贫困学校远程医疗喘诊所的结果和建议
Rachel Sweenie1, Theresa W Guilbert2,3, Rebecca Lusebrink3
1Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
基于学校的远程医疗喘诊所成功地与边缘化的儿童联系起来,改善了他们的喘控制和减少恶化. 这种创新模式扩大了服务不足的人群获得基本专业护理的机会.
科学领域:
- 儿科肺病学 儿科肺病学
- 数字健康公平性数字健康公平性
- 公共卫生干预措施 公共卫生干预
背景情况:
- 历史上被边缘化的人群在获得专业喘护理方面面临重大障碍.
- 健康的社会决定因素加剧了喘差异.
- 基于学校的远程医疗为儿童喘管理提供了一个有前途的解决方案.
研究的目的:
- 评估基于学校的远程医疗喘诊所的覆盖范围,实施和有效性.
- 评估这些诊所对贫困社区中患有非控制性喘的儿童的影响.
- 确定远程医疗是否可以弥合专业护理获取的差距.
主要方法:
- 儿童肺科医生为学生提供远程医疗咨询服务.
- 评估包括喘控制,肺功能,恶化和医疗保健利用.
- 用描述性统计和t测试分析了电子健康记录数据.
主要成果:
- 诊所为54名患者提供服务,主要是黑人 (90.7%) 和公共保险 (92.6%).
- 超过一半 (51.9%) 之前没有接受过特殊的喘护理.
- 观察到喘控制的显著改善 (p=0.017) 和恶化/医疗保健使用减少.
结论:
- 基于学校的远程医疗喘诊所有效地接触到边缘化人口.
- 这种模型显著改善了患有喘的儿童的临床结果.
- 远程医疗提供了一个可扩展的解决方案,以增加获得专业护理的机会.
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