Information asymmetry as a source of errors in telepediatrics

June 30, 2023
УДК:  004:621.39:616.254:616-053.2:161.25

Objective: conceptual analysis of the causes of diagnostic errors in telepediatrics.

Results. The problem of providing quality medical care to children with the use of teleconsultation technologies is considered. Possible errors in the diagnosis of diseases, deficiencies in the accuracy and timeliness of decision-making are analyzed, and the missed diagnostic opportunities in pediatrics are discussed. The role of information asymmetry is emphasized.

Conclusions. 1. Despite the successes of modern medical diagnostics, diagnostic errors and missed opportunities for diagnosis are noted with a noticeable frequency in pediatric primary medical care. Given that they can harm the patient, root cause analysis technology is a necessary and important tool. 2. In addition to the insufficient qualification of the doctor and consultant, there are three main reasons for diagnostic errors: incomplete and contradictory information about a sick child, disorder of diagnostic information, and information asymmetry. Creating conditions to reduce the specific weight of these factors will significantly reduce the number of diagnostic errors.


  1. Li M.D. (2020) When Measuring Is More Important than Measurement: The Importance of Measuring Diagnostic Errors in Health Care. J. Pediatr., 232: 14–16. DOI: 10.1016/j.jpeds.2020.12.076.
  2. Rinke M.L., Singh H., Heo M. et al. (2018) Diagnostic Errors in Primary Care Pediatrics: Project RedDE. Acad. Pediatr., 18(2): 220–227. DOI: 10.1016/j.acap.2017.08.005.
  3. Dadlez N.M., Adelman J., Bundy D.G. et al. (2020) Contributing Factors for Pediatric Ambulatory Diagnostic Process Errors: Project RedDE. Pediatr. Qual. Saf., 5(3): 299. DOI: 10.1097/pq9.0000000000000299.
  4. Lalonde E., Rentas S., Lin F. et al. (2020) Genomic Diagnosis for Pediatric Disorders: Revolution and Evolution. Front. Pediatr., 8(8): 373. DOI: 10.3389/fped.2020.00373.
  5. Arrow K.J. (1963) Uncertainty and the welfare economics of medical care. Am. Econom. Rev., 53(5): 941–973.
  6. Мінцер О.П., Приходнюк В.В., Стрижак О.Є., Шевцова О.М. (2018) Трансдисциплінарне представлення інформації за допомогою інтерактивних документів. Мед. інформ. інжен., 1(41): 47–52. DOI:10.11603/mie.1996-1960.2018.1.8891.
  7. Marla L. Clayman, MPH, Carma L. et al. (2016) The Impact of Patient Participation in Health Decisions Within Medical Encounters: A Systematic Review. Med. Decis. Making, 36(4): 427–452. DOI: 10.1177/0272989X15613530.
  8. Stroetmann K.A., Robinson L.K.S., Stroetmann V.K.C., McDaid D. (2010) How can telehealth help in the provision of integrated care? World Health Organisation Regional Office for Europe, 39 p.
  9. Leonard D.K., Boom G., Hanson K. et al. (2013) Institutional Solutions to the Asymmetric Information Problem in Health and Development Services for the Poor. World Development, 48: 71–87.