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

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 t...

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Main Authors: David A. Bergman, Paul J. Sharek, Kathryn Ekegren, Shannon Thyne, Michelle Mayer, Mara Saunders
Format: Article
Language:English
Published: Wiley 2008-01-01
Series:International Journal of Telemedicine and Applications
Online Access:http://dx.doi.org/10.1155/2008/159276
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author David A. Bergman
Paul J. Sharek
Kathryn Ekegren
Shannon Thyne
Michelle Mayer
Mara Saunders
author_facet David A. Bergman
Paul J. Sharek
Kathryn Ekegren
Shannon Thyne
Michelle Mayer
Mara Saunders
author_sort David A. Bergman
collection DOAJ
description 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.
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spelling doaj-art-3247a8654d8f423d96a94e128ec043c52025-02-03T05:46:54ZengWileyInternational Journal of Telemedicine and Applications1687-64151687-64232008-01-01200810.1155/2008/159276159276The Use of Telemedicine Access to Schools to Facilitate Expert Assessment of Children with AsthmaDavid A. Bergman0Paul J. Sharek1Kathryn Ekegren2Shannon Thyne3Michelle Mayer4Mara Saunders5Department of Pediatrics, Stanford University School of Medicine, Suite 100, 770 Welch Rd, Palo Alto, CA 94301, USADepartment of Pediatrics, Stanford University School of Medicine, Suite 100, 770 Welch Rd, Palo Alto, CA 94301, USASchool Health Programs Department, San Francisco Unified School District, 1515 Quintara Ave, San Francisco, CA 94116, USADepartment of Pediatrics, University of California, Box SFGH, MS 6E/SFGH(nh), San Francisco, CA 94143, USACecil G. Sheps Center for Health Services Research, The University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USADepartment of Pediatrics, Stanford University School of Medicine, Suite 100, 770 Welch Rd, Palo Alto, CA 94301, USAResearch 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.http://dx.doi.org/10.1155/2008/159276
spellingShingle David A. Bergman
Paul J. Sharek
Kathryn Ekegren
Shannon Thyne
Michelle Mayer
Mara Saunders
The Use of Telemedicine Access to Schools to Facilitate Expert Assessment of Children with Asthma
International Journal of Telemedicine and Applications
title The Use of Telemedicine Access to Schools to Facilitate Expert Assessment of Children with Asthma
title_full The Use of Telemedicine Access to Schools to Facilitate Expert Assessment of Children with Asthma
title_fullStr The Use of Telemedicine Access to Schools to Facilitate Expert Assessment of Children with Asthma
title_full_unstemmed The Use of Telemedicine Access to Schools to Facilitate Expert Assessment of Children with Asthma
title_short The Use of Telemedicine Access to Schools to Facilitate Expert Assessment of Children with Asthma
title_sort use of telemedicine access to schools to facilitate expert assessment of children with asthma
url http://dx.doi.org/10.1155/2008/159276
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