Abstract:
AIMS:We report a novel pilot project that allows access to healthcare for children and staff at school via a mobile clinic or telemedicine portal connected to the mobile clinic. The objectives of this pilot project were (a) to perform physicals for children not attached to a primary care physician; (b) to provide medical consultations and treatment for acute illnesses of students and staff, and (c) to lower absenteeism rates among students and staff. METHODS:In 2013, Ronald McDonald House Charities, a non-profit organization, partnered with Children's Hospital of Erlanger to provide a mobile clinic trademarked Ronald McDonald Care Mobile utilising a large, box-style truck equipped with examination rooms and a telemedicine portal. Initially, starting with three elementary schools in Bradley County, Tennessee, USA, the programme rapidly expanded to include schools in five other participating Tennessee counties. Only three schools in Bradley County have the option of in-person visits. All other schools access care via telemedicine portals. Funding is provided through multiple grants and community partners. If a student does have insurance, the insurance carrier is billed for the visit, but students without insurance are treated free of charge. Prior to the 2018-2019 school year, only limited data were collected. RESULTS:Our first goal was to perform physicals for children not attached to a primary care physician. During the 2018-2019 school year, 28 patients presented for a well-child check. However, 16 of these (57%) did not have a primary care physician. Of note, 19% of students presenting for any complaint did not have a primary care physician on file (172 students). All well-child checks were performed in-person on the Care Mobile. Our second goal was to provide medical consultations and treatment for acute illnesses. A total of 1446 persons were seen for sick visits. Of these, 424 were telemedicine visits (352 students and 72 staff), while 1022 were in-person visits. The five most common diagnoses that the nurse practitioner managed during the 2018-2019 school year included acute pharyngitis, acute upper respiratory infection, streptococcal pharyngitis, fever and acute maxillary sinusitis. Finally, our third goal was to lower absenteeism rates. There were 1446 sick person visits (1253 students and 193 staff). Twenty-two per cent of the students (276 persons) returned to class while 74% (142 persons) of staff returned to work. CONCLUSION:The mobile/telemedicine health clinic is a novel innovation to increase access to acute care and reduce school absenteeism among both students and staff, potentially saving schools hundreds to thousands of dollars.
journal_name
J Telemed Telecarejournal_title
Journal of telemedicine and telecareauthors
Nelson R,Bhattacharya SD,Hart Sdoi
10.1177/1357633X20917497subject
Has Abstractpub_date
2020-05-11 00:00:00pages
1357633X20917497eissn
1357-633Xissn
1758-1109pub_type
杂志文章abstract::The Italian national telemedicine programme included a broad range of research projects, but they all served the common purpose of bringing about improvements in health-care management and performance. The programme consisted of seven projects, each of which had specific research and training objectives, and a three-y...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,评审
doi:10.1258/1357633021937514
更新日期:2002-01-01 00:00:00
abstract::Desktop videoconferencing at 384 kbit/s was used for a trial of tele-ophthalmology consultations between a general practitioner (GP) and an experienced ophthalmologist. Forty-two consecutive patients from St Erik's Eye Hospital emergency ward with disorders in the anterior part of the eye were examined. There was an e...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X010070S110
更新日期:2001-01-01 00:00:00
abstract::In the UK National Health Service (NHS), NHS Direct, the national 24-h telephone helpline, has been available in England and Wales since 2000 and has been termed a 'single gateway' to health care. We conducted a population survey of 15,004 people in areas covered by the service, which included questions about NHS Dire...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763306777889091
更新日期:2006-01-01 00:00:00
abstract::We studied the patient experience of a telephone booster intervention, i.e. weekly reinforcement of the clinic advice regarding lifestyle modification advice to support weight loss. Forty six adults with Type 2 diabetes and a body mass index >28 kg/m(2) were randomised into either intervention (n = 25) or control (n =...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,随机对照试验
doi:10.1258/jtt.2010.004016
更新日期:2010-01-01 00:00:00
abstract::Three different, well established systems for e-referral were examined. They ranged from a system in a single country handling a large number of cases (60,000 per year) to a global system covering many countries which handled fewer cases (150 per year). Nonetheless, there appeared to be a number of common features. Wh...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763303322596354
更新日期:2003-01-01 00:00:00
abstract::Telemedicine was used to make measurements on a series of radiographs. The first group consisted of 25 radiographs of the cervical spine; four lengths were measured on each. The second group consisted of 100 wrist radiographs showing Colles fractures; the degree of backward angulation of the distal fragment was measur...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X020080S239
更新日期:2002-01-01 00:00:00
abstract::The current trend among many universities is to increase the number of courses available online. However, there are fundamental problems in transferring traditional education courses to virtual formats. Delivering current curricula in an online format does not assist in overcoming the negative effects on student motiv...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/13576330260440907
更新日期:2002-12-01 00:00:00
abstract:INTRODUCTION:Tele-emergency models have been utilized for decades, with growing evidence of their effectiveness. Due to the variety of tele-emergency department (tele-ED) models used in practice, however, it is challenging to build standardized metrics for ongoing evaluation. This study describes two tele-ED programs, ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X19839610
更新日期:2021-01-01 00:00:00
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journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763304323070797
更新日期:2004-01-01 00:00:00
abstract::Introduction Knee osteoarthritis is a major cause of disability among the middle to senior age groups. Despite being effective, office-based physical therapy (OBPT) needs professional human resources and is both costly and time-consuming. We aimed to compare the efficacy of tele-rehabilitation (tele-rehab) compared wi...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,随机对照试验
doi:10.1177/1357633X17723368
更新日期:2018-09-01 00:00:00
abstract::To determine the motivation behind patients attending hospital eye services, 30 in-depth interviews were conducted in Accra, Ghana, using a semi-structured format. Patients were interviewed from five different populations. Discomfort in the eye was the main reason for attending the eye clinic. Patients had high expect...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763307783064449
更新日期:2007-01-01 00:00:00
abstract::Patients are interested in secure electronic communication with their health-care providers, but physicians have been slow to adopt the technique into their practice. We have therefore reviewed the literature on secure patient messaging. Relevant studies were identified by Medline search which produced 1065 publicatio...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,评审
doi:10.1258/jtt.2009.090111
更新日期:2009-01-01 00:00:00
abstract:INTRODUCTION:Veterans with post-traumatic stress disorder (PTSD) face significant barriers that make it less likely for them to pursue treatment. A randomized controlled non-inferiority trial was used to determine if providing psychotherapy for PTSD via videoconference (VC) is as effective as in-person (IP) psychothera...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,随机对照试验
doi:10.1177/1357633X19853947
更新日期:2020-10-01 00:00:00
abstract::Introduction Maternal depression (MD), is an overarching term for depression affecting pregnant women and mothers for up to 12 months postpartum. Because MD may have chronic and long-lasting effects, it is an important public health concern. The extent to which telemedicine may be an effective way to provide services ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,meta分析
doi:10.1177/1357633X18794332
更新日期:2018-12-01 00:00:00
abstract::We piloted a videoconferencing continuing medical education programme for rural physicians in Alberta and compared its feasibility, acceptability and cost implications with currently existing telephone conferencing and regional conference programmes. Videoconferencing clearly had advantages over telephone conferencing...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X020080S249
更新日期:2002-01-01 00:00:00
abstract::A tele-ultrasound survey was distributed to clinicians and sonographers in regional and rural sites throughout Queensland. In all, 28 centres were invited to complete a profile questionnaire, and 27 centres were invited to complete a case-log. Twenty-five of the 28 questionnaires were returned (89% response rate). Twe...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,多中心研究
doi:10.1258/135763305775124696
更新日期:2005-01-01 00:00:00
abstract::A portable nuclear medicine (NM) processing system was established in Kalgoorlie and an acute myocardial perfusion scintigraphy (MPS) service was provided for the local regional hospital. After scanning the patient, the data were processed on a laptop computer and JPEG images were transmitted to a secure Web server. A...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763303322196411
更新日期:2003-01-01 00:00:00
abstract::We performed two cycles of laboratory-based usability testing of three food registration prototypes for people with diabetes. The design concepts were a commercial web application, various smartphones and a mobile phone photo blogging approach. Six adults with Type 1 diabetes and three adults with Type 2 diabetes part...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/jtt.2008.007001
更新日期:2008-01-01 00:00:00
abstract:INTRODUCTION:Mobile-technology-based interventions are promising strategies for promoting behavioural change in obese patients. The aims of this study were to evaluate the feasibility of implementing a text message intervention, and to assess the effects of the intervention on body mass index (BMI) and self-reported be...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X18782092
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journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/jtt.2010.004006
更新日期:2010-01-01 00:00:00
abstract:BACKGROUND:In France, a specially-designed care plan for the elderly is generally based on an interdisciplinary, complex and time-consuming process. The health system assigns care throughout the social and health care services using multiple providers and sites. OBJECTIVE:The free website www.jesuisautonome.fr offers ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X15572713
更新日期:2015-07-01 00:00:00
abstract:INTRODUCTION:Decentralised services through outreach clinics or modern technology reduce patient travel time and cost to society. Telemedicine consultation through videoconference is one such modality. Here, we compared patient-reported health outcomes and satisfaction between video-assisted remote and standard face-to...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,随机对照试验
doi:10.1177/1357633X18783921
更新日期:2019-09-01 00:00:00
abstract:INTRODUCTION:Patients with inflammatory bowel disease (IBD) require long-term secondary care with periodic specialist follow-up. This can be especially challenging for patients living in remote areas. One possible solution is the implementation of videoconference (VC) clinics as a distance-management tool. Here we asse...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X19849280
更新日期:2020-10-01 00:00:00
abstract::It has been suggested that joint teleconsultations can improve communication at the primary-secondary care interface. We examined data from a qualitative analysis of social interactions in teleconsultations between specialists and general practitioners. The primary interaction was between specialists and patients. The...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763306777978425
更新日期:2006-01-01 00:00:00
abstract::We conducted a randomized controlled trial to test whether a Brief Mobile Treatment (BMT) intervention could improve outcomes relative to usual care among suicide attempters. The intervention included training in problem solving therapy, meditation, a brief intervention to increase social support as well as advice on ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,随机对照试验
doi:10.1258/jtt.2012.SFT107
更新日期:2012-04-01 00:00:00
abstract:INTRODUCTION:Sufficient infrastructure for information and communications technology (ICT) and a well-established policy are necessary factors for smooth implementation of telemedicine. However, despite these necessary conditions being met, there are situations where telemedicine still fails to be accepted as a system ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
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更新日期:2019-07-01 00:00:00
abstract::We conducted a randomized controlled study to compare conventional lectures with tele-education for delivering wound care education. Education was delivered by the two methods simultaneously to two classes. Forty-eight paramedics received a live didactic presentation and 41 paramedics received the same lecture via vid...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,随机对照试验
doi:10.1258/jtt.2011.110811
更新日期:2012-03-01 00:00:00
abstract::We compared two models of assistance (telecardiology versus usual care) for patients discharged after acute coronary syndrome (ACS), in the assessment of angina. Two hundred patients were randomized into two groups at discharge for ACS: Group A to telecardiology and Group B to usual care. Early hospital readmission (i...
journal_title:Journal of telemedicine and telecare
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2005-01-01 00:00:00
abstract::We determined the effect of a multifaceted stroke telerehabilitation (STeleR) intervention on falls-related self-efficacy and satisfaction with care. We conducted a prospective, randomized, multisite, single-blinded trial in 52 veterans from three Veterans Affairs Medical Centers. Participants who experienced a stroke...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/1357633X15571995
更新日期:2015-04-01 00:00:00
abstract::We evaluated the effect of a video-phone network on peer support among frail elderly people living at home. We conducted a one-year trial of network formation among 14 people (five men and nine women, age range 78-85 years) through coordinator intervention and the use of ISDN video-phones. The purpose of the intervent...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,多中心研究
doi:10.1258/135763303321159666
更新日期:2003-01-01 00:00:00