Good Comes From Evil: COVID-19 and the Advent of Telemedicine in Orthopedics

Lamplot, Joseph D.; Taylor, Samuel A.

doi:10.1177/1556331620972046

Cited by 9 publications

(10 citation statements)

References 69 publications

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“… 16 , 17 Lack of resources, internet access, and availability of medical services all contribute to the variance in telehealth use. 10 , 18 , 19 , 20 Within the current analysis, race, surprisingly, was not a significant factor except for Blacks reporting lower awareness of PCP appointments.…”

Section: Discussioncontrasting

confidence: 49%

“…Telehealth use in rural areas, particularly the Southern regions of the country, as well as among lower‐income patients has previously been limited 16,17 . Lack of resources, internet access, and availability of medical services all contribute to the variance in telehealth use 10,18‐20 . Within the current analysis, race, surprisingly, was not a significant factor except for Blacks reporting lower awareness of PCP appointments.…”

Section: Discussionmentioning

confidence: 58%

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Medicare and telehealth: The impact of COVID‐19 pandemic

Hamadi

Zhao

Haley

et al. 2021

Evaluation Clinical Practice

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Study Rationale The swift progression of the COVID‐19 pandemic appeared to facilitate the increase in telehealth utilization. However, it is clear neither how telehealth was offered by providers nor how it was used by patients during this time of unusual and rapid change within the health industry. Aim To investigates the telehealth utilization patterns of Medicare beneficiaries during the height of the COVID‐19 pandemic. Methods and Materials A cross‐sectional study design was used to examine the responses of 9686 Medicare beneficiaries to the Centers for Medicare and Medicaid Services (CMS) Medicare Current Beneficiary Survey, Fall 2020 COVID‐19 Supplement. Multiple logistic regression analyses were conducted to examine the relationship between telehealth offering and beneficiaries' sociodemographic variables. Results Over half (58%) of primary care providers provided telehealth services, while only 26%–28% of specialists did. Less than 8% of Medicare beneficiaries reported that they were unable to obtain care because of COVID‐19. Conclusions This research found that changes in Medicare policy, associated with CMS' declaration of telehealth waivers during the Public Health Emergency (PHE), likely increased the proliferation and utilization of telehealth services during the COVID‐19 pandemic, providing important access to care for certain populations. With the impending conclusion of the PHE, policymakers must 1) ascertain which elements of the new telehealth landscape will be retained, 2) modernize the regulatory, accreditation and reimbursement framework to maintain pace with care model innovation and 3) address disparities in access to broadband connectivity with a particular focus on rural and underserved communities.

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Section: Discussioncontrasting

confidence: 49%

Section: Discussionmentioning

confidence: 58%

Medicare and telehealth: The impact of COVID‐19 pandemic

Hamadi

Zhao

Haley

et al. 2021

Evaluation Clinical Practice

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“…Additionally, the use of telecare in rural areas and among patients with a lower income is inadequate. Lack of resources and supplies, the accessibility of medical facilities, and internet access result in the variation in the utilization of telehealth [ 40 , 41 , 42 , 43 ]. Other important limits are that the income and social-economic status of telehealth users affect the effectiveness and adequate use of telehealth platforms [ 43 , 44 ].…”

Section: Contextmentioning

confidence: 99%

Telehealth and COVID-19 Pandemic: An Overview of the Telehealth Use, Advantages, Challenges, and Opportunities during COVID-19 Pandemic

2022

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The use of telehealth and digital health platforms has increased during the COVID-19 pandemic due to the implementation of physical distancing measures and restrictions. To address the pandemic threat, telehealth was promptly and extensively developed, implemented, and used to maintain continuity of care offered through multi-purpose technology platforms considered as virtual healthcare facilities. The aim of this paper is to define telehealth and discuss some aspects of its utilization, role, and impact, but also opportunities and future implications particularly during the COVID-19 pandemic. In order to support our reflection and consolidate our viewpoints, numerous bibliographical sources and relevant literature were identified through an electronic keyword search of four databases (PubMed, Web of Science, Google Scholar, and ResearchGate). In this paper, we consider that telehealth to be a very interesting approach which can be effective and affordable for health systems aiming to facilitate access to care, maintain quality and safety of care, and engage patients and health professionals and users of health services. However, we also believe that telehealth faces many challenges, such as the issue of lack of human contact in care, confidentiality, and data security, also accessibility and training in the use of platforms for telehealth. Despite the many challenges it faces, we believe telehealth has enormous potential for strengthening and improving healthcare services. In this paper, we also call for and encourage further studies to build a solid and broad understanding of telehealth challenges with its short-term and long-term clinical, organizational, socio-economic, and ethical impacts.

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“…In March of 2020, the World Health Organization (WHO) declared the coronavirus disease 2019 (COVID-19) a global pandemic. 1 Telemedicine has been rapidly implemented in outpatient settings to help minimize the spread of the coronavirus, 2 , 3 although relatively little is known about its impact on patient productivity and how patients perceive these services. Furthermore, the shift toward telemedicine has provided a chance to reflect on the opportunity costs that patients face when attending typical in-person appointments.…”

Section: Introductionmentioning

confidence: 99%

Opportunity costs of attending surgical clinic appointments and experiences with telemedicine for follow-up care

et al. 2021

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Objectives: Telemedicine has been rapidly implemented in orthopedics during the coronavirus (COVID-19) pandemic. The purpose of this study was to quantify opportunity costs for patients attending typical in-person appointments and understand their perceptions of telemedicine for follow-up care. Methods: A cross-sectional study was performed by surveying patients who had elective orthopedic surgery and attended at least one in-person and one phone call appointment. The survey assessed opportunity costs associated with in-person appointments, experience with telemedicine, and preferred type of future appointment. Results: Of the 49 eligible patients, 41 (83.7%) completed the survey. The median travel distance to the clinic was 108 km, and the time spent in the clinic was 60 min. Participants responded “yes” to various forms of opportunity costs associated with attending in-person appointments, including missed work (46.3%), lost income (34.1%), recreational activities (26.8%), home or yard care (14.6%), socializing with friends or family (12.2%), school (2.4%), and childcare (2.4%). In addition, elements of the telemedicine appointment were rated from 1 (least favorable) to 10 (most favorable), and averages were calculated for ease of use (9.2), convenience (8.4), confidence in the doctor’s diagnostic ability (8.2), likelihood of using the service again (6.4), and overall satisfaction (8.2). Preferred future appointment types included having the first visit in-person and subsequent visits via telephone (61.0%), in-person only (36.6%), and unsure (2.4%). Conclusion: This study identifies various opportunity costs associated with in-person orthopedic appointments and a favorable view toward telemedicine for follow-up care.

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Good Comes From Evil: COVID-19 and the Advent of Telemedicine in Orthopedics

Cited by 9 publications

References 69 publications

Medicare and telehealth: The impact of COVID‐19 pandemic

Medicare and telehealth: The impact of COVID‐19 pandemic

Telehealth and COVID-19 Pandemic: An Overview of the Telehealth Use, Advantages, Challenges, and Opportunities during COVID-19 Pandemic

Opportunity costs of attending surgical clinic appointments and experiences with telemedicine for follow-up care

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