Bergman David A, Sharek Paul J, Ekegren Kathryn, Thyne Shannon, Mayer Michelle, Saunders Mara
Department of Pediatrics, Stanford University School of Medicine, Suite 100, 770 Welch Rd, Palo Alto, CA 94301, USA.
Int J Telemed Appl. 2008;2008:159276. doi: 10.1155/2008/159276.
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.
研究表明，获得哮喘专科医生的治疗可改善哮喘治疗效果。我们假设，通过哮喘专科医生与学校哮喘项目之间的远程医疗联系，我们可以改善获得专家哮喘护理的机会。我们在3所城市学校进行了一项前瞻性队列研究，以确定使用以哮喘为重点的远程医疗解决方案的可行性。每位受试者在第0、8和32周由哮喘专家进行诊治。护理评估和建议发送给初级保健医生（PCP），并告知家长联系他们的医生进行后续护理。83名受试者参与了该研究。受试者在家庭社交活动和哮喘发作次数方面有改善（P < 0.05）。94%的受试者对该项目的评价为良好或优秀。这项研究证明了使用与哮喘专科医生的远程医疗联系的学校哮喘项目的可行性和可接受性。
