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Table 2 Pros and cons of the use of telemedicine with respect to young people

From: Developmentally appropriate transitional care during the Covid-19 pandemic for young people with juvenile-onset rheumatic and musculoskeletal diseases: the rationale for a position statement

Pros Cons
Facilitate multidisciplinary involvement (including hospital as well as community based) especially if geographically distant It is not the preference of all young people and may not be suitable for those with language barriers, auditory or visual needs or learning difficulties
Facilitate involvement of both paediatric and adult teams especially if geographically distant Challenges in assuring confidentiality for the young person
Young people are familiar with the technology More challenging to establish new relationships between health professionals and young people e.g. more difficult to pick up on nonverbal cues including between young person and the accompanying adult etc
Reduces the need for travel in both individual and group work Limited access to private space
Distribution of questionnaires, screening tools and transition checklists prior to appointment Limited access to technology
Reduces cost for families (avoiding travel / time off work) Dislike of video use when young person has body image issues
  Limitation for physical examination (including pubertal assessment) and loss of opportunity to discuss bodily changes
  Challenges of scheduling with respect to educational/work commitments of young person and parental working patterns
  Safe-guarding issues of virtual examination and the receiving, capturing, storing and the use of images for clinical purposes
If used to preface physical clinics eg to take initial history etc. can reduce appointment time Limitation for accurate measurement of height and weight
Keeping families connected during hospital stays An additional skill for young people to learn