The Use of Telemedicine Access to Schools to Facilitate Expert Assessment of Children with Asthma

Bergman, David A.; Sharek, Paul J.; Ekegren, Kathryn; Thyne, Shannon; Mayer, Michelle L.; Saunders, M

doi:10.1155/2008/159276

Cited by 33 publications

(35 citation statements)

References 28 publications

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“…68 A school-based intervention that linked children via video consultation with an asthma specialist was associated with improved asthma control. 69 Videoconferencing may also be more effective than telephone follow-up by adding clinical observation, such as parental worry, to the information exchange. 70 More research is needed to determine if video consultation can substitute for office visits among comanaged patients.…”

Section: Telemedicinementioning

confidence: 99%

A Typology of Specialists' Clinical Roles

Forrest

2009

Arch Intern Med

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High use of specialist physicians and specialized procedures coupled with low exposure to primary care are distinguishing traits of the US health care system. Although the tasks of the primary care medical home are well established, consensus on the normative clinical roles of specialist physicians has not been achieved, which makes it unlikely that the specialist workforce is being used most effectively and efficiently. This article describes a typology of specialists' clinical roles that is based on the conceptual basis for health care specialism and empirical evaluations of the specialty referral process. The report concludes with a discussion on the implications of the typology for improving the effectiveness and efficiency of the primary-specialty care interface.

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Section: Telemedicinementioning

confidence: 99%

A Typology of Specialists' Clinical Roles

Forrest

2009

Arch Intern Med

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“…It has been associated with a high degree of parent and provider satisfaction as well as reduced absenteeism from school. Pediatric subspecialty schoolbased telemedicine programs have been developed to care for children with conditions including asthma 13 and diabetes.…”

mentioning

confidence: 99%

Telemedicine for Children with Developmental Disabilities: A More Effective Clinical Process Than Office-Based Care

Langkamp

McManus²,

Blakemore³

2015

Telemedicine and e-Health

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Background: The literature on the use of telemedicine for children with developmental disabilities (DD) is limited and mostly describes telemedicine being used to link patients with distant subspecialty multidisciplinary care. Parents generally have reported satisfaction with such care and have perceived it to be equally effective as inperson care. Here we report on the use of school-based asynchronous telemedicine to connect children with DD with primary care providers. Materials and Methods: We developed Tele-Health-Kids, a school-based program using asynchronous telemedicine to connect children with DD with their primary care physician for the care of minor illnesses. We surveyed parents at enrollment and after the child's first telemedicine visit to assess satisfaction. We describe 4 cases that illustrate benefits, particularly for children with DD and challenging behaviors, suggesting that asynchronous telemedicine may actually be superior to traditional in-office visits in some circumstances. Results: Most parents expressed a high level of satisfaction with the program. Benefits identified include decreased stress to the child and the parents as well as increasing the likelihood of a successful medical examination due to greater cooperation by the child. Visits using asynchronous or ''store and forward'' telemedicine technology may be superior in some situations by allowing the visit to be performed at a pace that can be adjusted to the needs of the child with DD. Conclusions: More research in the use of asynchronous telemedicine for children and youth with DD, particularly for children with DD and challenging behaviors, is needed.

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“…13 School-based telemedicine and community health care workers are also a potential avenue to increase access to specialty asthma care in underserved populations. 14–16 …”

Section: Componentmentioning

confidence: 99%

Creation and implementation of SAMPRO™: A school-based asthma management program

Lemanske

Kakumanu

Shanovich

et al. 2016

Journal of Allergy and Clinical Immunology

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Clinicians who care for children with asthma have an obligation to coordinate asthma care with the schools. Aside from routine clinical care of asthmatic children, providers must educate the family and child about the need for an asthma treatment plan in school and support the school nurse meeting the needs of the student requiring school-based asthma care. The following article was developed by multiple stakeholders to address this need. It describes the 4 components of the School-based Asthma Management Program (SAMPRO™). SAMPRO™ details elements necessary for the education of children, families, clinicians, and school-based personnel based on a “circle of support” that would enhance multidirectional communication and promote better care for children with asthma within the school setting.

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The Use of Telemedicine Access to Schools to Facilitate Expert Assessment of Children with Asthma

Cited by 33 publications

References 28 publications

A Typology of Specialists' Clinical Roles

A Typology of Specialists' Clinical Roles

Telemedicine for Children with Developmental Disabilities: A More Effective Clinical Process Than Office-Based Care

Creation and implementation of SAMPRO™: A school-based asthma management program

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