Date: May 2 2022
Summary: A great summary of how telehealth interventions can be used both in the COVID-19 pandemic and in general
Keywords: ##bibliography #covid #telehealth #clinician #unwillingness #remittance #archive
A. C. Smith et al., “Telehealth for global emergencies: Implications for coronavirus disease 2019 (COVID-19),” J Telemed Telecare, vol. 26, no. 5, pp. 309–313, Jun. 2020, doi: 10.1177/1357633X20916567.
An overview of how telehealth interventions could and should be deployed during the COVID-19 pandemic. Really excellent read in my opinion that goes beyond just the COVID-19 pandemic but rather can be taken and applied elsewhere in the telehealth landscape. In particular, their conclusions were interesting as well as their discussion on clinician unwillingness.
NATO created Multinational Telemedicine System in 2000
American Telemedicine Association Emergency and Response framework and infrastructure checklist [1]
Clinician unwillingness to use telehealth [2]
- Despite high funding in Australia, less than 1% of specialist consultations were telehealth-based [3]
- Clinicians must see telehealth interventions as normal [2]Renumeration is important but is not the only thing that leads to a successful telehealth intervention
Some care cannot be provided remotely
- Such as lab tests
- Some physical examinationsAdvantages of telehealth
- Activate large number of care providers at once
- Enable better triage
- Provide care services when provider locations are unavailable
- Reduce person-to-person contact of disease transmissionHow to realize a successful telehealth intervention alongside medical professionals according to this paper:
Provide telehealth training
Create telehealth accreditation
Ensure proper funding
Structure care models to incorporate telehealth as a core foundation
Communicate to all stakeholders the best mode that they will receive
Incorporate routine evaluation and management of telehealth interventions
Zelko, Jacob. Telehealth for global emergencies: Implications for coronavirus disease 2019 (COVID-19). https://jacobzelko.com/05022022171845-telehealth-global-emergencies. May 2 2022.
[1] C. R. Doarn and R. C. Merrell, “Telemedicine and e-health in disaster response,” vol. 20. Mary Ann Liebert, Inc. 140 Huguenot Street, 3rd Floor New Rochelle, NY 10801 USA, pp. 605–606, 2014.
[2] V. A. Wade, J. A. Eliott, and J. E. Hiller, “Clinician acceptance is the key factor for sustainable telehealth services,” Qual. Health Res., vol. 24, no. 5, pp. 682–694, 2014.
[3] V. Wade, J. Soar, and L. Gray, “Uptake of telehealth services funded by Medicare in Australia,” Aust. Health Rev., vol. 38, no. 5, pp. 528–532, 2014.