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Journal of the American College of... Jun 2020
Topics: Telemedicine; Wearable Electronic Devices
PubMed: 32475633
DOI: 10.1016/j.jacc.2020.05.002 -
The Lancet. Digital Health Dec 2020
Topics: Humans; Monitoring, Ambulatory; Telemedicine; Wearable Electronic Devices
PubMed: 33328027
DOI: 10.1016/S2589-7500(20)30272-7 -
Journal of the American College of... Aug 2019
Topics: Cardiology; Cardiovascular Diseases; Fellowships and Scholarships; Humans; Referral and Consultation; Telemedicine
PubMed: 31439221
DOI: 10.1016/j.jacc.2019.07.024 -
Nursing Forum Jan 2021With an increase in patient demand and a decrease in healthcare professionals, telehealth is able to provide needed services to patients, but appropriate training in...
BACKGROUND
With an increase in patient demand and a decrease in healthcare professionals, telehealth is able to provide needed services to patients, but appropriate training in telehealth is crucial for providers to deliver excellent patient care.
METHOD
Nurse researchers developed a quality improvement project targeting telehealth in the graduate nursing curriculum. A two-part evidence-based curriculum was developed for graduate family nurse practitioner (FNP) students. Part one consisted of a lecture that focused on increasing students' knowledge, and part two enhanced skills through simulation.
RESULTS
Data were collected through qualitative and quantitative surveys. The qualitative data were analyzed for themes and statistical analysis of the quantitative data was completed (t-scores and descriptive statistics). Results showed that FNP students perceived the telehealth curriculum as educational and recommend it be continued for future FNP cohorts.
CONCLUSION
Using evidence-based practice and telehealth experts graduate nursing programs should introduce the telehealth curriculum for FNP students through in class lecture and simulation.
Topics: Curriculum; Education, Nursing, Graduate; Humans; Qualitative Research; Surveys and Questionnaires; Telemedicine
PubMed: 33205442
DOI: 10.1111/nuf.12524 -
Studies in Health Technology and... Jun 2023Technology failures in telehealth are common, and clinicians need the skills to diagnose and manage them at the point of care. However, there are issues beyond...
Technology failures in telehealth are common, and clinicians need the skills to diagnose and manage them at the point of care. However, there are issues beyond technology failures mediating the effective use of telehealth. We must teach best-practice procedures for conducting telemedicine visits and include in instructional simulations commonly encountered failure modes so students can build their skills. To this end, we recruited medical students to conduct a Healthcare Failure Modes and Effects Analysis (HFMEA) to predict failures in telemedicine, their potential causes, and the consequences to develop and teach prevention strategies. Sixteen students observed telehealth appointments independently. Based on their observations, we identified four categories of failures in telemedicine: technical issues, patient safety, communication, and social and structural determinants. We proposed a normalized workflow that included management and prevention strategies. Our findings can inform the creation of new curricula.
Topics: Humans; Needs Assessment; Telemedicine; Curriculum; Communication
PubMed: 37347566
DOI: 10.3233/SHTI230365 -
Australian Journal of General Practice Dec 2020Medication review can be delivered using telehealth during the COVID-19 pandemic to ensure ongoing provision of care to vulnerable patient populations and to minimise...
BACKGROUND
Medication review can be delivered using telehealth during the COVID-19 pandemic to ensure ongoing provision of care to vulnerable patient populations and to minimise risk of infection for both patients and health professionals.
OBJECTIVE
The aim of this article is to discuss the evidence related to telehealth medication reviews and provide practical considerations for conducting successful medication reviews by telehealth.
DISCUSSION
Leading up to the COVID-19 pandemic, telehealth technologies had been increasingly used to deliver medication review services, mainly to patients in rural and remote areas, and were accepted by patients. Available evidence suggests telehealth medication reviews may positively affect clinical and cost outcomes, but there are ongoing challenges. When delivering these services, appropriate preparation - using support people, maintaining patients' privacy, selecting the most suitable technology on the basis of individual circumstances and ensuring good communication between healthcare professionals involved in medication review cycle of care - can help produce best results for patients.
Topics: Humans; Medication Reconciliation; Pandemics; Physician-Patient Relations; Telemedicine
PubMed: 33254216
DOI: 10.31128/AJGP-06-20-5461 -
Journal of Medical Internet Research May 2023Health systems globally need to rapidly set and achieve targets for reaching net zero carbon emissions. Virtual consulting (including video- and telephone-based... (Review)
Review
BACKGROUND
Health systems globally need to rapidly set and achieve targets for reaching net zero carbon emissions. Virtual consulting (including video- and telephone-based consulting) is regarded as one means by which this might be achieved, largely through reduced patient travel. Little is currently known about the ways in which forms of virtual consulting might contribute to the net zero agenda or how countries may develop and implement programs at scale that can support increased environmental sustainability.
OBJECTIVE
In this paper, we asked, What is the impact of virtual consulting on environmental sustainability in health care? and What can we learn from current evaluations that can inform future reductions in carbon emissions?
METHODS
We conducted a systematic review of published literature according to PRISMA (Preferred Reporting Item for Systematic Reviews and Meta-Analyses) guidelines. We searched the MEDLINE, PubMed, and Scopus databases using key terms relating to "carbon footprint," "environmental impact," "telemedicine," and "remote consulting," using citation tracking to identify additional articles. The articles were screened, and full texts that met the inclusion criteria were obtained. Data on the approach to carbon footprinting reported reductions in emissions, and the opportunities and challenges associated with the environmental sustainability of virtual consultations were extracted into a spreadsheet, analyzed thematically, and theorized using the Planning and Evaluating Remote Consultation Services framework to consider the various interacting influences, including environmental sustainability, that shape the adoption of virtual consulting services.
RESULTS
A total of 1672 papers were identified. After removing duplicates and screening for eligibility, 23 papers that focused on a range of virtual consulting equipment and platforms across different clinical conditions and services were included. The focus on the environmental sustainability potential of virtual consulting was unanimously reported through carbon savings achieved by a reduction in travel related to face-to-face appointments. The shortlisted papers used a range of methods and assumptions to determine carbon savings, reporting these using different units and across varied sample sizes. This limited the potential for comparison. Despite methodological inconsistencies, all papers concluded that virtual consulting significantly reduced carbon emissions. However, there was limited consideration of wider factors (eg, patient suitability, clinical indication, and organizational infrastructure) influencing the adoption, use, and spread of virtual consultations and the carbon footprint of the entire clinical pathway in which the virtual consultation was provided (eg, risk of missed diagnoses from virtual consultations that result in the need for subsequent in-person consultations or admissions).
CONCLUSIONS
There is overwhelming evidence that virtual consulting can reduce health care carbon emissions, largely through reducing travel related to in-person appointments. However, the current evidence fails to look at system factors associated with implementing virtual health care delivery and wider research into carbon emissions across the entire clinical pathway.
Topics: Humans; Travel; Travel-Related Illness; Delivery of Health Care; Telemedicine; Remote Consultation
PubMed: 37133914
DOI: 10.2196/44823 -
Biomedica : Revista Del Instituto... Oct 2020The COVID-19 pandemic has generated a revolution of such magnitude that no aspect of human life will be the same from now on. The provision of health services and health...
The COVID-19 pandemic has generated a revolution of such magnitude that no aspect of human life will be the same from now on. The provision of health services and health education are not unrelated to this new normality imposed by the disease, and its consequences have been reflected in the need to use protocols and resources based on virtuality that most of us had not valued in their real dimension. Telehealth and telemedicine will be basic tools for professionals and teachers and it is our obligation to know them, apply them, and innovate to adapt to this reality.
Topics: Betacoronavirus; COVID-19; Colombia; Confidentiality; Coronavirus Infections; Education, Distance; Government Programs; Health Facilities; Health Services Accessibility; Humans; Information Dissemination; Pandemics; Pneumonia, Viral; Procedures and Techniques Utilization; SARS-CoV-2; Telemedicine; Universities; Workforce
PubMed: 33152191
DOI: 10.7705/biomedica.5594 -
Clinical Obstetrics and Gynecology Jun 2021While telemedicine had been utilized in varying ways over the last several years, it has dramatically accelerated in the era of the COVID-19 pandemic. In this article we...
While telemedicine had been utilized in varying ways over the last several years, it has dramatically accelerated in the era of the COVID-19 pandemic. In this article we describe the privacy issues, in relation to the barriers to care for health care providers and barriers to the obstetric patient, licensing and payments for telehealth services, technological issues and language barriers. While there may be barriers to the use of telehealth services this type of care is feasible and the barriers are surmountable.
Topics: Communication Barriers; Female; Health Insurance Portability and Accountability Act; Health Services Accessibility; Humans; Internet; Licensure; Obstetrics; Pregnancy; Privacy; Technology; Telemedicine; United States
PubMed: 33904844
DOI: 10.1097/GRF.0000000000000624 -
Pediatric Clinics of North America Aug 2020Telehealth can be delivered asynchronously, synchronously, or through remote patient monitoring. The cost of telehealth, patient use, and effectiveness vary by the... (Review)
Review
Telehealth can be delivered asynchronously, synchronously, or through remote patient monitoring. The cost of telehealth, patient use, and effectiveness vary by the technology deployed and by specialty. Telehealth use requires patient and provider adaptability. The improvement of telehealth is restricted by state and federal policies as well as privacy and security concerns. Current telehealth literature provides more consistent evidence of benefits for communication and counseling, and from remote patient monitoring of chronic conditions. However, the benefits and costs of telehealth programs are highly dependent on the technology used, the medical condition studied, and the health care context.
Topics: Adult; Child; Chronic Disease; Delivery of Health Care; Humans; Monitoring, Physiologic; Pediatrics; Public Health; Telemedicine
PubMed: 32650856
DOI: 10.1016/j.pcl.2020.03.001