80131 Naples, Italy

16. P.A.S.C.I.A. Center (Heart Failure Care Program, Childhood Heart Diseases and Those at Risk), University of Modena and Reggio Emilia, AOU Polyclinic of Modena, 41124 Modena, Italy

17. Pediatric Pain and Palliative Care Service, IRCCS Istituto Giannina Gaslini, 16147 Genoa, Italy

18. UOC Anesthesia and Intensive Care, IRCCS Istituto Giannina Gaslini, 16147 Genoa, Italy

19. UOSID Trial Center, IRCCS Giannina Gaslini Institute, 16147 Genoa, Italy

20. Scientific Directorate, IRCCS Istituto Giannina Gaslini, 16147 Genoa, Italy

21. Pediatric Clinic, University of Ferrara, 44124 Ferrara, Italy

22. Center for Metabolic Diseases and Atherosclerosis, University of Bologna, 40126 Bologna, Italy

Abstract

Technological innovation can contribute to a reorganization of healthcare, particularly by supporting the shift in the focus of care from the hospital to the territory, through innovative citizen-centered models, and facilitating access to services in the territory. Health and social care delivery modalities, enabled by telemedicine, are crucial in this regard. The objective of this Consensus document, written by the main Italian Scientific Societies involved in the use of telemedicine in pediatrics, is to define a standard for its use at the territorial level in various declinations in the pediatric field; this paper also identifies priority areas for its application and the types of services that most require intervention and investment. The changes that are underway in digital transformation in all sectors are unstoppable, and for the digital transformation to take place in a productive sense, the contribution of not only all health professionals, but also of patients, is necessary. From this perspective, authors from different backgrounds were involved in the drafting of this Consensus and, in the future, other figures, primarily patients, are expected to be involved. In fact, this belongs to the vision of connected care, in which the citizen/patient actively participates in the treatment path so that they are assisted in a personalized, predictive and preventive way. The future scenario must be able to provide for the involvement of patients from the initial stages of planning any treatment path, even in the pediatric age, and increasing, where possible, the proximity of the health service to the families.

Publisher

MDPI AG

Subject

Medicine (miscellaneous)

Reference67 articles.

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2. Digital technologies in primary care: Implications for patient care and future research;Neves;Eur. J. Gen. Pract.,2022

3. American Medical Association (2023, January 05). AMA Telehealth Quick Guide. Available online: https://www.ama-assn.org/practice-management/digital/ama-telehealth-quick-guide.

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5. Pappalardo, M., Fanelli, U., Chiné, V., Neglia, C., Gramegna, A., Argentiero, A., and Esposito, S. (2021). Telemedicine in Pediatric Infectious Diseases. Children, 8.

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