Implementing Telehealth in Pediatric Asthma

Perry, Tamara T.; Margiotta, Callie A.

doi:10.1016/j.pcl.2020.04.003

Cited by 13 publications

(11 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…105 School-based telemedicine interventions have also been studied and are a novel approach to ongoing asthma care especially among underserved families, including those living in remote locations. 106,107 A school-based telemedicine approach would reduce school absence, reduce parental leave, and allow the potential for application of digital health for monitoring exacerbations and adherence to asthma medications. 106,107…”

Section: Asthma Managementmentioning

confidence: 99%

See 1 more Smart Citation

School Asthma Care During COVID-19: What We Have Learned and What We Are Learning

Abrams

Jordan

Szefler

2022

The Journal of Allergy and Clinical Immunology: In Practice

View full text Add to dashboard Cite

Section: Asthma Managementmentioning

confidence: 99%

“…106,107 A school-based telemedicine approach would reduce school absence, reduce parental leave, and allow the potential for application of digital health for monitoring exacerbations and adherence to asthma medications. 106,107…”

Section: Asthma Managementmentioning

confidence: 99%

School Asthma Care During COVID-19: What We Have Learned and What We Are Learning

Abrams

Jordan

Szefler

2022

The Journal of Allergy and Clinical Immunology: In Practice

View full text Add to dashboard Cite

“…Conversely, telemedicine has the potential to address barriers in access to care, for example by delivering specialist healthcare in regions without local access to specialists and in reducing the travel burden for families 27 . In Table 1, we have summarized the geographical location, urban/rural setting and author assessment of study population socioeconomic deprivation for the cited studies.…”

Section: Pitfalls Of Telemedicinementioning

confidence: 99%

Paediatric and adolescent asthma: A narrative review of telemedicine and emerging technologies for the post‐COVID‐19 era

Davies

Kenia

Nagakumar

et al. 2021

Clin Experimental Allergy

View full text Add to dashboard Cite

Children and young people with asthma need regular monitoring to maintain good asthma control, prevent asthma attacks and manage comorbidities. The COVID‐19 pandemic has resulted in healthcare professionals making fundamental changes to the way healthcare is delivered and for patients and families adapting to these changes. Comprehensive remotely delivered, technology‐based healthcare, closer to the patients home (reducing hospital footfall and possibly reducing carbon footprint) is likely to be one of the important collateral effects of the pandemic. Telemedicine is anticipated to impact everyone involved in healthcare ‐ providers and patients alike. It is going to bring changes to organization, work areas and work culture in healthcare. Healthcare providers, policymakers and those accessing healthcare services will experience the impact of technology‐based healthcare delivery. Telemedicine can play an exciting role in the management of childhood asthma by delivering high‐quality care closer to the child's home. However, unlike adults, children still need to be accompanied by their carers for virtual care. Policymakers will need to take into account potential additional costs as well as the legal, ethical and cultural implications of large scale use of telemedicine. In this narrative review, we review evidence regarding the role of telemedicine and related emerging technologies in paediatric and adolescent asthma. Although there are gaps in the current knowledge, there is evidence demonstrating the important role of telemedicine in management of childhood and adolescent asthma. However, there is an urgent need for healthcare researchers and policymakers to focus on improving the technologies and address the disparities in accessing novel technology‐based management strategies to improve asthma care.

show abstract

“…Since childhood asthma is a chronic condition, both types of information could enable a healthcare organization to develop a comprehensive, strategic plan for addressing the burden of unscheduled healthcare use for childhood asthma. For example, if clinic no-shows are found to be a significant predictor of unscheduled healthcare use among children in the short term (12 and 18 months), then efforts could be made to implement telehealth or mobile van services for asthma outpatient care to reduce clinic no-shows in the short term across all ages and asthma severity levels [ 18 , 19 , 20 , 21 ]. Alternatively, if younger children with severe-persistent asthma are significantly more likely to use unscheduled healthcare in the longer term (24 months), then comprehensive efforts could be undertaken to develop a provider–patient partnership to facilitate patient-centered asthma control (including medication management and environmental control) for younger children with severe-persistent asthma [ 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 22 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of Disease Severity, Age of Child, and Clinic No-Shows on Unscheduled Healthcare Use for Childhood Asthma at an Academic Medical Center

Rangachari

Parvez

LaFontaine

et al. 2023

IJERPH

View full text Add to dashboard Cite

This study examines the influence of various individual demographic and risk factors on the use of unscheduled healthcare (emergency and inpatient visits) among pediatric outpatients with asthma over three retrospective timeframes (12, 18, and 24 months) at an academic health center. Out of a total of 410 children who visited an academic medical center for asthma outpatient care between 2019 and 2020, 105 (26%) were users of unscheduled healthcare for childhood asthma over the prior 12 months, 131 (32%) over the prior 18 months, and 147 (36%) over the prior 24 months. multiple logistic regression (MLR) analysis of the effect of individual risk factors revealed that asthma severity, age of child, and clinic no-shows were statistically significant predictors of unscheduled healthcare use for childhood asthma. Children with higher levels of asthma severity were significantly more likely to use unscheduled healthcare (compared to children with lower levels of asthma severity) across all three timeframes. Likewise, children with three to four clinic no-shows were significantly more likely to use unscheduled healthcare compared to children with zero clinic no-shows in the short term (12 and 18 months). In contrast, older children were significantly less likely to use unscheduled healthcare use compared to younger children in the longer term (24 months). By virtue of its scope and design, this study provides a foundation for addressing a need identified in the literature for short- and long-term strategies for improving supported self-management and reducing unscheduled healthcare use for childhood asthma at the patient, provider, and organizational levels, e.g., (1) implementing telehealth services for asthma outpatient care to reduce clinic no-shows across all levels of asthma severity in the short term; (2) developing a provider–patient partnership to enable patient-centered asthma control among younger children with higher asthma severity in the long term; and (3) identifying hospital–community linkages to address social risk factors influencing clinic no-shows and unscheduled healthcare use among younger children with higher asthma severity in the long term.

show abstract

Implementing Telehealth in Pediatric Asthma

Cited by 13 publications

References 25 publications

School Asthma Care During COVID-19: What We Have Learned and What We Are Learning

School Asthma Care During COVID-19: What We Have Learned and What We Are Learning

Paediatric and adolescent asthma: A narrative review of telemedicine and emerging technologies for the post‐COVID‐19 era

Effect of Disease Severity, Age of Child, and Clinic No-Shows on Unscheduled Healthcare Use for Childhood Asthma at an Academic Medical Center

Contact Info

Product

Resources

About