Purpose

Teleconsultations are increasingly used to deliver health care, yet guidance on how to maximize health outcomes and ensure the quality and rights-based principles of adolescent health care during teleconsultations is lacking. This scoping review synthesized the literature on teleconsultations with adolescents, with the objective of informing a practical guidance for healthcare professionals.

Methods

Eight databases were searched to identify articles published between 2010 and 2020 in English, French, or Spanish that provided evidence or guidance on synchronous teleconsultations with 10- to 19-year-olds. Web sites in six high-income countries and six low- to middle-income countries were also searched and a Google search was conducted. Data were analyzed using narrative synthesis.

Results

Of 59 total references, 51 were from high-income countries. References included primary research (n = 21), reviews (n = 13), clinical guidance (n = 9), case reports (n = 9), commentaries (n = 6), and a website (n = 1). Just under half (46%) were descriptive, qualitative, or expert opinion. The main focus was mental health and behavioral disorders.

Discussion

Good evidence on the complexities of conducting teleconsultations with adolescents is lacking. Questions remain regarding the scope and acuity of health issues for which teleconsultations are appropriate, their role in overcoming or contributing to inequalities, and the practicalities of conducting consultations.

中文翻译：

---

与青少年进行远程会诊的最佳实践：范围审查

目的

远程会诊越来越多地用于提供医疗保健，但缺乏关于如何在远程会诊期间最大限度地提高健康结果并确保青少年医疗保健的质量和基于权利的原则的指导。该范围审查综合了有关与青少年进行远程会诊的文献，目的是为医疗保健专业人员提供实用指南。

方法

搜索了 8 个数据库，以确定 2010 年至 2020 年间以英语、法语或西班牙语发表的文章，这些文章提供了与 10 至 19 岁儿童同步远程会诊的证据或指导。还搜索了六个高收入国家和六个中低收入国家的网站，并进行了谷歌搜索。使用叙述合成分析数据。

结果

在 59 篇参考文献中，51 篇来自高收入国家。参考文献包括主要研究 (n = 21)、评论 (n = 13)、临床指导 (n = 9)、病例报告 (n = 9)、评论 (n = 6) 和网站 (n = 1)。不到一半 (46%) 是描述性、定性或专家意见。主要关注点是心理健康和行为障碍。

讨论

缺乏关于与青少年进行远程会诊的复杂性的良好证据。关于适合远程会诊的健康问题的范围和严重程度、它们在克服或促成不平等方面的作用以及进行会诊的实用性等问题仍然存在。