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Association of a school-based, asthma-focused telehealth program with emergency department visits among children enrolled in South Carolina Medicaid

JAMA Pediatrics Nov 16, 2019

Bian J, Cristaldi KK, Summer AP, et al. - Researchers examined how a school-based telehealth program in Williamsburg county (South Carolina) influenced all-cause emergency department (ED) visits made by children enrolled in Medicaid. In this Medicaid claims data analysis, they included children aged 3 to 17 years enrolled in Medicaid from Williamsburg county and 4 surrounding counties in South Carolina. Williamsburg served as the intervention and the 4 surrounding counties without a telehealth program as the control. As per outcomes, a school-based telehealth program implemented in a rural South Carolina county did not influence all-cause emergency department visits among these children. However, this program was identified leading to a more than 20% overall reduction in emergency department visits in an additional analysis of a subsample of children with asthma. Findings thereby suggest a possible value of telehealth programs with a focus on chronic pediatric diseases, such as asthma, for improving children’s health in rural and medically underserved communities.
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