Prescription Digital Therapeutics: The Future of Digital Health Solutions

Prescription Digital Therapeutics: The Future of Digital Health Solutions

by Ree AI Health Tech Med Tech

The global market for prescription digital therapeutics (PDT) is expected to grow to $17.16 billion by 2030. This growth is mainly due to the affordability of digital health technology for both healthcare providers and patients, as well as the increasing use of smartphones in both developed and developing countries.

In this article, we’ll describe PDT, its applications, benefits, and challenges.

Contents

What Are Prescription Digital Therapeutics?

Prescription digital therapeutics (PDTs) are a new class of medical interventions that leverage software to treat, manage, or prevent diseases and disorders. Unlike typical health apps, PDTs require a prescription from a healthcare provider and are subject to rigorous regulatory scrutiny.

According to the U.S. Food and Drug Administration (FDA), prescription digital therapeutics are medical devices, also called Software as a Medical Device (SaMD). The FDA review of prescription digital therapeutics is the same as the process the FDA uses to review medical devices. 

Definition and key characteristics of PDTs

PDTs are software-based treatments delivered through mobile devices, designed to address the behavioral and psychological aspects of various health conditions. These digital tools are developed based on scientific evidence and aim to provide therapeutic benefits comparable to traditional medical treatments (Phan et al., 2023). 

Source: Avalere

Examples of prescription digital therapeutics developers

This chart from Blue Matter Consulting (2023) lists 154 PDT companies.

Source: Blue Matter

How PDTs differ from wellness apps and other digital health tools

While wellness apps focus on general health and fitness, PDTs are designed to treat specific medical conditions. PDTs undergo clinical trials, and are subject to stringent regulatory processes to ensure they meet high standards of safety and effectiveness. This regulatory oversight differentiates PDTs from other digital health tools, which may not require such rigorous evaluation.

The PDT regulatory framework 

The FDA plays a critical role in the approval of PDTs. These therapeutics must demonstrate clinical efficacy and safety through rigorous trials before receiving FDA clearance. This process ensures that PDTs meet the same standards as traditional pharmaceuticals, providing healthcare providers and patients with confidence in their use (Phan et al., 2023).

The Science Behind Prescription Digital Therapeutics

PDTs are grounded in scientific research and evidence-based practices to ensure their effectiveness in treating various health conditions.

Evidence-based approaches used in PDTs

PDTs incorporate evidence-based approaches to help patients change their behaviors and manage symptoms effectively, such as: 

For instance, CBT-based PDTs can help identify and change negative thought patterns, improving mental health outcomes. A study on a PDT for opioid use disorder found it improved retention in treatment by 76% at 12 weeks compared to treatment as usual (Brezing & Brixner, 2022). 

Clinical trials and efficacy studies supporting PDTs

Lab worker

Clinical trials are essential for validating the efficacy of PDTs. These studies assess the therapeutic outcomes of PDTs compared to traditional treatments. 

For example, trials have shown PDTs can be effective in managing substance use disorders and chronic insomnia, providing real-world evidence of their clinical benefits (Brezing & Brixner, 2022).

Applications of Prescription Digital Therapeutics

PDTs offer promising solutions across a range of medical conditions, providing tailored interventions for diverse patient needs.

Mental health conditions

Therapist and patient talking on couch

PDTs are increasingly used to treat mental health disorders such as depression, anxiety, schizophrenia, and post-traumatic stress disorder (PTSD). In a randomized controlled trial, a PDT for depression reduced symptoms by 45.6% compared to 17.4% with usual treatment (Phan et al., 2023).

These digital tools provide accessible and scalable interventions, often with CBT techniques to help patients manage symptoms and improve their quality of life.

Chronic diseases

For chronic conditions like diabetes and hypertension, PDTs offer personalized management strategies. They enable continuous monitoring and data analysis, facilitating timely adjustments to treatment plans and improving patient outcomes (Phan et al., 2023).

A PDT for type 2 diabetes led to a 1.1% reduction in HbA1c levels after 6 months in a clinical trial (Phan et al., 2023).

Substance use disorders and addiction treatment

Woman sitting with hands clasped

PDTs are particularly effective in treating substance use disorders, offering structured programs that support recovery. They provide patients with tools to manage cravings and develop healthier coping mechanisms, contributing to sustained recovery. 

A couple of examples:

  • Research with 1,758 patients using a PDT for substance use disorder showed 64.1% abstinence at 12 months (Brezing & Brixner, 2022).
  • A PDT for alcohol use disorder resulted in 63% of patients reducing heavy drinking days compared to 32% receiving standard treatment (Rassi-Cruz et al., 2022).

Neurological disorders

Conditions such as ADHD and insomnia can benefit from PDTs, which offer targeted interventions to manage symptoms and improve daily functioning. For instance, PDTs for insomnia often include sleep hygiene education and relaxation techniques to enhance sleep quality.

Benefits of Prescription Digital Therapeutics

PDTs offer numerous advantages that enhance patient care and healthcare delivery.

Improved accessibility to treatment

PDTs make healthcare more accessible by providing treatments that can be delivered remotely via mobile devices. This is particularly beneficial for individuals in underserved areas or those with mobility challenges, ensuring they receive timely care.

Personalized and adaptive interventions

PDTs can be tailored to individual patient needs, offering adaptive interventions that evolve based on real-time data. This personalization enhances treatment effectiveness and patient satisfaction (Phan et al., 2023).

Real-time data collection and analysis

The ability to collect and analyze data in real-time allows healthcare providers to monitor patient progress continuously. PDTs can collect patient data continuously, providing 1440 data points per day compared to 1-4 from traditional in-person visits. This facilitates early detection of issues and enables proactive adjustments to treatment plans, improving overall outcomes (Phan et al., 2023).

Reduced healthcare costs

By providing effective and scalable interventions, PDTs have the potential to reduce healthcare costs. They can decrease the need for in-person visits and hospitalizations, making them a cost-effective alternative to traditional treatments. For example, an economic analysis estimated PDTs could save $2,150 per patient per year for opioid use disorder treatment (Brezing & Brixner, 2022).

Challenges and Limitations of PDTs

Despite their benefits, PDTs face several challenges that must be addressed to maximize their potential.

Doctor showing a patient an app in green

Federal regulation lags behind software development

Digital therapeutics (DTx) are mobile medical apps that use new tech like artificial intelligence (AI) and virtual reality (VR). They’re always changing, with new versions coming out every few months, which makes them hard to regulate. 

DTx Products 2015-2021 with Regulatory Status

A problem with a DTx app could hurt someone’s health, so to keep DTx safe for consumers without stopping progress, software companies need to self-regulate–find ways to reduce risks and follow ethical rules on their own to help patients and build trust with their doctors.

One way to self-regulate is to involve clinicians in app development. Doctors know what patients need and can spot potential problems. But surprisingly, most health apps are made without input from medical experts. A study found only 20% of health apps included input from health professionals during development (Rassi-Cruz et al., 2022). 

Data privacy and security concerns

The collection and storage of sensitive health data raise significant privacy and security concerns. Ensuring robust data protection measures is crucial to maintaining patient trust and compliance with regulations (Phan et al., 2023).

Integration with existing healthcare systems

Integrating PDTs into existing healthcare infrastructures can be complex. Seamless integration is necessary to ensure that PDTs complement traditional treatments and fit within the broader healthcare ecosystem.

Patient adherence and engagement

Black man using his blood pressure monitor at home

Maintaining patient engagement with PDTs can be challenging. 

For example, take mental health apps that use CBT or provide feedback through wearables like smartwatches. While helpful, these apps often aren’t covered by insurance, and patients may pay out-of-pocket. They often give up if they don’t see quick results. 

Ensuring that patients adhere to prescribed digital therapies is essential for achieving desired outcomes, requiring strategies to enhance motivation and commitment. Pharmacists can help by encouraging patients to stick with the apps and complete all modules (Pharmacy Times, 2024).

Reimbursement and insurance coverage issues

Securing reimbursement for PDTs remains a hurdle, as insurance companies may be hesitant to cover these relatively new treatments. Establishing clear guidelines and demonstrating cost-effectiveness may help overcome this barrier.

The Future of Prescription Digital Therapeutics

The future of PDTs is promising, with advancements in technology and expanding applications poised to enhance their impact on healthcare.

overlay with doctor and pill bottle

Emerging technologies such as artificial intelligence and machine learning are set to revolutionize PDTs. These innovations can enhance personalization and predictive capabilities, improving treatment outcomes and patient experiences.

Potential for combination therapies

Combining PDTs with traditional treatments offers a holistic approach to healthcare. This synergy can enhance therapeutic outcomes by addressing multiple aspects of a patient’s condition, providing comprehensive care (Phan et al., 2023).

Expanding applications in preventive care and wellness

PDTs hold potential for preventive care by identifying and addressing health risks early. Their application in wellness can promote healthier lifestyles and prevent the onset of chronic diseases, contributing to improved public health.

Conclusion

In digital health, PDTs offer promising avenues for improving patient outcomes, increasing access to care, and potentially reducing healthcare costs. While challenges remain, the growing body of evidence supporting PDTs suggests that they will play an increasingly important role in the future of healthcare delivery. 

As patients, healthcare providers, and policymakers alike embrace these innovative tools, we can look forward to a more personalized, accessible, and effective approach to managing a wide range of health conditions.

References

Bashran, E. (2024). Prescription Digital Therapeutics: Devices. HealthAffairs. Retrieved from

https://www.healthaffairs.org/doi/10.1377/hlthaff.2024.00159

Brezing, C. A., & Brixner, D. I. (2022). The Rise of Prescription Digital Therapeutics In Behavioral Health. Journal of Behavioral Health; 11(4), 1-10. doi: 10.1007/s12325-022-02320-0 

Global Prescription Digital Therapeutics (PDTx) Market – Industry Trends and Forecast to 2030. (2023). Data Bridge Market Research. Retrieved from https://www.databridgemarketresearch.com/reports/global-prescription-digital-therapeutics-dtx-market

Liesch, J., Volgina, D. Nessim, C., Murphy, D., & Samson, C. (2023). Blue Matter Consulting. Retrieved from https://bluematterconsulting.com/prescription-digital-therapeutics-us-market-outlook-2023/

Phan, P., Mitragotri, S., & Zhao, Z. (2023). Digital therapeutics in the clinic. Bioengineering & Translational Medicine; 8(4), e10536. doi:10.1002/btm2.10536. 

Prescription Digital Therapeutics Bring New Treatments to Healthcare. (2021). Avalere Health. Retrieved from https://avalere.com/insights/prescription-digital-therapeutics-bring-new-treatments-to-healthcare

Prescription Digital Therapeutics for Mental Health: Effectiveness, Challenges, and Future Trends. (2024). Pharmacy Times. Retrieved from https://www.pharmacytimes.com/view/prescription-digital-therapeutics-for-mental-health-effectiveness-challenges-and-future-trends

Rassi-Cruz, M., Valente, F., & Caniza, M. V. (2022). Digital therapeutics and the need for regulation: How to develop products that are innovative, patient-centric and safe. Diabetology & Metabolic Syndrome; 14. doi.org/10.1186/s13098-022-00818-9 

Wang, C. Lee, C. & Shin, H. (2023). Digital therapeutics from bench to bedside. npj Digital Medicine; 6(1), 1-10. doi.org/10.1038/s41746-023-00777-z

5G and Telehealth: Enhancing Healthcare Services and Patient Care

5G and Telehealth: Enhancing Healthcare Services and Patient Care

by Ree AI Health Tech Med Tech

As we move into a new era of connectivity, 5G technology is set to make telehealth even better. According to a study by Accenture, over 80% of healthcare executives believe 5G and telehealth will significantly impact the entire healthcare industry within the next three years. 

This article discusses the transformative effects of 5G on telehealth, exploring how this lightning-fast network is improving patient care, expanding access to medical services, and changing the future of healthcare delivery.

Contents

The Basics of 5G and Telehealth

What is 5G technology?

5G, the fifth generation of mobile networks, is a cutting-edge technology designed to enhance wireless communication. It offers significantly faster data speeds, reduced latency, and greater capacity compared to previous versions like 4G. This means that 5G can support a larger number of devices simultaneously, making it ideal for the Internet of Things (IoT) and other data-intensive applications. 

In healthcare, 5G enables seamless connectivity, which is crucial for telehealth services that rely on real-time data transmission and communication.

Overview of telehealth and its current limitations

Telehealth refers to the delivery of healthcare services through digital communication technologies, allowing patients to consult with healthcare providers remotely. 

While telehealth has grown significantly, it still faces several limitations like issues with video and audio quality, limited access in rural areas, and challenges with performing comprehensive physical examinations remotely (Gajarawala & Pelkowski, 2021). The current telehealth infrastructure often struggles with data transmission delays and connectivity issues, which can hinder effective patient care.

How 5G addresses existing telehealth challenges

5G technology addresses many of these challenges by providing faster and more reliable connections. Its low latency ensures that data is transmitted almost instantaneously, which is critical for real-time consultations and remote monitoring. 

With 5G, telehealth services can offer high-definition video and audio quality, making virtual visits more effective and closer to in-person visits. Additionally, 5G’s ability to connect numerous devices simultaneously supports the growing demand for telehealth services and the integration of advanced technologies like AI and IoT in healthcare (Georgiou et al., 2021). 

Enhanced Real-time Communication

Improved video quality for virtual doctor visits

One of the most essential benefits of 5G in telehealth is the improvement in video quality for virtual visits. High-definition video is essential for healthcare providers to accurately assess patients’ conditions remotely. 

With 5G’s enhanced bandwidth, video calls are clearer and more stable, reducing the likelihood of disruptions during virtual visits. This improvement improves the patient experience and allows healthcare providers to make more accurate diagnoses and treatment recommendations.

Low latency for seamless interactions

Latency, or the delay before data transfer begins following an instruction, is a critical factor in telehealth. High latency can lead to frustrating delays and miscommunications during virtual doctor visits. 

5G significantly reduces latency, enabling seamless interactions between patients and healthcare providers. This is particularly important in scenarios where immediate feedback is necessary, such as during remote surgeries or emergency telehealth visits.

Clearer audio for accurate diagnoses

Clear audio is crucial for healthcare providers to understand patients’ symptoms and concerns accurately. 5G enhances audio clarity by providing a more stable and reliable connection. 

This improvement ensures that both patients and providers can communicate effectively, minimizing the risk of misdiagnosis due to poor audio quality. Enhanced audio clarity is especially beneficial in fields like mental health, where verbal communication is a key component of treatment (Georgiou et al., 2021).

Remote Patient Monitoring Advancements

Beyond improving communication, 5G improves the ways doctors keep track of their patients’ health remotely.

Real-time data transmission from wearable devices

Wearable devices have become an integral part of remote patient monitoring (RPM), allowing continuous tracking of vital signs and other health metrics. 

5G technology enhances the capabilities of these devices by enabling real-time data transmission. This means healthcare providers can receive up-to-the-minute information about a patient’s condition, allowing for timely interventions and adjustments to treatment plans.

Continuous monitoring of chronic conditions

Woman on couch with Blood pressure monitor at home

For patients with chronic conditions, continuous monitoring is essential for managing their health effectively. 5G supports the continuous transmission of data from wearable devices, ensuring that healthcare providers have access to comprehensive and accurate information (Devi et al., 2023). 

This capability allows for better management of conditions such as diabetes, heart disease, and hypertension, ultimately improving patient outcomes and reducing hospital admissions.

Early detection and prevention of health issues

The ability to monitor patients in real-time also facilitates the early detection of potential health issues. By analyzing data from wearable devices, healthcare providers can identify patterns or anomalies that may indicate a developing problem. 

Early detection allows time for preventive measures, reducing the risk of complications and improving overall patient health. 5G’s high-speed connectivity ensures that this data is transmitted quickly and reliably, enabling proactive healthcare management.

Enabling Advanced Telehealth Applications

The power of 5G opens up new possibilities for complex medical procedures and training.

Remote surgeries and robotic procedures

Robot reviewing scans on screen

5G technology is paving the way for advanced telehealth applications, including remote surgeries and robotic procedures. With its low latency and high reliability, 5G enables surgeons to perform operations remotely using robotic systems. 

This capability is particularly important in emergencies or areas lacking specialized surgical expertise. Remote surgeries are made possible by 5G’s ability to transmit high-definition video and tactile feedback in real-time to ensure precision and safety (Georgiou et al., 2021).

Augmented and virtual reality in medical training

Augmented reality (AR) and virtual reality (VR) are transforming medical training by providing immersive and interactive learning experiences. 5G supports these technologies by delivering the high-speed and low-latency connections required for seamless AR and VR applications. 

Medical students and professionals can use AR and VR to practice complex procedures, visualize anatomy in 3D, and simulate real-life scenarios, enhancing their skills and knowledge without the need for physical resources.

AI-powered diagnostics and treatment planning

Anantomy scan with goggles stethoscope and notebook

Artificial intelligence (AI) is becoming increasingly important in healthcare for diagnostics and treatment planning. 5G enables the integration of AI technologies into telehealth platforms by providing the necessary bandwidth and speed for processing large datasets. 

AI-powered tools can analyze patient data to identify patterns, predict outcomes, and suggest personalized treatment plans. This integration enhances the accuracy and efficiency of telehealth services, leading to better patient care (Georgiou et al., 2021).

Expanding Access to Healthcare

One of the most important impacts of 5G on telehealth is how it can bring quality healthcare to more people.

Bridges the urban-rural healthcare divide

WiFi signal over city buildings

A significant impact of 5G in telehealth is its potential to bridge the healthcare gap between urban and rural areas. Rural communities often face challenges in accessing quality healthcare due to distance and limited resources. 

5G enables telehealth services to reach these underserved areas by providing reliable and high-speed connectivity (Devi et al., 2023). Patients in rural areas can access virtual doctor visits, remote monitoring, and specialist care without the need to travel long distances.

Improves emergency response times

In emergencies, every second counts. 5G technology can improve emergency response times by enabling connected ambulances and real-time communication between paramedics and hospital staff. 

With 5G, ambulances can transmit patient data (teleambulance services), such as vital signs and medical history, to the hospital en route, allowing for better preparation and faster treatment upon arrival. This capability can greatly improve patient outcomes in critical situations.

Facilitates specialist visits in underserved areas

Mother with sick child on couch and red laptop - pediatric telehealth

Access to specialist care is often limited in underserved areas, leading to delays in diagnosis and treatment. 5G facilitates virtual visits with specialists, allowing patients to receive expert advice and care without the need for travel. 

This capability is particularly beneficial for patients with rare or complex conditions that require specialized knowledge. By enabling virtual visits, 5G helps ensure that all patients have access to the care they need, regardless of their location.

5G Challenges and Considerations

While the benefits of 5G in telehealth are significant, there are also important challenges to consider.

Infrastructure requirements for 5G implementation

While 5G offers numerous benefits for telehealth, its implementation requires hefty infrastructure development. Building the necessary network infrastructure, such as towers and data centers, can be costly and time-consuming (Agrawal et al., 2023). 

Additionally, healthcare facilities need to invest in compatible devices and technologies to fully leverage 5G’s capabilities. These infrastructure requirements can pose challenges, particularly for smaller healthcare providers or those in remote areas (Georgiou et al., 2021).

Data security and privacy concerns

With the increased use of digital technologies in healthcare, data security and privacy have become major concerns. 5G networks must ensure that patient data is transmitted securely and protected from unauthorized access. 

Healthcare providers need to implement robust security measures, such as encryption and authentication protocols, to safeguard sensitive information. Addressing these concerns is crucial for maintaining patient trust and compliance with regulations (Gajarawala & Pelkowski, 2021).

Equitable access to 5G-enabled telehealth services

Ensuring equitable access to 5G-enabled telehealth services is essential for maximizing their benefits. While 5G can improve healthcare access in underserved areas, disparities in technology adoption and infrastructure still exist. 

Efforts must be made to ensure that all communities, regardless of socioeconomic status or location, can access and benefit from 5G telehealth services. This includes addressing affordability, digital literacy, and infrastructure gaps.

Conclusion

From enhancing the quality of virtual doctor visits to enabling groundbreaking remote procedures, 5G with telehealth is a combo that’s set to improve patient outcomes and expand access to vital medical services. 

To make the most of 5G and telehealth, and address the challenges related to telehealth implementation, security, and equity, healthcare providers, patients, and policymakers must work together. The future of healthcare is powered by 5G.

References

Agrawal, V., Agrawal, S., Bomanwar, A., Dubey, T., & Jaiswal, A. (2023). Exploring the Risks, Benefits, Advances, and Challenges in Internet Integration in Medicine With the Advent of 5G Technology: A Comprehensive Review. Cureus; i(11). doi.org/10.7759/cureus.48767

Baldwin, P. (2021). How 5G can transform telemedicine to tackle today’s toughest challenges. Qualcomm. Retrieved from  https://www.qualcomm.com/news/onq/2021/01/how-5g-can-transform-telemedicine-tackle-todays-toughest-challenges

Crews, J. 5G: Bridging or Amplifying the Rural-Urban Divide? Heartland Forward. Retrieved from https://heartlandforward.org/case-study/5g-bridging-or-amplifying-the-rural-urban-divide/

Devi, D. H., Duraisamy, K., Armghan, A., Alsharari, M., Aliqab, K., Sorathiya, V., Das, S., & Rashid, N. (2023). 5G Technology in Healthcare and Wearable Devices: A Review. Sensors (Basel, Switzerland); 23(5). doi.org/10.3390/s23052519

Everything you need to know about 5G. (n.d.). Qualcomm. Retrieved from  https://www.qualcomm.com/5g/what-is-5g

Foo, M. 8 Ways That 5G Benefits Healthcare (n.d.). ABI Research. Retrieved from  https://www.abiresearch.com/blogs/2023/01/03/5G-in-healthcare/

Gajarawala, S. N., & Pelkowski, J. N. (2021). Telehealth Benefits and Barriers. The Journal for Nurse Practitioners; 17(2), 218-221. doi.org/10.1016/j.nurpra.2020.09.013

Georgiou, K. E., Georgiou, E, Satava, R. M. (2021). 5G Use in Healthcare: The Future is Present. Journal of the Society of Laparoscopic & Robotic Surgeons; 25(4):e2021.00064. doi: 10.4293/JSLS.2021.00064

Gillis, M. (2022). More Than 80% of Healthcare Executives Expect the Metaverse Will Have a Positive Impact on Their Organizations, According to a New Accenture Report. Accenture. Retrieved from https://newsroom.accenture.com/news/2022/more-than-80-percent-of-healthcare-executives-expect-the-metaverse-will-have-a-positive-impact-on-their-organizations-according-to-a-new-accenture-report

Lensing, M. (2019). 5G can help deliver better insights into patient health. AT&T Business. Retrieved from https://www.business.att.com/learn/top-voices/5g-can-help-deliver-better-insights-into-patient-health.html

Maheu, M. (2024). See How 5G Technology Can Improve Your Healthcare Service. Telehealth.org. Retrieved from https://telehealth.org/see-how-5g-technology-can-improve-your-healthcare-service/

Seitz, S. (2024). The Impact of 5G on Connected Devices. Sequenex. Retrieved from https://sequenex.com/the-impact-of-5g-on-connected-devices/

Udell, C. (2023). 5G Security Concerns & Privacy Risks. MRL Consulting Group. Retrieved from https://www.mrlcg.com/resources/blog/5g-security-concerns—privacy-risks/

Pediatric Telehealth: Bringing Expert Care to Kids at Home

Pediatric Telehealth: Bringing Expert Care to Kids at Home

by Ree AI Health Tech

Pediatric telehealth, the practice of providing medical care to kids remotely, is becoming more popular each year. A survey by Amwell and Nemours Children’s Health found that 61% of parents were willing to use online pediatric services. 

This article discusses the benefits, challenges, and ways telehealth for children can improve pediatric care.

Contents

What is Pediatric Telehealth?

Pediatric telehealth uses digital technology to deliver healthcare services to children. Healthcare providers can use video calls, secure messaging, and mobile health apps to offer medical consultations, diagnoses, and treatments remotely (Tully et al., 2021). 

Pediatric telehealth includes various services like virtual doctor visits, e-prescriptions, and remote monitoring. It aims to make healthcare more accessible and convenient for children and their families, especially those living in rural or underserved areas (Hall et al., 2015).

Pediatric telehealth service types 

Doctor talking to parent and child on laptop

Pediatric telehealth offers various services, such as:

  • Virtual doctor visits: These include urgent care, routine check-ups, follow-up appointments, and consultations for minor illnesses or injuries.

  • Mental health services: Telehealth provides access to pediatric psychology and behavioral health support, which is crucial to address mental health issues in children.

  • Chronic condition management: With telehealth, conditions like asthma, diabetes, and gastrointestinal issues can be monitored and managed remotely.

  • Specialty care: Pediatric specialties such as endocrinology, dermatology, and neurology can be accessed through telehealth, allowing families to consult specialists without traveling long distances.

Primary care pediatricians report using telehealth for sick visits (91%), mental health visits (85%), and chronic disease visits (71%). Over 80% of pediatricians reported telehealth was very effective or moderately effective for mental health and chronic disease visits.

Technologies used for pediatric telehealth

The technologies that enable pediatric telehealth include:

  • Video conferencing tools: Platforms like Zoom or Skype facilitate face-to-face interactions between healthcare providers and patients.

  • Secure messaging: This allows for confidential communication between families and healthcare providers.

  • Remote monitoring devices: Wearable devices and home monitoring tools help track vital signs and other health metrics.

  • Mobile health apps: These apps provide educational resources, appointment scheduling, and medication reminders.

Benefits of Telehealth for Kids and Families

Woman and baby looking at tablet

Pediatric telehealth offers numerous advantages for children and their families, making healthcare more accessible and efficient.

Convenience and accessibility

Telehealth provides the convenience of accessing healthcare services from home, eliminating the need for travel. This is particularly beneficial for families with busy schedules or those living in remote areas. It also reduces the time spent in waiting rooms, minimizing exposure to illnesses.

Access to specialists

Telehealth can bridge the gap between families and pediatric specialists, regardless of their geographic location. This is crucial for children requiring specialized care, such as pediatric oncology or neurology, where specialists may not be available in their area (Casey Family Programs, 2024).

Cost-effectiveness and time savings

By reducing travel expenses and time off work or school, telehealth can be more cost-effective for families. It also alleviates the burden of transportation, which can be a huge barrier for some families.

Common Pediatric Conditions Treated via Telehealth

Telehealth is effective for managing a variety of pediatric conditions, offering a practical solution for acute and chronic health issues. Some pediatric services are better for telehealth than others:

  • Virtual Visits: Best for mental health, behavioral and developmental concerns, headaches, and skin conditions.

  • In-Person Visits: Best for newborn and well-child checkups, immunizations, and asthma. Also important for illnesses that require a test or an exam for an official diagnosis. 

Let’s go over the ideal conditions for pediatric virtual visits.

Minor illnesses and injuries

A child with a scraped knee closeup

Telehealth can address common childhood ailments such as fevers, rashes, respiratory infections, and minor injuries like cuts and bruises. Virtual doctor visits allow healthcare providers to assess symptoms and recommend treatment without an in-person visit.

Mental health and behavioral issues

About 16.5% of people under age 18 have experienced at least one mental health condition, with depression, anxiety, and conduct problems being among the most prevalent. The rates of depression and anxiety among teens have shown an upward trend over time, amplified by the pandemic (Vanderwood et al., 2023). 

Telehealth has become an essential tool for delivering mental health services to children. It provides a platform for therapy sessions and behavioral assessments, which are crucial for managing conditions like anxiety and depression.

Collaborative care and telehealth

Collaborative care is when primary care doctors work closely with mental health experts to help patients. One study by JG Research & Evaluation and Concert Health looked at how well collaborative care delivered via telehealth works for treating depression and anxiety in teenagers. They found that over half of the teens in this study saw their symptoms improve.

More frequent check-ins with the teens led to better results, especially for those with anxiety. Researchers also noticed that older teens tended to do better with this treatment, possibly because they can engage more easily with phone-based (audio-only) care and learn coping skills better.

One notable finding was that Medicaid patients were less likely to see big improvements in their depression symptoms compared to those with private insurance. This suggests that Medicaid patients may need extra support.

Chronic disease management

Mother with sick child on couch and red laptop - pediatric telehealth

Children with chronic conditions like asthma, epilepsy, or diabetes can benefit from telehealth through regular monitoring and consultations. This ensures continuous care and timely adjustments to treatment plans.

Follow-up appointments and medication reviews

Telehealth simplifies follow-up care by allowing healthcare providers to review medications and treatment progress remotely. This is especially useful for children requiring ongoing medical supervision.

Challenges and Limitations of Pediatric Telehealth

Despite its benefits, pediatric telehealth faces several challenges that must be addressed to ensure that providers can implement it effectively.

Technology barriers and digital divide

Man at laptop with head in hands

Access to reliable internet and digital devices is essential for telehealth, but not all families have this available to them (Curfman et al., 2022). The digital divide can hinder the effectiveness of telehealth services, particularly in rural or low-income areas.

Difficulty performing physical examinations

Telehealth limits the ability to conduct thorough physical exams, which are sometimes necessary for accurate diagnosis. This is a big drawback for certain medical conditions (Tully et al., 2021).

Privacy and security concerns

Ensuring the privacy and security of patient data is crucial in telehealth. If you have concerns about the confidentiality of your health information when using digital platforms, check that your provider’s telehealth platform is HIPAA-compliant.

Insurance coverage and reimbursement complexities

Understanding insurance coverage for telehealth services can be difficult and complex, with varying policies on reimbursement. This can affect how affordable and accessible telehealth is for some families (Tully et al., 2021).

How to Prepare for a Pediatric Telehealth Visit

Families should get ready for their child’s telehealth appointment with the following steps.

A girl and her mom using red laptop

Setting up the tech

Ensure that the necessary technology, such as a computer or smartphone with a camera and microphone, is set up and functioning properly. Test the internet connection to avoid disruptions during the appointment.

Gather medical information

Prepare any relevant medical records, such as previous diagnoses, medication lists, and recent test results, to share with the healthcare provider during the consultation.

Create the ideal environment

Choose a quiet, private, and well-lit area for the telehealth visit to facilitate clear communication and minimize distractions.

Tips to keep children engaged

Engage children by explaining the purpose of the telehealth visit and involving them in the process. Having a favorite toy or book nearby can help keep them calm and focused during the appointment.

The Future of Telehealth in Pediatric Care

The future of pediatric telehealth looks promising, with advancements in technology and increased integration into healthcare systems.

Up-and-coming technologies

Innovations such as artificial intelligence (AI), virtual reality (VR), and advanced wearable devices are expected to enhance telehealth services, making them more interactive and effective.

Integration with school health services

School nurse treating a girl

Telehealth can be integrated into school health programs, providing students with access to medical care without leaving the school premises. This can improve health outcomes and reduce absenteeism (Curfman et al., 2022).

Potential for improving healthcare equity

Telehealth has the potential to improve healthcare equity by providing underserved populations with access to quality care. This is particularly important for children in rural or low-income areas.

Ongoing research and development

Continuous research and development in telehealth will likely lead to new applications and improvements in service delivery, ensuring that pediatric telehealth remains a vital component of children’s healthcare.

Conclusion

Pediatric telehealth is more than just a convenient option—it’s a powerful tool that’s expanding access to quality healthcare for children everywhere. While challenges remain, the benefits of virtual care for kids are clear: increased access to specialists, reduced healthcare costs, and improved convenience for families. 

For parents and healthcare providers alike, embracing digital solutions like telehealth can mean healthier, happier kids and more empowered families. 

The future of children’s healthcare is here, and it’s just a screen away.

References

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Hall, R. W., TELEHEALTH CARE, S. O., Dehnel, P. J., Alexander, J. J., Bell, D. M., Bunik, M., & Kile, J. R. (2015). Technical Report: Telemedicine: Pediatric Applications. Pediatrics; 136(1), e293. doi.org/10.1542/peds.2015-1517

How can child protection agencies use telehealth to increase service access for children and families? (2024). Casey Family Programs. Retrieved from https://www.casey.org/telehealth-child-welfare/

LaMarco, N. (2024). What Conditions Can a Pediatrician Treat with Telehealth? Healthgrades. Retrieved from https://www.healthgrades.com/right-care/childrens-health/10-childrens-conditions-that-can-be-treated-in-a-telehealth-visit

Minimizing Telehealth Technology Barriers in Rural and Underserved Communities. (n.d.). American Academy of Pediatrics (AAP). Retrieved from https://www.aap.org/en/practice-management/care-delivery-approaches/telehealth/minimizing-telehealth-technology-barriers-in-rural-and-underserved-communities/

Telehealth: Opportunities to Improve Access, Quality, and Cost in Pediatric Care. (2022). American Academy of Pediatrics (AAP). Retrieved from  https://publications.aap.org/pediatrics/article/149/3/e2021056035/184902/Telehealth-Opportunities-to-Improve-Access-Quality

Telehealth appointment or in-person primary care? How to choose the best option for you. (n.d.). HealthPartners. Retrieved from https://www.healthpartners.com/blog/when-to-use-telemedicine

Telehealth Virtual Care Services Bring Future of Health Care to Every Child Pediatrics. (n.d.). Every Child Pediatrics. Retrieved from https://everychildpediatrics.org/telehealth-virtual-care-services-bring-future-of-health-care-to-every-child-pediatrics/

Survey Finds Majority of Parents Willing to Engage in Telehealth Post-COVID. (2021). Nemours Children’s Health. Retrieved from https://nemours.mediaroom.com/2021-07-28-Survey-Finds-Majority-of-Parents-Willing-to-Engage-in-Telehealth-Post-COVID

Tully, L., Case, L., Arthurs, N., Sorensen, J., & Marcin, J. P. (2021). Barriers and Facilitators for Implementing Pediatric Telemedicine: Rapid Review of User Perspectives. Frontiers in Pediatrics; 9. doi.org/10.3389/fped.2021.630365

Vanderwood, K., Joyner, J., & Little, V. (2023). The effectiveness of collaborative care delivered via telehealth in a pediatric primary care population. Frontiers in Psychiatry; 14, 1240902. doi.org/10.3389/fpsyt.2023.1240902