State of Telehealth

Kulkarni, Roshni; Malouin, Rebecca A.

doi:10.1056/nejmc1610233

Cited by 33 publications

(26 citation statements)

References 3 publications

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“…This low rate of internet access among our sample population might limit us to generate policy relevance. Although we did not have data of latest internet access among the elderly population, it was reported that internet availability has improved markedly across the country over the past few years [20]. Nonetheless, this lower internet access rate might make our estimates of the association between internet access and reduced urban-rural disparities in hypertension management conservative.…”

Section: Discussionmentioning

confidence: 95%

“…In China, it accounted for >2.5 million deaths (almost one-third of total deaths) and 15% of total disability-adjusted life-years in 2013, mainly from stroke and ischemic heart disease [18,19]. Over the past decade, the proportion of population connected to the internet has been growing exponentially [20], and researchers in the field of health promotion have been quick to capitalize on the internet to promote changes in health behavior in many settings [21]. Taking advantage of the population-based nationally representative survey CHARLS 2011, we were able to investigate whether the positive effect of the internet on disease management found in other settings still holds in the context of China, where fast economic growth and population aging are happening simultaneously, and more importantly, whether the internet has a moderating effect on the existing urban-rural gap in hypertension management.…”

Section: Discussionmentioning

confidence: 99%

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Internet Access and Hypertension Management Among the Elderly Population: A Nationally Representative Cross-Sectional Survey in China

et al. 2019

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Background Hypertension is a rapidly growing epidemic in China. Yet, it remains inadequately controlled, especially in rural areas. The internet has shown potential for better health management in different settings; however, few studies have investigated its role in hypertension management in China. Objective This study aims to examine the association between internet access and hypertension awareness, treatment, and control among elderly Chinese adults and to investigate whether the association between internet access and hypertension management differed between those living in urban and rural areas. Methods We obtained data from the nationally representative survey of the China Health and Retirement Longitudinal Study in 2011. Hypertension was defined as (1) average systolic blood pressure of ≥140 mm Hg or average diastolic blood pressure of ≥90 mm Hg or (2) currently taking antihypertensive medications. The outcome assessed included hypertension awareness, treatment, and control. The key independent variable was defined as whether one had internet access at home. We performed multivariate logistic regressions for each of the 3 outcomes. Results Among 5135 hypertensive respondents (age 62.4 [SD 9.9] years; 2351/5135, 45.78% men), 12.89% (662/5135) had internet access at home. Compared with those who had no internet access, internet access was positively associated with hypertension awareness (odds ratio [OR] 1.36, 95% CI 1.07-1.73) and treatment (OR 1.38, 95% CI 1.09-1.75), but not with control (OR 1.19, 95% CI 0.90-1.58). Internet access reduced urban-rural disparity in hypertension awareness by 9.6% ( P =.02), treatment by 8.3% ( P =.05), but not in control. In addition, the moderating effect of internet access on urban-rural disparities in hypertension management was larger among females. The decreased urban-rural disparities were primarily driven by that internet access improved the management level in rural areas. Conclusions Despite the low rate of internet access among the elderly population, the internet shows its potential as a platform for achieving better hypertension management in China. Strategies for reducing the disparities in hypertension management and overall disease burden of hypertension among the elderly population might consider the internet as a platform.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Internet Access and Hypertension Management Among the Elderly Population: A Nationally Representative Cross-Sectional Survey in China

et al. 2019

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“…In total 55 cases sustained injuries in multiple body areas. Information on total burn surface area (TBSA) was given for the majority of cases (101 Additionally, 10 publications presenting aggregate cases with traumatic injury were identified: 5 publications [129][130][131][132][133] presented a total of 86 cases from the authors' institutions; 3 publications [90,134,135] presented a total of 311 cases from the USA (however the total number of cases could be overestimated as those publications could have some mutual cases presented). Finally, 2 additional publications [136,137] presented USA burn centers cases estimated as 2035 in 2015-2017 and 1007 in 2016.…”

Section: Traumatic Injurymentioning

confidence: 99%

A Systematic Literature Review of E-Cigarette-Related Illness and Injury: Not Just for the Respirologist

Tzortzi

Kapetanstrataki

Evangelopoulou

et al. 2020

IJERPH

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Following the recent electronic cigarette (e-cigarette) illness outbreak, the current review aimed to collect all related clinical cases for study and analysis and provide a critical synopsis of the proposed injury mechanism. Adhering to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analysis) guidelines, e-cigarette-related clinical cases were identified via Google Scholar and PubMed databases. Additionally, references of published case reports and previous review papers were manually searched, revealing 159 publications presenting e-cigarette-related case reports and 19 reports by the Centers for Disease Control and Prevention. 238 individual cases were identified; 53% traumatic injuries due to e-cigarette explosion or self-combustion, 24% respiratory cases, and 12% poisonings. Additional cases pertained to oral, cardiovascular, immunologic, hematologic, allergic reactions, infant complications, and altered medication levels. Case reports were mainly published between 2016–2019 (78%). The oldest case, a lipoid pneumonia, was published in 2012. The current review showed that e-cigarette-related health effects extend beyond the acute lung injury syndrome, including traumatic, thermal injuries and acute intoxications. Physicians should be aware of the distinct clinical presentations and be trained to respond and treat effectively. Regulators and public health authorities should address the regulatory gap regarding electronic nicotine delivery systems (ENDS) and novel tobacco products.

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“…A 2019 survey found 66% of US consumers expressed interest in accessing care through telehealth, yet only 8% had done so [8]. Barriers included lack of reimbursement models, difficulty with obtaining multiple state licensures, and overall lack of comfort with technology [3]. However, the COVID-19 pandemic and the social distancing that resulted forced these barriers to be quickly overcome.…”

Section: Introductionmentioning

confidence: 99%

Patient Satisfaction for Telehealth Physical Therapy Services was Comparable to that of In-Person Services during the COVID-19 Pandemic

Eannucci

Hazel

Grundstein

et al. 2020

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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Background The COVID-19 pandemic has transformed the practice of physical therapy (PT), from a model based on in-person delivery to one that includes telehealth. However, research is needed to assess value, patient satisfaction, and clinical outcomes in the delivery of telehealth PT. Purposes We sought to compare patient satisfaction with in-person and telehealth PT and to determine the factors—such as age, gender, or insurance payer—that contributed to patient satisfaction scores. Methods Patients between the ages of 18 and 90 years who received outpatient PT at our institution were texted a patient satisfaction survey. Surveys were sent to patients who received in-person PT from January 1 to May 8, 2020, and to patients who received telehealth PT from April 21 to May 8, 2020. Patients' age, gender, insurance payer, and written comments were also collected. Kruskal-Wallis tests were used to compare survey scores between groups. χ-squared tests were used to compare categorical patient characteristics between groups. Results In total, 12,345 surveys were sent out. We included completed surveys from 1147 patients in the analysis. Of these, 33% identified as male and 67% as female, mean age was 60.3 years, 58% had commercial insurance, 36% had Medicare, 3% had Medicaid, 2% had no-fault/worker's compensation, and 1% had international insurance. The question of satisfaction was answered by 1074 patients. No statistical difference in satisfaction was seen in age or gender groups. Satisfaction differed by insurance type, but when analysis excluded patients with international insurance, there was no difference between groups. In-person PT patients reported higher satisfaction in achieving treatment goals, as rated on a 1-to-5 scale (4.7 ± 0.6), than telehealth PT patients (4.6 ± 0.6), although it is unclear if this result is clinically meaningful. There was no significant difference in the remaining follow-up questions. Conclusion We found no overall difference in patient satisfaction between those receiving in-person PT and those receiving telehealth PT. This was true for initial and follow-up visits, with the exception of two categories: the “ability of scheduling an appointment” and “progress towards attaining your treatment goals.” However, the clinical significance of these two exceptions is questionable. Ongoing research is indicated to evaluate the efficacy of telehealth PT while identifying the best patients and conditions for use during non-crisis times. Future studies should determine the effect of telehealth PT on patient-reported outcome measures, function, and value.

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State of Telehealth

Cited by 33 publications

References 3 publications

Internet Access and Hypertension Management Among the Elderly Population: A Nationally Representative Cross-Sectional Survey in China

Internet Access and Hypertension Management Among the Elderly Population: A Nationally Representative Cross-Sectional Survey in China

A Systematic Literature Review of E-Cigarette-Related Illness and Injury: Not Just for the Respirologist

Patient Satisfaction for Telehealth Physical Therapy Services was Comparable to that of In-Person Services during the COVID-19 Pandemic

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