Implementation of Telehealth Services in Rural Schools: A Qualitative Assessment

Autor/inn/en	Fox, Kimberley; Burgess, Amanda; Williamson, Martha Elbaum; Massey, John; Shaler, George; Pearson, Karen; MacKenzie, Jennifer; Merchant, Kimberly; Zhu, Xi; Ward, Marcia
Titel	Implementation of Telehealth Services in Rural Schools: A Qualitative Assessment
Quelle	In: Journal of School Health, 92 (2022) 1, S.71-78 (8 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Fox, Kimberley) ORCID (Burgess, Amanda) ORCID (Pearson, Karen) ORCID (Ward, Marcia)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-4391
DOI	10.1111/josh.13104
Schlagwörter	School Health Services; Telecommunications; Access to Health Care; Program Implementation; Program Evaluation; Rural Schools; Barriers; Technology Uses in Education; Financial Support; Adoption (Ideas); Technology Education; Marketing; Integrated Services + Suchen Sie Ihr Suchwort? Schuleingangsuntersuchung; Telekommunikationstechnik; Programme evaluation; Programmevaluation; Rural area; Rural areas; School; Schools; Ländlicher Raum; Schule; Schulen; Technology enhanced learning; Technology aided learning; Technologieunterstütztes Lernen; Finanzielle Förderung; Ideas; Ideenfindung; Technisch-naturwissenschaftlicher Unterricht
Abstract	Background: In rural areas with health professional workforce shortages, telehealth offers an opportunity to address service gaps and meet the health needs of students. Few studies have examined telehealth implementation in rural schools. This study explores facilitators and barriers to the implementation of telehealth programs in rural schools and identifies strategies for successful implementation to inform future school-based telehealth initiatives. Methods: We conducted semi-structured qualitative interviews with 50 key informants involved in the implementation of telehealth programs funded through the School-Based Telehealth Network Grant Program. Researchers completed a thematic analysis of interview transcripts. Results: The most commonly cited barriers were technology, reimbursement for services, and facilitating acceptance of the telehealth among school staff, clinicians, parents, and students. Key informants identified strategies for facilitating program implementation, including technology training and support, marketing efforts, and integration into existing school processes. Conclusions: School-based telehealth can augment clinical capacity in areas with clinician shortages. Entities interested in such an approach to care must engage with their school community to ensure successful implementation. For rural, school-based telehealth to gain greater adoption and be sustained, these services must be reimbursable by Medicaid and private insurers. (As Provided).
Anmerkungen	Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01