Telemedicine in pediatric primary care. Favorable experience in nurse-staffed inner-city clinic

JAMA. 1978 Dec 15;240(25):2749-51.


Off-site pediatric consultation via bidirectional cable television (TV) was instituted to provide backup for nurse practitioners treating sick and well children in a small primary-care clinic. During a year of study of the system, there were 2,161 clinic visits and 285 TV consultations. When both TV and telephone consultation were available, TV was used for 10.8% of the visits, and telephone was used for 9.6% of visits. Staff reactions, though initially skeptical, were ultimately favorable. The system allowed pediatric nurse practitioners to function without on-site physician coverage 40% of the time. The main disadvantages were technical. Further work is needed to assess the reliability and validity of TV consultation and its acceptability in other settings.

Publication types

  • Comparative Study
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Attitude of Health Personnel
  • Child
  • Community Health Centers / organization & administration*
  • Costs and Cost Analysis
  • Decision Making
  • Humans
  • New York City
  • Nurse Practitioners
  • Patient Acceptance of Health Care
  • Pediatric Nursing* / economics
  • Primary Health Care
  • Telephone
  • Television*
  • Urban Health
  • Videotape Recording