Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Specialized Care Centers and Settings-II

Specialized Care Centers and Settings-II

Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...

Methods Of Healthcare Delivery System

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...

Preventive Healthcare Services

Preventive Healthcare Services

Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:

Current Trends in Nursing II

Current Trends in Nursing II

Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...

Issues And Trends In Healthcare Delivery System

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...

Primary Healthcare Services

Primary Healthcare Services

Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

A Clinical-Community Partnership to Address Food Insecurity and Reduce Emergency Department Utilization Among Medicaid-Insured Patients in North Carolina.

Journal of public health management and practice : JPHMP·2023

Same author

An equity-focused approach to improving access to COVID-19 vaccination using mobile health clinics.

Healthcare (Amsterdam, Netherlands)·2023

Same author

<b>Diversification of COVID-19 Testing Resources to Decrease Racial/Ethnic Disparities: Comparative Use of Adaptive Approaches to Community Testing Across an Integrated Healthcare System</b>.

Dialogues in health·2023

Same author

Feasibility of At-Home Virological and Serological Testing for SARS-CoV-2 in Children.

Open forum infectious diseases·2022

Same author

A multimodal intervention to decrease inappropriate outpatient antibiotic prescribing for upper respiratory tract infections in a large integrated healthcare system.

Infection control and hospital epidemiology·2022

Same author

Disparities in Level of Care and Outcomes Among Patients with COVID-19: Associations Between Race/Ethnicity, Social Determinants of Health and Virtual Hospitalization, Inpatient Hospitalization, Intensive Care, and Mortality.

Journal of racial and ethnic health disparities·2022

Search research articles

Related Experiment Video

Updated: Jul 30, 2025

Bridging the Technology Divide in the COVID-19 Era: Using Virtual Outreach to Expose Middle and High School Students to Imaging Technology

Bridging the Technology Divide in the COVID-19 Era: Using Virtual Outreach to Expose Middle and High School Students to Imaging Technology

Published on: September 28, 2022

School-Based Telemedicine and Reduced Avoidable Emergency Care Among Rural Pediatric Patients.

Carlene A Mayfield¹, Jennifer S Priem², Tiffany Effinger³

¹Department of Community Health, Atrium Health, Charlotte, North Carolina, USA.

Telemedicine Journal and E-Health : the Official Journal of the American Telemedicine Association

|May 12, 2023

Summary

School-based telemedicine significantly reduced avoidable emergency department visits by 33% in rural pediatric patients. This innovative approach improves healthcare access and alleviates emergency service burdens for underserved communities.

Keywords:

NYU algorithm emergency medicine health equity preventive health care rural telemedicine

More Related Videos

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

Author Spotlight: Developing a Point-of-Care Hemoglobin Estimation Method for Anemia Management

Author Spotlight: Developing a Point-of-Care Hemoglobin Estimation Method for Anemia Management

Published on: January 19, 2024

Related Experiment Videos

Last Updated: Jul 30, 2025

Bridging the Technology Divide in the COVID-19 Era: Using Virtual Outreach to Expose Middle and High School Students to Imaging Technology

Bridging the Technology Divide in the COVID-19 Era: Using Virtual Outreach to Expose Middle and High School Students to Imaging Technology

Published on: September 28, 2022

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

Author Spotlight: Developing a Point-of-Care Hemoglobin Estimation Method for Anemia Management

Author Spotlight: Developing a Point-of-Care Hemoglobin Estimation Method for Anemia Management

Published on: January 19, 2024

Area of Science:

Health Services Research
Pediatric Health
Telemedicine

Background:

Rural children face healthcare access disparities, increasing reliance on emergency services for preventive care.
School-based telemedicine (SBT) programs aim to bridge this gap by delivering care directly in educational settings.

Purpose of the Study:

To evaluate the impact of SBT on avoidable emergency department (ED) utilization among rural, underserved pediatric patients.
To assess the association between virtual care visits and changes in ED visit frequency.

Main Methods:

Retrospective analysis of electronic health records and claims data from a large healthcare system.
Quasi-experimental, before-and-after design comparing 12-month periods around virtual care visits.
Inclusion of 1,236 pediatric patients across three rural North Carolina counties (2017-2020).

Main Results:

A 33% reduction in the odds of avoidable ED visits was observed post-SBT implementation.
The estimated count of avoidable ED visits decreased by 26%.
No significant changes were found in unavoidable ED visits, indicating targeted impact on preventable care.

Conclusions:

School-based telemedicine effectively improves healthcare access for rural pediatric populations.
SBT can mitigate the burden on emergency services by reducing avoidable ED visits.
Policy support and increased telemedicine adoption, accelerated by the COVID-19 pandemic, can further reduce health disparities.