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Issue title: Children with Medical Complexity Offer Challenges and Opportunities for the Healthcare System
Guest editors: Richard Segal
Article type: Research Article
Authors: Cormack, Carrie L.a; * | Garber, Kellia | Cristaldi, Kathryna | Edlund, Barbaraa | Dodds, Cindya | McElligott, Liahb
Affiliations: [a] Medical University of South Carolina (MUSC), Charleston, SC, USA | [b] Royal College of Surgeons in Ireland Beaumont Hospital, Beaumont, Dublin, Ireland
Correspondence: [*] Corresponding author: Carrie L. Cormack, CON, MUSC, 99 Jonathan Lucas Street, Charleston, SC 29425, USA. Tel.: +1 843 452 9424; E-mail:[email protected]
Abstract: 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.
Keywords: Telehealth, school health services, disabled children
DOI: 10.3233/PRM-160385
Journal: Journal of Pediatric Rehabilitation Medicine, vol. 9, no. 3, pp. 237-240, 2016
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