Research has shown that access to an asthma specialist improves asthma outcomes. We hypothesized
that we could improve access to expert asthma care through a telemedicine link between an asthma specialist and
a school-based asthma program. We conducted a prospective cohort study in 3 urban schools to ascertain the
feasibility of using an asthma-focused telemedicine solution. Each subject was seen by an asthma expert at 0, 8,
and 32 weeks. The assessment and recommendations for care were sent to the primary care physician (PCP) and parents
were told to contact their physician for follow-up care. Eighty three subjects participated in the study. Subjects experienced
improvement (P < .05) in family social activities and the number of asthma attacks. Ninety four percent of subjects rated the
program as good or excellent. This study demonstrates the feasibility and acceptance of a school-based asthma program
using a telemedicine link to an asthma specialist.
The Advocate is a forum for exploring our roles as advocates for the children and families we s m e . rn Outcomes. How is the outcome likely to affect us? Will it be positive or negative? Will it change practice on a broader scale?As pediatric nurses, we have many opportunities to advocate for children and often have more resources and
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