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Assessing eHealth in Pediatric Asthma Care : A Mixed Methods Study on the Impact of the Puffer App on Care Pathways, Time allocation, Workload, and Task Division at Medisch Spectrum Twente

Dullemen, E.M. van (2025) Assessing eHealth in Pediatric Asthma Care : A Mixed Methods Study on the Impact of the Puffer App on Care Pathways, Time allocation, Workload, and Task Division at Medisch Spectrum Twente.

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Abstract:This thesis explores the integration and scalability of the Puffer app in pediatric asthma care at Medisch Spectrum Twente, where over 1,000 children are treated annually. By mapping care pathways and analyzing both qualitative interviews and healthcare data, the study evaluates the app’s impact on workload, task division, and time allocation. Results show that while the Puffer app enhances patient self-management and reduces hospital admissions, it also shifts responsibilities, particularly to nurses and technical physicians, thereby increasing their workload. Although the app is now embedded in routine practice and improves care efficiency, scaling it further within current staffing levels is challenging. Barriers include a lack of clear role definitions, IT system integration, flexible scheduling, and financial support. Without addressing these, broader implementation could compromise the sustainability of pediatric asthma care.
Item Type:Essay (Master)
Clients:
Medisch Spectrum Twente, Enschede, Nederland
Faculty:TNW: Science and Technology
Programme:Health Sciences MSc (66851)
Link to this item:https://purl.utwente.nl/essays/106977
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