Evaluation of a Telehealth Paediatric Asthma and Allergy Clinic Patient Follow-Up During the COVID-19 Pandemic

Background/Objectives: The COVID-19 pandemic created many challenges for health services, particularly during lockdown periods. Asthma is one of the most common childhood conditions, and children with asthma are generally cared for in an outpatient setting. In regional Northwest Tasmania, during the...

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Main Authors: Sarah J. Prior, Gaylene Bassett, Emmeline Van Beek, Claire Griffiths, Smriti Sinha, Shrima Shrestha, Sukhwinder Singh Sohal, Heinrich Christoph Weber
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Children
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Online Access:https://www.mdpi.com/2227-9067/11/12/1507
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author Sarah J. Prior
Gaylene Bassett
Emmeline Van Beek
Claire Griffiths
Smriti Sinha
Shrima Shrestha
Sukhwinder Singh Sohal
Heinrich Christoph Weber
author_facet Sarah J. Prior
Gaylene Bassett
Emmeline Van Beek
Claire Griffiths
Smriti Sinha
Shrima Shrestha
Sukhwinder Singh Sohal
Heinrich Christoph Weber
author_sort Sarah J. Prior
collection DOAJ
description Background/Objectives: The COVID-19 pandemic created many challenges for health services, particularly during lockdown periods. Asthma is one of the most common childhood conditions, and children with asthma are generally cared for in an outpatient setting. In regional Northwest Tasmania, during the COVID-19 lockdowns, asthma and allergy outpatient clinic services were transferred to a virtual platform in the form of telehealth appointments for routine consultations. This study aims to explore the patient and family perspectives of a telehealth outpatient asthma review service in a regional area. Methods: We utilised a mixed-methods approach, interviewing parents and children who attended the clinic via telehealth and collating routine clinical audit data collected during the same period. Results: Sixty-three patient reviews were audited, with a mean age of 9.79 years. Since their last review, 13% visited their GP, 9% presented to the ED, 6% were hospitalised, and 19% had changes in their treatment plan. Interviews highlighted three main themes: (i) telehealth is a convenient strategy for routine asthma and allergy review appointments, (ii) barriers associated with using telehealth are a minor concern for parents of children with asthma and allergy routine appointments, and (iii) shared decision-making between clinicians and parents of children with asthma and allergy around the type of appointment required is valued. Conclusions: We demonstrated that the benefits of telehealth include implementing treatment changes and facilitating access to care for children living in rural and remote areas.
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spelling doaj-art-6feeb4de05164acb8cc82cbf2c0caafd2025-08-20T02:00:19ZengMDPI AGChildren2227-90672024-12-011112150710.3390/children11121507Evaluation of a Telehealth Paediatric Asthma and Allergy Clinic Patient Follow-Up During the COVID-19 PandemicSarah J. Prior0Gaylene Bassett1Emmeline Van Beek2Claire Griffiths3Smriti Sinha4Shrima Shrestha5Sukhwinder Singh Sohal6Heinrich Christoph Weber7Tasmanian School of Medicine, University of Tasmania, Burnie, TAS 7320, AustraliaTasmanian Health Service—Northwest, Burnie, TAS 7320, AustraliaRural Clinical School, University of Tasmania, Burnie, TAS 7320, AustraliaTasmanian Health Service—Northwest, Burnie, TAS 7320, AustraliaTasmanian Health Service—Northwest, Burnie, TAS 7320, AustraliaTasmanian Health Service—Northwest, Burnie, TAS 7320, AustraliaRespiratory Translational Research Group, Department of Laboratory Medicine, School of Health Sciences, College of Health and Medicine, University of Tasmania, Launceston, TAS 7248, AustraliaTasmanian Health Service—Northwest, Burnie, TAS 7320, AustraliaBackground/Objectives: The COVID-19 pandemic created many challenges for health services, particularly during lockdown periods. Asthma is one of the most common childhood conditions, and children with asthma are generally cared for in an outpatient setting. In regional Northwest Tasmania, during the COVID-19 lockdowns, asthma and allergy outpatient clinic services were transferred to a virtual platform in the form of telehealth appointments for routine consultations. This study aims to explore the patient and family perspectives of a telehealth outpatient asthma review service in a regional area. Methods: We utilised a mixed-methods approach, interviewing parents and children who attended the clinic via telehealth and collating routine clinical audit data collected during the same period. Results: Sixty-three patient reviews were audited, with a mean age of 9.79 years. Since their last review, 13% visited their GP, 9% presented to the ED, 6% were hospitalised, and 19% had changes in their treatment plan. Interviews highlighted three main themes: (i) telehealth is a convenient strategy for routine asthma and allergy review appointments, (ii) barriers associated with using telehealth are a minor concern for parents of children with asthma and allergy routine appointments, and (iii) shared decision-making between clinicians and parents of children with asthma and allergy around the type of appointment required is valued. Conclusions: We demonstrated that the benefits of telehealth include implementing treatment changes and facilitating access to care for children living in rural and remote areas.https://www.mdpi.com/2227-9067/11/12/1507pandemicoutpatient clinicruralrespiratory diseasepatient experience
spellingShingle Sarah J. Prior
Gaylene Bassett
Emmeline Van Beek
Claire Griffiths
Smriti Sinha
Shrima Shrestha
Sukhwinder Singh Sohal
Heinrich Christoph Weber
Evaluation of a Telehealth Paediatric Asthma and Allergy Clinic Patient Follow-Up During the COVID-19 Pandemic
Children
pandemic
outpatient clinic
rural
respiratory disease
patient experience
title Evaluation of a Telehealth Paediatric Asthma and Allergy Clinic Patient Follow-Up During the COVID-19 Pandemic
title_full Evaluation of a Telehealth Paediatric Asthma and Allergy Clinic Patient Follow-Up During the COVID-19 Pandemic
title_fullStr Evaluation of a Telehealth Paediatric Asthma and Allergy Clinic Patient Follow-Up During the COVID-19 Pandemic
title_full_unstemmed Evaluation of a Telehealth Paediatric Asthma and Allergy Clinic Patient Follow-Up During the COVID-19 Pandemic
title_short Evaluation of a Telehealth Paediatric Asthma and Allergy Clinic Patient Follow-Up During the COVID-19 Pandemic
title_sort evaluation of a telehealth paediatric asthma and allergy clinic patient follow up during the covid 19 pandemic
topic pandemic
outpatient clinic
rural
respiratory disease
patient experience
url https://www.mdpi.com/2227-9067/11/12/1507
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