Connecting Patient Centered Care for Chronic Conditions to School-based Clinics through Telehealth: the Asthma Free Schools Program
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University of Cincinnati / OhioLINK
2017
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| Online Access: | http://rave.ohiolink.edu/etdc/view?acc_num=ucin1491314488009699 |
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ndltd-OhioLink-oai-etd.ohiolink.edu-ucin14913144880096992021-08-03T07:01:21Z Connecting Patient Centered Care for Chronic Conditions to School-based Clinics through Telehealth: the Asthma Free Schools Program Dunfee, Madeline N. Public Health school-based health treatment adherence telehealth behavioral therapy adolescent health asthma BACKGROUND: Asthma morbidity is most prevalent among children living in under-resourced, urban environments. Additionally, children living in economically depressed regions tend to experience many barriers to accessing medical care. This study investigates the effects of combining school-based asthma care and health technology to increase access to asthma care among minority students in Cincinnati, Ohio from the perspectives of multiple stakeholders. METHODS: Patients in this study participated in the Asthma Free Schools pilot program (AFS) which engaged youth with poorly controlled asthma in six telehealth appointments with an asthma specialist and six telehealth appointments with an adherence specialist. Descriptive, secondary analysis of inter and post-intervention surveys revealed how well the AFS program met stakeholders’ expectations. Survey questions focused on the interaction between participants and the study staff, ease of technology use and participants' opinion of the value of telehealth appointments. RESULTS: Across surveys and stakeholder groups, results revealed high satisfaction with the AFS program. All guardians and nurses believed the telehealth visits met their child's healthcare needs. The AFS program drastically increased access to care among minority youth; 85% (n=11) patients reported that without telehealth, they would not have seen an asthma or adherence specialist. Finally, according to school administrators, participation in the AFS program proved a positive experience for school staff, students and families. DISCUSSION: The AFS program successfully combined school-based healthcare and health technology to increase access to patient-centered, asthma care among patients with uncontrolled asthma living in lower-income, minority communities. All stakeholders were pleased with the intervention, which was likely due to the rapport among researchers, school staff, and families. As school-based health centers become more prevalent, and health technology continues to advance, opportunities for improving access to patient-centered care for chronic conditions will also grow. 2017-09-12 English text University of Cincinnati / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=ucin1491314488009699 http://rave.ohiolink.edu/etdc/view?acc_num=ucin1491314488009699 unrestricted This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws. |
| collection |
NDLTD |
| language |
English |
| sources |
NDLTD |
| topic |
Public Health school-based health treatment adherence telehealth behavioral therapy adolescent health asthma |
| spellingShingle |
Public Health school-based health treatment adherence telehealth behavioral therapy adolescent health asthma Dunfee, Madeline N. Connecting Patient Centered Care for Chronic Conditions to School-based Clinics through Telehealth: the Asthma Free Schools Program |
| author |
Dunfee, Madeline N. |
| author_facet |
Dunfee, Madeline N. |
| author_sort |
Dunfee, Madeline N. |
| title |
Connecting Patient Centered Care for Chronic Conditions to School-based Clinics through Telehealth: the Asthma Free Schools Program |
| title_short |
Connecting Patient Centered Care for Chronic Conditions to School-based Clinics through Telehealth: the Asthma Free Schools Program |
| title_full |
Connecting Patient Centered Care for Chronic Conditions to School-based Clinics through Telehealth: the Asthma Free Schools Program |
| title_fullStr |
Connecting Patient Centered Care for Chronic Conditions to School-based Clinics through Telehealth: the Asthma Free Schools Program |
| title_full_unstemmed |
Connecting Patient Centered Care for Chronic Conditions to School-based Clinics through Telehealth: the Asthma Free Schools Program |
| title_sort |
connecting patient centered care for chronic conditions to school-based clinics through telehealth: the asthma free schools program |
| publisher |
University of Cincinnati / OhioLINK |
| publishDate |
2017 |
| url |
http://rave.ohiolink.edu/etdc/view?acc_num=ucin1491314488009699 |
| work_keys_str_mv |
AT dunfeemadelinen connectingpatientcenteredcareforchronicconditionstoschoolbasedclinicsthroughtelehealththeasthmafreeschoolsprogram |
| _version_ |
1719452098971566080 |