Implementing school based telehealth for children with medical complexity
Implementing school based telehealth for children with medical complexity
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DOI：
10.3233/prm-160385
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发表时间：
2016-01-01
影响因子：
1.9
通讯作者：
McElligott, Liah
中科院分区：
文献类型：
--
作者：
Cormack, Carrie L.;Garber, Kelli;McElligott, Liah
目的：通过实施远程医疗服务，改善一所为医疗复杂性儿童(CMC)提供服务的学校的家长在提供医疗服务和协作医疗方面的体验。方法：对一所城市公立特许学校的学生家长在学校实施远程医疗前、后两个月和一年后使用护理过程量表(MPOC-20)进行调查。结果：父母在远程医疗实施前后的MPOC-20得分普遍较高。两组的得分没有显著差异。坊间传闻，父母对远程医疗服务的满意度很高。对13所学校(包括这所独特的CMC学校)在2015年至2016年期间使用校本远程医疗的回顾显示，CMC学校与其他12所学校相比，在该学校进行远程医疗访问的几率为23.8%(p值<；0.001；CL：11.2%至50.6%)。结论：在CMC的一所城市公立特许学校实施远程医疗服务之前和之后，家长在提供医疗保健方面的体验都很高。CMC学校的远程医疗使用率显著高于其他12所学校注册该计划的儿童。还需要进一步的研究来评估家长在学校远程保健服务方面的经验。
PURPOSE: This quality improvement project aimed to improve parental experiences with healthcare delivery and collaborative health care offered at a school serving children with medical complexity (CMC) by implementing telehealth services.METHODS: Parents of students at an urban public charter school for CMC were surveyed before and after telehealth was implemented at the school for two months, and again one year later, using the Measure of Processes of Care (MPOC-20).RESULTS: Parental scores on the MPOC-20 were generally high both before and after the implementation of telehealth. There were no significant differences in the scores. Anecdotally, parent satisfaction with telehealth services was high. A review of the utilization of school-based telehealth during the 2015-2016 school year among 13 schools, including this unique school for CMC, revealed that the odds of having a telehealth visit at the school for CMC vs the other 12 schools was 23.8 (p value < 0.001; CL:11.2 to 50.6).CONCLUSION: Parental experiences with healthcare delivery were high both before and after the implementation of telehealth at an urban public charter school for CMC. Utilization of telehealth at the school for CMC was significantly higher than that of children enrolled in the program at 12 other schools. Further research is needed to evaluate parental experiences with school-based telehealth services.