TY - CHAP M1 - Book, Section TI - School and Childcare Center Telehealth A1 - Herendeen, Neil E. A2 - Rheuban, Karen Schulder A2 - Krupinski, Elizabeth A. PY - 1 T2 - Understanding Telehealth AB - Jackie is a working mother of five children who works as a teacher's aide and cooks for the childcare center that her youngest two children attend. Three of her kids have asthma, and her youngest has recurrent otitis, which added together have required 15 medical visits (pediatrician, pulmonologist, emergency department) in a three-month period. As with many low-paying service jobs, Jackie does not get paid if she is not at work and feels caught in a no-win situation. She either feels guilty for being a bad mom if she doesn’t take her children in for their medical appointments or lets her family down by not getting paid when she takes off work but then doesn’t have enough money at the end of the month to pay her bills. Her childcare center director appreciates her dilemma and is excited to tell her about a new telemedicine service that will allow her children to see their primary care medical home without having to leave school or the childcare center. Jackie can now stay at work and have her kids get the medical attention they deserve. She still has to come to the hospital for her specialist visits and well-child visits but is able to schedule those for later in the afternoon after her breakfast and lunchtime duties at the childcare center are completed. So far, her youngest has avoided getting pressure equalization tubes with careful management by her primary care provider, and her older children with asthma have improved their attendance at school with better asthma control and an earlier response to exacerbations. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accessmedicine.mhmedical.com/content.aspx?aid=1157312145 ER -