Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

The Impact of Health Technology on the Delivery of Paediatric Care: A Narrative Review

Version 1 : Received: 18 February 2021 / Approved: 22 February 2021 / Online: 22 February 2021 (11:52:50 CET)

How to cite: Benniche, S.; Firth, A.; Jacob, H.; Roland, D. The Impact of Health Technology on the Delivery of Paediatric Care: A Narrative Review. Preprints 2021, 2021020462 (doi: 10.20944/preprints202102.0462.v1). Benniche, S.; Firth, A.; Jacob, H.; Roland, D. The Impact of Health Technology on the Delivery of Paediatric Care: A Narrative Review. Preprints 2021, 2021020462 (doi: 10.20944/preprints202102.0462.v1).

Abstract

Background: The use of technology in paediatrics is increasing, and new health technology will change the way in which paediatric care is delivered in the future. This review is part of the Royal College of Paediatrics and Child Health Paediatrics 2040 project, which is developing a credible vision for the future of paediatrics in the UK. Aims: To summarise the impact of health technology on the delivery of paediatric care over the last ten years. To learn from existing technology use and make recommendations for future implementation. Methods: A search strategy was developed and two databases (Cochrane Library and PubMed) were systematically searched in August 2019 for relevant publications in English. Searches were limited to papers published between January 2009 and August 2019 (with further rapid review of papers published between September 2019 and November 2020). We included papers that studied young people up to the age of 24 or on those providing care for this population. A thematic synthesis of the data from the included studies was undertaken using seven domains of paediatric care. Results: 128 studies were included, grouped by domain of care. Most included studies were defined as digital (n=55) or communication (n=37). Studies looked at the different types of health technology used within different domains of care, including secondary and tertiary care (n=39), public health and prevention (n=29), and community (n=20). Studies were assessed on delivery of care outcomes using positive, negative, mixed and no effect. The most common outcomes reported were adherence and satisfaction. Discussion: This review highlights the growing importance of technology in delivering paediatric care. Six themes emerged: the importance of clear guidelines, continuity of care, confidentiality and privacy, digital poverty, using a personalised approach, and using technology to supplement rather than replace. In future, technology development should involve the end user throughout the design process.

Subject Areas

paediatrics; pediatrics; delivery of care; health technology; digital poverty; confidentiality; usage guidelines; continuity of care; technology to supplement; personalised approach and user design.

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