Parental Trust in School‐Based Health Care: A Systematic Review

2021 ◽  
Author(s):  
Andrea S. Nahum ◽  
Hursuong Vongsachang ◽  
David S. Friedman ◽  
Megan E. Collins
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
School Based ◽  
Parental Trust

scholarly journals Teaching through telemedicine: A systematic review of education-focused asthma interventions (Preprint)

2019 ◽  
Author(s):  
Nathan Culmer ◽  
Todd Smith ◽  
Catanya Stager ◽  
Andrea Wright ◽  
Karen Burgess ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Health Care ◽  
Clinical Outcomes ◽  
Video Streaming ◽  
Symptom Burden ◽  
Self Management ◽  
School Based ◽  
Methodological Rigor

BACKGROUND Asthma affects nearly six million children in the United States, with annual school absences totaling 13.8 million days and additional health expenses of $800/year. With limited access to health care in remote locations and underserved communities, telemedicine in a school-based setting involving partnerships between an asthmatic child and health care provider can provide patients with the opportunity to better manage chronic conditions, communicate among partners, and collaborate for solutions. OBJECTIVE The aim of this systematic review is to examine the findings from partnerships involving school-based telemedicine studies using live video streaming to support clinical and educational outcomes for patient-centered care. METHODS Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we searched the peer-reviewed literature with terms related to asthma, education and pediatrics and found 408 unduplicated, relevant articles. A determination to include or exclude each abstract was independently made through reviews by at least two researchers. All conflicts were resolved through a consensus by the two lead authors, resulting in five articles. We then methodically extracted data from these five articles related to a) participant background, b) research methods and purpose, and (c) outcomes (educational, self-management, clinical, quality of life (QOL), and satisfaction). We also used the Effective Public Health Practice Project (EPHPP) Quality Assessment Tool to better understand the methodological rigor of each study. RESULTS Our results support telemedicine in a school-based setting as an effective means of empowering asthmatic children and their families to better manage their asthma and thereby improve quality of life. All projects utilized telemedicine technology and live two-way video streaming. We found a variety of educational and curricular tools used to deliver the sessions, with each study reporting generally positive results in terms of clinical outcomes (such as symptom-free days [SFDs] and health care utilization), learning, self-management of asthma, satisfaction with the intervention, and certain aspects of QOL, but not in terms of self-efficacy. Regarding the methodological rigor of the five studies, we rated two articles as strong, two as moderate, and one as weak. CONCLUSIONS After a review of these five studies, we believe that real-time telemedically delivered asthma education has great potential to improve QOL, enhance symptom management ability, and reduce symptom burden on asthma patients, though the results were mixed across the studies. In terms of clinical outcomes, most, but not all, studies found statistically significant improvements in terms of SFDs, symptom control, peak flow rates, and visits to physicians or an ED. Additionally, we found promising results that patient education can, under proper circumstances, positively influence symptom burden. However, further validation of the methods and tools used for these interventions is both merited and prudent.

Systematic review of factors determining health care expenditures

2021 ◽  
Author(s):  
Mohammad Meskarpour Amiri ◽  
Mahmood Kazemian ◽  
Zahra Motaghed ◽  
Zhaleh Abdi
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Health Care Expenditures

scholarly journals Analysis of Facilitators and Barriers to the Delivery of Routine Care during the COVID-19 Global Pandemic: A Systematic Review

Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 528
Author(s):  
Cristian Lieneck ◽  
Brooke Herzog ◽  
Raven Krips
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Health Care Services ◽  
Care Delivery ◽  
Routine Care ◽  
Future Research ◽  
Healthcare Organizations ◽  
Care Services ◽  
Global Pandemic ◽  
Facilitators And Barriers

The delivery of routine health care during the COVID-19 global pandemic continues to be challenged as public health guidelines and other local/regional/state and other policies are enforced to help prevent the spread of the virus. The objective of this systematic review is to identify the facilitators and barriers affecting the delivery of routine health care services during the pandemic to provide a framework for future research. In total, 32 articles were identified for common themes surrounding facilitators of routine care during COVID-19. Identified constructed in the literature include enhanced education initiatives for parents/patients regarding routine vaccinations, an importance of routine vaccinations as compared to the risk of COVID-19 infection, an enhanced use of telehealth resources (including diagnostic imagery) and identified patient throughput/PPE initiatives. Reviewers identified the following barriers to the delivery of routine care: conservation of medical providers and PPE for non-routine (acute) care delivery needs, specific routine care services incongruent the telehealth care delivery methods, and job-loss/food insecurity. Review results can assist healthcare organizations with process-related challenges related to current and/or future delivery of routine care and support future research initiatives as the global pandemic continues.

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