Abstract：
Telemedicine is considered an excellent tool to support the daily and traditional practice of the health profession, especially when referring to the care and management of chronic patients. In a panorama in which chronic pathologies with childhood onset are constantly increasing and the improvement of treatments has allowed survival for them into adulthood, telemedicine and remote assistance are today considered effective and convenient solutions both for the chronic patient, who thus receives personalized and timely assistance, and for the doctors, who reduce the need for direct intervention, hospitalizations and consequent management costs. This Consensus document, written by the main Italian Scientific Societies involved in the use of telemedicine in pediatrics, has the objectives to propose an organizational model based on the relationships between the actors who participate in the provision of a telemedicine service aimed at minors with chronic pathologies, identifying specific project links between the areas of telemedicine in the developmental age from the first 1000 days of life to the age adult. The future scenario will have to be able to integrate digital innovation in order to offer the best care to patients and citizens. It will have to be able to provide the involvement of patients from the very beginning of the design of any care pathway, increasing where possible the proximity of the health service to citizens.
摘要：
远程医疗被认为是支持健康行业日常和传统实践的绝佳工具，特别是当提到慢性病患者的护理和管理时。在一个全景中，儿童期发病的慢性病理不断增加，治疗方法的改进使他们能够存活到成年期，远程医疗和远程协助今天被认为是有效和方便的解决方案，为慢性患者，因此，他们得到了个性化和及时的援助，对于医生来说，他们减少了直接干预的需要，住院治疗和随之而来的管理成本。这份共识文件，由参与在儿科中使用远程医疗的主要意大利科学协会撰写，其目标是根据参与提供针对慢性病未成年人的远程医疗服务的行为者之间的关系提出组织模型，确定从生命的前1000天到成年年龄的远程医疗领域之间的特定项目联系。未来的场景必须能够整合数字创新，以便为患者和公民提供最好的护理。它必须能够从任何护理途径的设计一开始就提供患者的参与，尽可能增加卫生服务与公民的距离。
