Telehealth and Remote Monitoring for Chronic Pediatric Conditions: Opportunities and Vulnerabilities
Abstract
Background: The increasing prevalence of chronic pediatric conditions necessitates innovative care delivery models. Telehealth and remote monitoring (TRM) have emerged as transformative tools, offering the potential to enhance access, improve management, and empower patients and families. These technologies encompass a broad spectrum, from synchronous video consultations to asynchronous data transmission via Internet of Things (IoT) devices. Aim: This narrative review aims to critically synthesize the current evidence (2010-2024) on the application, opportunities, and vulnerabilities of TRM for chronic pediatric conditions. It examines specific modalities including tele-dermatology, remote nursing, virtual physiotherapy, home lab testing, digital social work, and explores overarching themes of equity and cybersecurity. Methods: A comprehensive literature search was conducted across PubMed, Scopus, CINAHL, and IEEE Xplore databases. Peer-reviewed articles, systematic reviews, and pertinent grey literature published between 2010 and 2024 were included. A narrative synthesis approach was employed to thematically analyze findings. Results: TRM demonstrates significant efficacy in improving healthcare access, adherence, and quality of life for children with chronic illnesses and their families. Specific applications show high diagnostic concordance in dermatology, effective chronic disease management via nursing, and maintained functional gains in physiotherapy. However, profound vulnerabilities persist, including the digital divide exacerbating health inequities, cybersecurity risks to sensitive pediatric data and IoT ecosystems, and challenges in clinical integration and reimbursement. Conclusion: TRM presents a viable and effective paradigm for pediatric chronic care, yet its promise is contingent on addressing critical vulnerabilities. Sustainable implementation requires concerted policy efforts to ensure equitable access, robust cybersecurity frameworks, standardized clinical protocols, and adaptable reimbursement models.
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References
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Copyright (c) 2024 Mohammed Khalid Dhwe Alosaimi, Abdullah Sulaiman Alqefari, Eman Alasgah, Fahad Ibrahim Hamedhi, Norah Saab Manyan Alanazi, Areej Ali Othman Ajeebi, Mohammed Munawir Alsuhaymi, Osamah Hussin Hussin Mathkoor, Noorafheed Almarri, Khaled Farhan Salem Almalki, Maha Sultan Majed Alotaibi, Majed Jami Almutairi, Halah Muflih Alrashidi, Mohammed Saud Saad Alsaedi
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