Primary Care Office vs Telemedicine: What Each Option Does & Doesn’t Do for Pediatric Care

Audience: pediatric

When caring for children, families often wonder whether to visit a primary care office or use telemedicine. Both options have important roles. Primary care offices allow hands-on exams, tests, and treatments in person. Telemedicine offers quick access to healthcare providers through video or phone, which is helpful for minor illnesses, follow-ups, or questions. However, telemedicine cannot replace physical exams or emergency care. Understanding what each option can and cannot do helps families choose the best care for their child’s needs. This guide explains the differences, when to use each option, and how to prepare for telemedicine visits safely and effectively.

Red flags — go in person / ER

• If your child has difficulty breathing, call emergency services or go to the nearest emergency room immediately.
• If your child is unresponsive, very drowsy, or cannot be awakened, seek emergency care without delay.
• If your child has a high fever (above 39°C or 102.2°F) lasting more than 24 hours or with seizures, get urgent medical attention.

What telemedicine can do

• Minor illnesses such as colds, mild fevers, rashes, and earaches
• Follow-up visits for chronic conditions like asthma or allergies
• Medication management and health advice
• Behavioral health consultations and developmental screenings
• Parental guidance on nutrition, sleep, and safety

What telemedicine cannot do

• Physical exams requiring hands-on assessment
• Vaccinations and routine immunizations
• Laboratory tests, imaging, or procedures
• Emergency or life-threatening conditions
• Severe pain, bleeding, or injury requiring immediate care

What Telemedicine Can Do for Children

Telemedicine allows healthcare providers to see and talk with your child remotely. It can be useful for:

This option saves time and reduces exposure to other sick people.

Limitations of Telemedicine for Pediatric Care

Telemedicine cannot replace all aspects of care, especially when your child needs:

In these cases, an in-person visit to a primary care office or emergency department is necessary.

Advantages of Primary Care Office Visits

Primary care offices provide:

These visits are essential for comprehensive health care and preventive services.

When to Choose Telemedicine vs Primary Care Office

Consider telemedicine for:

Choose primary care office visits when your child:

Always seek emergency care if your child’s condition is urgent.

Preparing for a Telemedicine Visit

To get the most from a telemedicine appointment:

After Your Telemedicine Visit

After the visit:

How to prepare for your tele-visit

• Find a quiet, private area with good lighting for the visit.
• Test your internet connection or phone signal before the appointment.
• Have your child’s health information, including medications and allergies, ready.
• Prepare a list of symptoms and questions to discuss.
• Ensure your child is nearby and ready for the visit.
• Have basic tools available, such as a thermometer or flashlight, if possible.

After your tele-visit

• Follow the healthcare provider’s instructions carefully.
• Schedule any recommended in-person visits or tests promptly.
• Monitor your child’s symptoms and note any changes.
• Contact your healthcare provider if symptoms worsen or new concerns develop.
• Keep a record of the telemedicine visit for future reference.

FAQs

Can telemedicine replace all visits to my child's doctor?

No, telemedicine is helpful for many situations but cannot replace all in-person visits. Physical exams, vaccinations, tests, and emergency care require seeing a healthcare provider in person.

What should I do if my child’s symptoms get worse after a telemedicine visit?

If your child’s symptoms worsen or new symptoms appear, contact your healthcare provider promptly. If it is an emergency, seek immediate care at an emergency department.

Is telemedicine safe for young children?

Yes, telemedicine can be safe and effective for young children when used appropriately. It is important to have a responsible adult present to assist during the visit and to follow provider recommendations.

Do I need special equipment for a telemedicine visit?

Usually, a smartphone, tablet, or computer with internet access is enough. Having a thermometer or other simple tools can help provide more information but is not always required.

Can telemedicine providers prescribe medications?

Often, yes. Providers can prescribe medications during telemedicine visits when appropriate, but some medications may require an in-person evaluation first.

Sources

1. Telehealth: What You Need To Know — MedlinePlus, U.S. National Library of Medicine.
2. Telemedicine: Overview — Centers for Disease Control and Prevention (CDC).
3. Telemedicine and Telehealth — Mayo Clinic.
4. When to Seek Emergency Care for Children — American Academy of Pediatrics (AAP).

This information is for educational purposes only and is not a substitute for professional medical care. If your child has a medical emergency or urgent health concern, seek in-person care immediately.