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International Journal of Telemedicine and Applications
Volume 2008, Article ID 159276, 7 pages
Research Article

The Use of Telemedicine Access to Schools to Facilitate Expert Assessment of Children with Asthma

1Department of Pediatrics, Stanford University School of Medicine, Suite 100, 770 Welch Rd, Palo Alto, CA 94301, USA
2School Health Programs Department, San Francisco Unified School District, 1515 Quintara Ave, San Francisco, CA 94116, USA
3Department of Pediatrics, University of California, Box SFGH, MS 6E/SFGH(nh), San Francisco, CA 94143, USA
4Cecil G. Sheps Center for Health Services Research, The University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA

Received 10 July 2007; Accepted 28 August 2007

Academic Editor: E. A. Krupinski

Copyright © 2008 David A. Bergman et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Research has shown that access to an asthma specialist improves asthma outcomes. We hypothesized that we could improve access to expert asthma care through a telemedicine link between an asthma specialist and a school-based asthma program. We conducted a prospective cohort study in 3 urban schools to ascertain the feasibility of using an asthma-focused telemedicine solution. Each subject was seen by an asthma expert at 0, 8, and 32 weeks. The assessment and recommendations for care were sent to the primary care physician (PCP) and parents were told to contact their physician for follow-up care. Eighty three subjects participated in the study. Subjects experienced improvement ( ) in family social activities and the number of asthma attacks. Ninety four percent of subjects rated the program as good or excellent. This study demonstrates the feasibility and acceptance of a school-based asthma program using a telemedicine link to an asthma specialist.