Evaluation of a Pilot Asthma Care Program for Electronic Communication between School Health and a Healthcare System’s Electronic Medical Record

Abstract

Findings suggest a collaborative model of care that is enhanced through electronic communication via the EMR could positively impact the health of children with asthma or other chronic illnesses.

Digital Health Interventions to Enhance Prevention in Primary Care: Scoping Review (Preprint)

“…Reeves, 2016 [186] No difference in biochemically verified prevalence, prolonged abstinence, quit attempts, or number of cigarettes smoked per day compared with phone counseling.…”

“…Tertiary prevention for chronic disease management was supported primarily by care access expansion [20,58,103,178,181,189], app-driven [35,64,140,149,176,249], and patient-centered [38,97,241,245] approaches. Overall, DHIs decreased disease severity and associated comorbidities; lowered the numbers of emergency department visits, hospitalizations, and 30-day readmissions; increased the receipt of follow-up care; improved medication adherence in the identified studies [20,35,58,64,97,103,149,176,199,245,249]; and improved the quality or effectiveness of health services by technology implementation [24,38,103,140,171,178,186,189,249]. Disease areas targeted by DHIs included diabetes [38,97,171,176], hypertension [97,140,149], asthma [103,181,…”

“…Overall, DHIs decreased disease severity and associated comorbidities; lowered the numbers of emergency department visits, hospitalizations, and 30-day readmissions; increased the receipt of follow-up care; improved medication adherence in the identified studies [20,35,58,64,97,103,149,176,199,245,249]; and improved the quality or effectiveness of health services by technology implementation [24,38,103,140,171,178,186,189,249]. Disease areas targeted by DHIs included diabetes [38,97,171,176], hypertension [97,140,149], asthma [103,181,186], obesity [35,171], cardiovascular disease [123], HIV [199], HCV [245], and hyperlipidemia [97]. Management of behavioral health included smoking cessation support [75,171,189], promotion of physical activity [171], substance abuse management [99,185], and sexual health education [45] using mHealth technology.…”

Asthma dissemination around patient-centered treatments in North Carolina (ADAPT-NC): a cluster randomized control trial evaluating dissemination of an evidence-based shared decision-making intervention for asthma management

“…However, the dissemination of such complex interventions has been slow or inconsistent [7]. Known barriers to widespread dissemination of complex interventions exist at ambulatory practices and include disparities in the patient population, limited support staff, lack of practice resources to absorb new care delivery approaches, competing pressures on practices to improve efficiency, and the complexity of electronic medical record (EMR) systems [8][9][10].…”