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Clinical Pediatrics, Vol. 40, No. 2, 93-98 (2001)
DOI: 10.1177/000992280104000205
© 2001 SAGE Publications

Telehealth for Children with Special Health Care Needs: Promoting Comprehensive Systems of Care

Janet E. Farmer, PhD

Department of Physical Medicine and Rehabilitation, University of Missouri-Columbia, Columbia, MO; Department of Physical Medicine and Rehabilitation, Division of Clinical Health Psychology, DC046.00, One Hospital Drive, Columbia, MO 65212

Laura Muhlenbruck, MA

Department of Psychology, University of Missouri-Columbia, Columbia, MO

This study identified ways that telehealth systems are used to enhance service delivery for children with special health care needs. Various health professionals utilize telehealth to provide physical and behavioral health care, to conduct developmental evaluations, and to address family/social concerns. Telehealth is used most for follow-up visits after in-person specialty care and for child evaluation with treatment recommendations to local care providers. Telehealth systems have the potential to increase access to specialized services and to enhance community-based services for rural and underserved children. However, inadequate reimbursement poses a significant barrier to the development of these services.


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J. E. Farmer, M. J. Clark, A. Sherman, W. E. Marien, and T. J. Selva
Comprehensive Primary Care for Children With Special Health Care Needs in Rural Areas
Pediatrics, September 1, 2005; 116(3): 649 - 656.
[Abstract] [Full Text] [PDF]