Successful Implementation of a Telemedicine-Based Counseling Program for High-Risk Patients With Breast Cancer

Pruthi, Sandhya; Stange, Kevin J.; Malagrino, Gerald D.; Chawla, Kashmira S.; LaRusso, Nicholas F.; Kaur, Judith S.

doi:10.1016/j.mayocp.2012.10.015

Cited by 44 publications

(43 citation statements)

References 4 publications

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“…Challenges related to licensing, scopes of practice, and reimbursement for services can arise across these diverse contexts . Several states in the United States have yet to resolve licensing and credentialing issues so that clinicians can be reimbursed for consultation across state lines . One exception to licensing challenges is the VA Health Care System where providers can offer care via telehealth consultation across state lines…”

Section: Resultsmentioning

confidence: 99%

“…45 Occasional in-person visits may also be warranted to help develop relationships. 46 Also, when using televideo conferencing to help deliver care, an on-site clinical navigator may help make the experience more personal, 47 help patients navigate clinical encounters, 48 and safeguard against undue emotional escalations. 49…”

Section: Support From Telehealth In Primary Care and Reaching New Setmentioning

confidence: 99%

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Task‐Sharing Approaches to Improve Mental Health Care in Rural and Other Low‐Resource Settings: A Systematic Review

Hoeft

Fortney

Patel

et al. 2017

The Journal of Rural Health

405

268

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Purpose Rural areas persistently face a shortage of mental health specialists. Task shifting, or task sharing, is an approach in global mental health that may help address unmet mental health needs in rural and other low‐resource areas. This review focuses on task‐shifting approaches and highlights future directions for research in this area. Methods Systematic review on task sharing of mental health care in rural areas of high‐income countries included: (1) PubMed, (2) gray literature for innovations not yet published in peer‐reviewed journals, and (3) outreach to experts for additional articles. We included English language articles published before August 31, 2013, on interventions sharing mental health care tasks across a team in rural settings. We excluded literature: (1) from low‐ and middle‐income countries, (2) involving direct transfer of care to another provider, and (3) describing clinical guidelines and shared decision‐making tools. Findings The review identified approaches to task sharing focused mainly on community health workers and primary care providers. Technology was identified as a way to leverage mental health specialists to support care across settings both within primary care and out in the community. The review also highlighted how provider education, supervision, and partnerships with local communities can support task sharing. Challenges, such as confidentiality, are often not addressed in the literature. Conclusions Approaches to task sharing may improve reach and effectiveness of mental health care in rural and other low‐resource settings, though important questions remain. We recommend promising research directions to address these questions.

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Section: Resultsmentioning

confidence: 99%

Section: Support From Telehealth In Primary Care and Reaching New Setmentioning

confidence: 99%

Task‐Sharing Approaches to Improve Mental Health Care in Rural and Other Low‐Resource Settings: A Systematic Review

Hoeft

Fortney

Patel

et al. 2017

The Journal of Rural Health

405

268

View full text Add to dashboard Cite

show abstract

“…21 Mobile clinics have been shown to be both feasible and cost-effective in providing other types of specialized care to underserved populations, such as counseling for breast cancer risk-reduction strategies, hypertension diagnosis and management, mammography, HIV and tuberculosis diagnosis and treatment, and cervical cancer screening. 22,23,24,25,26 …”

Section: Discussionmentioning

confidence: 99%

A Qualitative Study of Pregnancy Intention and the Use of Contraception among Homeless Women with Children

Kennedy¹,

Grewal²,

Roberts³

et al. 2014

hpu

121

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We undertook a qualitative analysis informed by grounded theory to explore pregnancy intention and the barriers to contraceptive use as perceived by homeless women with children. Semi-structured interviews (n = 22) were performed in English and in Spanish. The dominant theme emerging from the interviews was a strong desire to avoid pregnancy while homeless. However, few women in our sample used contraception or accessed reproductive health care consistently. There were multiple barriers to using contraception and to accessing reproductive health care services that homeless women reported: (1) inability to prioritize health due to competing demands, (2) shelter-related obstacles and restrictive provider practices that impede access to reproductive health care services and the use of contraception, and (3) change in the power dynamics of sexual relationships while homeless, making women more vulnerable to sexual exploitation. Findings suggest a multifactorial approach is needed to help homeless women use contraception and access reproductive health services.

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“…Providing technology-enhanced care has been well received in other samples of older adults with cancer or chronic conditions or receiving hospice care. 12,14,24,[38][39][40][41] Use of virtual visits enhances continuity of care for PC patients transitioning from urban academic medical centers to homes in distant rural settings because of the potential to assist them with their complex care needs, minimize difficult travel, and provide support to patients who are often isolated.…”

Section: Discussionmentioning

confidence: 99%

The Feasibility of Using Technology to Enhance the Transition of Palliative Care for Rural Patients

Holland

Vanderboom

Ingram

et al. 2014

CIN: Computers, Informatics, Nursing

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Palliative care services for patients with life-limiting conditions enhance their quality of life. Most palliative care services, however, are located in hospitals with limited transitional care for patients who live in distant locations. The long-term goal of this program of research is to use existing technology for virtual visits to provide transitional care for patients initially hospitalized in an urban setting by a nurse practitioner located closer to patients' homes in distant, rural settings. The purpose of this proof-of-concept study was to determine the resources needed to use the system (efficiency) and the quality of the audio and visual components (effectiveness) to conduct virtual visits between a clinician at an academic center and community-dwelling adults living in rural locations. Guided by the Technology Acceptance Model, a mixed-methods field design was used. Because of the burden of testing technology with patients with life-limiting conditions, the sample included eight healthy adults. Participant satisfaction and perceptions of the ease of using the technology were also measured. Virtual visits were conducted using a 3G-enabled Apple iPad, cellular phone data service, and a Web-based video conference service. Participants and clinicians perceived the technology as easy to use. Observations revealed the importance of the visual cues provided by the technology to enhance communication, engagement, and satisfaction. Findings from this study will inform a subsequent study of technology-enhanced transitional care with palliative care patients.

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Successful Implementation of a Telemedicine-Based Counseling Program for High-Risk Patients With Breast Cancer

Cited by 44 publications

References 4 publications

Task‐Sharing Approaches to Improve Mental Health Care in Rural and Other Low‐Resource Settings: A Systematic Review

Task‐Sharing Approaches to Improve Mental Health Care in Rural and Other Low‐Resource Settings: A Systematic Review

A Qualitative Study of Pregnancy Intention and the Use of Contraception among Homeless Women with Children

The Feasibility of Using Technology to Enhance the Transition of Palliative Care for Rural Patients

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