J Korean Med Assoc.  2023 Nov;66(11):688-694. 10.5124/jkma.2023.66.11.688.

Pediatricians’ perspectives on telemedicine for pediatric patients

• Kim JS

• KMID: 2547779
• DOI: http://doi.org/10.5124/jkma.2023.66.11.688

Abstract

Background
This study examined the characteristics of pediatric patients through surveys and in-depth interviews with pediatricians who have experience in telemedicine, and analyzed the current status of telemedicine in pediatrics and the perception of telemedicine among pediatric patients. We also evaluated the associated risks and unsuitability of telemedicine for pediatric patients and presented pertinent policy recommendations.
Methods
A questionnaire survey was conducted using the Doctor Survey by the Korean Medical Association. The survey was distributed via email and was open from July 24, 2023 to August 6, 2023. Of the 643 responses, 42 were used for analysis in this study. We examined the perception about providing telemedicine, and the reasons for not providing telemedicine to pediatric patients. In terms of perceptions about telemedicine for pediatric patients, we examined opinions on (1) whether pediatric patients are appropriate candidates for telemedicine, and (2) whether telemedicine could be administered to first-time pediatric patients (including medical consultation) during holidays and at night.
Results
Pediatric patients constitute a patient group with distinct characteristics, entailing more careful attention than adult patients. According to the survey results, 42.9% of respondents were not providing telemedicine for pediatric patients. Furthermore, the respondents perceived telemedicine for pediatric patients as unsafe (61.1%), unrealistic (73.8%), and unsuitable (69.0%).
Conclusion
Telemedicine for pediatric patients can be viewed as risky and inappropriate. Therefore, the government needs to involve pediatricians in the policy development process for telemedicine aimed at pediatric patients.

Keyword

Pediatricians; Telemedicine; Pediatrics; Adolescent; 소아청소년과 의사; 비대면 진료; 소아; 청소년