Telemedicine and functional assessments: from theory to practice
Vol. 48 No. s1 (2026): Telemedicine and functional assessments: from theory to practice

From emergency to innovation: a strategic roadmap for a comprehensive telehealth platform

G. Zuccotti,1,2 A. Foppiani,1,3 C. Montanari,1,2 M. Frontini,4 V. Calcaterra2,5  | 1University of Milan; 2Buzzi Children’s Hospital, Milan; 3IRCCS Istituto Auxologico Italiano, Milan; 4Link Up s.r.l., Milan; 5University of Pavia, Italy

Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Published: 28 January 2026
342
Views
0
Downloads

Authors

The COVID-19 pandemic has decisively accelerated the adoption of telemedicine (TM), transforming it from an innovative option into a structural necessity for healthcare systems. The experience of the Vittore Buzzi Children’s Hospital shows how TM promotes equitable access to care, continuity between hospital and community services, and economic sustainability, with a particularly strong impact in pediatrics. From the emergency COD19 models, an evolutionary pathway emerged leading to a structured telemedicine platform (COD20) and a dedicated Telemedicine Center (CMT). The model integrates remote clinical care and monitoring services, including telecardiology, telenutrition, teleneurology, home-based palliative care, and advanced TM using wearable devices, tele-ultrasound, and artificial intelligence-supported tools. The results confirm effectiveness, safety, high satisfaction, and reduced hospital stays, highlighting the CMT as a key component of digital healthcare.

Downloads

Download data is not yet available.

Citations

1. Calcaterra V, Vandoni M, Gatti A, et al. Improving cardiometabolic health in children and adolescents with obesity: a comparison between in-person and virtual supervised training. J Pediatr Endocrinol Metab 2025;38:1040-51. DOI: https://doi.org/10.1515/jpem-2025-0299
2. Calcaterra V, Verduci E, Vandoni M, et al. Telehealth: A Useful Tool for the Management of Nutrition and Exercise Programs in Pediatric Obesity in the COVID-19 Era. Nutrients 2021;13:3689. DOI: https://doi.org/10.3390/nu13113689
3. Mannarino S, Calcaterra V, Fini G, et al. A pediatric telecardiology system that facilitates integration between hospital-based services and community-based primary care. Int J Med Inform 2024;181:105298. DOI: https://doi.org/10.1016/j.ijmedinf.2023.105298
4. Zuccotti G, Calcaterra V. Telemedicine and E-Health: An Innovative Challenge in Pediatric Care. Int J Environ Res Public Health 2023;20:2091. DOI: https://doi.org/10.3390/ijerph20032091
5. Zuccotti G, Marsilio M, Fiori L, et al. Leveraging User-Friendly Mobile Medical Devices to Facilitate Early Hospital Discharges in a Pediatric Setting: A Randomized Trial Study Protocol. Children (Basel) 2024;11:683. DOI: https://doi.org/10.3390/children11060683

How to Cite



1.
From emergency to innovation: a strategic roadmap for a comprehensive telehealth platform: G. Zuccotti,1,2 A. Foppiani,1,3 C. Montanari,1,2 M. Frontini,4 V. Calcaterra2,5  | 1University of Milan; 2Buzzi Children’s Hospital, Milan; 3IRCCS Istituto Auxologico Italiano, Milan; 4Link Up s.r.l., Milan; 5University of Pavia, Italy. G Ital Med Lav Ergon [Internet]. 2026 Jan. 28 [cited 2026 Apr. 19];48(s1). Available from: https://medicine.pagepress.net/gimle/article/view/770