Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Ark; Arkansas Children's Research Institute, Little Rock, Ark.
Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Ark; Arkansas Children's Research Institute, Little Rock, Ark.
J Allergy Clin Immunol Pract. 2019 Nov-Dec;7(8):2524-2532. doi: 10.1016/j.jaip.2019.08.009.
Asthma affects 10% of school-age children in the United States. These numbers nearly double in high-risk populations such as low-income and minority populations. Patients in these populations frequently live in communities that are medically underserved, with limited resources to implement comprehensive asthma interventions. It is important for researchers and clinicians to explore avenues to reduce the burden of illness in this population. Incorporating innovative strategies such as school-based telemedicine programs can potentially reduce morbidity, health care utilization, work absenteeism for caregivers, and school absenteeism for children with asthma. The aim of this review is to discuss the potential benefits of school-based asthma telemedicine programs, explore potential implementation models, and provide a comprehensive review of the literature including programs that use telemedicine in schools to assist with the management of asthma. Telemedicine is a feasible approach to increasing access to primary and specialty asthma care; however, there is a need for future randomized trials to establish best practices for implementation of telemedicine programs to aid in the care for children in school settings.
哮喘影响美国 10%的学龄儿童。在低收入和少数族裔等高危人群中，这一数字几乎翻了一番。这些人群中的患者经常生活在医疗服务不足的社区，实施全面哮喘干预的资源有限。研究人员和临床医生探索途径来减轻这一人群的疾病负担非常重要。采用基于学校的远程医疗计划等创新策略，可能会降低发病率、医疗保健利用、照顾者的工作缺勤率以及哮喘儿童的学校缺勤率。本综述的目的是讨论基于学校的哮喘远程医疗计划的潜在益处，探索潜在的实施模式，并对包括在学校使用远程医疗来协助管理哮喘的计划在内的文献进行全面综述。远程医疗是增加初级和专科哮喘护理机会的可行方法；然而，需要未来的随机试验来确定远程医疗计划实施的最佳实践，以帮助学校环境中的儿童护理。
