Family- and Person-Centered Interdisciplinary Telehealth: Policy and Practice Implications Following Onset of the COVID-19 Pandemic

Brody, Abraham A.; Sadarangani, Tina; Jones, Tessa; Convery, Kimberly; Groom, Lisa L.; Bristol, Alycia A.; David, Daniel

doi:10.3928/00989134-20200811-03

Cited by 23 publications

(14 citation statements)

References 23 publications

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“…In a time affected by the COVID-19 pandemic, the virtual proximity that telemedicine affords has proven vital for the satisfaction of both patients and their family members. 46…”

Section: Role Of Tele-icu In Family-centered Carementioning

confidence: 99%

Telemedicine in the ICU: Innovation in the Critical Care Process

Khurrum

Asmar

Joseph

2020

J Intensive Care Med

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Tele-ICU is a technology-based model designed to deliver effective critical care in the intensive care unit (ICU). The tele-ICU system has been developed to address the increasing demand for intensive care services and the shortage of intensivists. A finite number of intensivists from remote locations provide real-time services to multiple ICUs and assist in the treatment of critically ill patients. Risk prediction algorithms, smart alarm systems, and machine learning tools augment conventional coverage and can potentially improve the quality of care. Tele-ICU is associated with substantial improvements in mortality, reduced hospital and ICU length of stay, and decreased health care costs. Although multiple studies show improved outcomes following the implementation of tele-ICU, results are not consistent. Several factors, including the heterogeneity of tele-ICU infrastructure deployed in different facilities and the reluctance of health care workers to accept tele-ICU, could be associated with these varied results. Considerably high installation and ongoing operational costs might also be limiting the widespread utilization of this innovative service. While we believe that the implementation of tele-ICU offers potential advantages and makes critical care delivery more efficient, further research on the impact of this technology in critical care settings is warranted.

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“…In a time affected by the COVID-19 pandemic, the virtual proximity that telemedicine affords has proven vital for the satisfaction of both patients and their family members. 46…”

Section: Role Of Tele-icu In Family-centered Carementioning

confidence: 99%

Telemedicine in the ICU: Innovation in the Critical Care Process

Khurrum

Asmar

Joseph

2020

J Intensive Care Med

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“…With efforts to embed Australian pharmacists in RAC and general practice underway, improved communication with the pharmacist is foreseeable [ 9 , 31 ]. The recent COVID-19 pandemic has resulted in the adoption of innovative telehealth approaches that could contribute to improved communication relating to medication management [ 32 , 33 ]. In Australia, the My Health Record (MHR), facilitated by the federal government, is a secure online summary of an individual’s health information.…”

Section: Discussionmentioning

confidence: 99%

What Is the Community Pharmacists’ Role in Supporting Older Australians with Palliative Care Needs?

et al. 2021

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As the population ages, the number of older populations globally requiring palliative care is rapidly growing, requiring services of multidisciplinary teams—including community pharmacists. The aim of this study is to describe the community pharmacists’ perceived role in providing services to community dwelling older Australians receiving palliative care. Utilising an eight-domain End of Life Directions for Aged Care (ELDAC) care model, a national cross-sectional questionnaire was designed and undertaken online with Australian community pharmacists. Respondents were asked questions relating to socio-demographic characteristics, practice characteristics, and scope of services provided. Of the 62 pharmacists who responded to the questionnaire, 51 were included in the final data analysis and reporting. Pharmacists working in dispensing roles made up about half of the respondents, while the remainder worked in settings such as general practice, residential aged care, or providing medication review services. Pharmacists can identify patients with indicators of poor life expectancy and mostly work with older Australians daily. Dispensing and non-dispensing pharmacists offer a range of services that complement each other. Organisations caring for the aged should consider the role of the pharmacist, in caring for people with palliative care needs, along with their carers.

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“…Internet-based solutions can facilitate routine, predictable and structured communication, which is essential for family-centered care during restricted physical contact during the pandemic, was a solution found to maintain family integrity [15]. However, there are other issues that deserve room for debate, namely the issues of equity, ethics and privacy related to telehealth and remote monitoring [15,16].…”

Section: Discussionmentioning

confidence: 99%

Transitional Care in Times of COVID 19: Opportunities for e-Health Interventions

Baixinho

Sousa

Ferreira

2021

Lecture Notes in Bioengineering

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People admitted to hospitals are vulnerable to experiencing care continuity loss when there are alterations in their health condition or when they are transferred between care institutions. This is a challenge for health systems to guarantee the execution of a set of actions whose objective is ensuring care continuity between different care levels. This studied aimed to understand the influence of the current pandemic on the continuity of care between the hospital and the community. The participants were five nurses, who gave free and informed consent to participate. Content analysis was the technique used in data analysis. Data anonymity and confidentiality were ensured, and the data was coded without identifying customers and their families. An ethic commission authorized the study. The findings shows that transitional care has become a missing care during the pandemic, due to the need to reorganize the services and teams to provide care to the COVID patients and by the limitations of visits to hospitalized elderly. Professionals note that not only the discharge preparation and caregiver training were affected, but also communication with primary health care became more difficult, with clear defragmentation in the transitional care. In the professionals' discourse, the need to rethink ways of ensuring continuity of care emerges, with e-health interventions being seen as an opportunity to ensure the safety of the elderly and their caregivers, the articulation with colleagues in primary health care and continuity of rehabilitation care. Despite the limitations of the study, several recommendations for the clinic and investigation emerge.

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Family- and Person-Centered Interdisciplinary Telehealth: Policy and Practice Implications Following Onset of the COVID-19 Pandemic

Cited by 23 publications

References 23 publications

Telemedicine in the ICU: Innovation in the Critical Care Process

Telemedicine in the ICU: Innovation in the Critical Care Process

What Is the Community Pharmacists’ Role in Supporting Older Australians with Palliative Care Needs?

Transitional Care in Times of COVID 19: Opportunities for e-Health Interventions

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