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dcterms:description """Objective: To map the health literature evaluating the impact of synchronous virtual care/telemedicine between health care providers and patients/caregivers in the pediatric population. Further, our objective is to understand the extent and type of evidence in relation to several quality of care dimensions including health outcomes (e.g., physiologic, mental health), health care delivery (e.g., effectiveness, safety), individual experience (patient/family experience, provider satisfaction) and program implementation.
Introduction: Virtual care is a major component of pediatric health care delivery during the COVID-19 pandemic. To date, most studies have focused on the individual experience (patient/family and provider experience), often measured using novel non-validated surveys. Little is known regarding the impact of virtual care provision on established domains of health care quality. Specifically, awareness of the extent and nature of published research involving pediatric virtual care in place of in-person visits, is lacking. This review will help to understand the impact and evaluation of pediatric virtual care and identify evidence gaps. The analysis will also aid in the development of standardized evaluation methodology to ultimately inform how virtual care augments pediatric care delivery systems.
Inclusion criteria: Studies with patients aged 0-18 years old, evaluating synchronous virtual care in one of the indicated dimensions (health outcomes, health care delivery, individual experience and program implementation) will be included. All clinical conditions, diagnoses and patient populations will be included. Context will be inclusive of any care setting (e.g., tertiary care clinic, specialist care, primary care, community).
Methods: Terms relating to care delivery, virtual care/telehealth, and pediatrics will be combined to search the published and grey literature for the years 2010-2021. Key information sources to be searched are MEDLINE, APA PsycINFO and The Cochrane Central Register of Controlled Trials (CENTRAL) for the published literature, to be searched July, 2021. The search will initially be limited to controlled trials The unpublished literature will be identified through sources noted at https://www.ncbi.nlm.nih.gov/books/NBK379314/, ClinicalTrials.gov, preprint servers such as MedRxiv.org, Open Science Framework (OSF) and Research Square, and through the investigators' contacts. Eligible studies will be selected after two rounds of duplicate screening after screeners have qualified through a training exercise. Data regarding patient, caregiver, health care provider, telemedicine intervention, reported outcomes, and study design were extracted and maintained in a REDCap database. Quantitative and qualitative descriptive summaries will be presented.
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