System-wide implementation of telehealth to support military Veterans and their families in response to COVID-19: A paradigm shift

Shelton, Crystal J.; Kim, Alice; Hassan, Anthony M.; Bhat, Aaditya; Barnello, Jeff; Castro, Carl A.

doi:10.3138/jmvfh.co19-003

Cited by 8 publications

(9 citation statements)

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“…Evidently, telemedicine and virtual platforms have the potential to help in addressing large-scale outbreaks and emergencies in highly uncertainty settings [8]. Accordingly, findings from [32] suggest that within the first 2 weeks of stay-at-home order, the number of telemedicine services increased to about 86% or higher in US, except for the hospital in Fayetteville, North Carolina, where telehealth consultations increased from 2% to 24%. Findings from Li and Jalali [29] suggest that telemedicine provide an effective triage, screening, and treatment method during the COVID-19 pandemic.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, as reported by [32], technical issue linked to internet access [24], Wi-Fi signal and bandwidth connectivity [25] impact the use of telemedicine. Thus, in some situation some nurses and physicians initially preferred using phone call for consultation as there was not stable enough signal for videoconference.…”

Section: Challenges and Recommendations For Use Of Telemedicinementioning

confidence: 99%

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Use of Telemedicine and Virtual Care for Remote Treatment in Response to COVID-19 Pandemic

2020

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The current coronavirus disease 2019 (COVID-19) pandemic has caused significant strain on medical centers resources. Thus, concerns about the reducing and management of COVID-19 are on the rise, as there is need to provide diagnosis, treatment, monitoring, and follow-ups during the pandemic. Therefore, the COVID-19 pandemic has radically and quickly altered how medical practitioners provide care to patients. Medical centers are now responding to COVID-19 through rapid adoption of digital tools and technologies such as telemedicine and virtual care which refer to the delivery of healthcare services digital or at a distance using Information and Communications Technology (ICT) for treatment of patients. Telemedicine is expected to deliver timely care while minimizing exposure to protect medical practitioners and patients. Accordingly, a rapid literature review was conducted, and 35 research studies published from 2019 to May 2020 were employed to provide theoretical and practical evidence on the significance of using telemedicine and virtual care for remote treatment of patients during the COVID-19 pandemic. This article provides practical guide based on how to use telemedicine and virtual care during the COVID-19 pandemic. This study provides implication on the potentials of consolidating virtual care solutions in the near future towards contributing to integrate digital technologies into healthcare.

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Section: Discussionmentioning

confidence: 99%

Section: Challenges and Recommendations For Use Of Telemedicinementioning

confidence: 99%

Use of Telemedicine and Virtual Care for Remote Treatment in Response to COVID-19 Pandemic

2020

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“…The physical and social restrictions brought on by this pandemic limit social participation and is negatively impacting the mental health quality of life for all persons and may have elevated effects for groups that are already experiencing physical and mental health issues. Besides, the current COVID-19 pandemic has led to changes in mental health care (e.g., transition to telehealth service delivery), disruptions in daily life, and greater psychological distress that are unique to veterans [ 55 , 56 ]. Since many veterans may already experience social isolation and activity restrictions, it is especially important to facilitate discussions around maintaining and improving positive social connections while following social distance measures, encourage the use of adaptive coping strategies to manage difficulties, and provide psychoeducation on how the COVID-19 pandemic might trigger trauma-related memories [ 57 ].…”

Section: Resultsmentioning

confidence: 99%

Pain intensity and mental health quality of life in veterans with mental illnesses: the intermediary role of physical health and the ability to participate in activities

et al. 2020

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Purpose The purpose of this study was to examine the intermediary role of physical health quality of life and ability to participate social roles and activities in the relationship between pain intensity and mental health quality of life in veterans with mental illnesses. Methods This is a cross-sectional correlational design study. Our participants are 156 veterans with self-reported mental illness ( M age = 37.85; SD age = 10.74). Descriptive, correlation, and mediation analyses were conducted for the current study. Results Pain intensity was negatively correlated with physical health QOL, ability to participate in social roles and activities, and mental health QOL. Physical health QOL and ability to participate in social roles and activities were positively associated with mental health QOL, respectively. Physical health QOL was positively correlated with a ability to participate in social roles and activities. Study results indicate that the effect of pain intensity on mental health QOL can be explained by physical health QOL and ability to participate. Conclusions Specific recommendations for practitioners include implementing treatment goals that simultaneously focus on physical health and ability to participate in social roles and activities for clients who present with both physical pain and low mental health QOL.

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“…3 While telehealth has been available as a means for providing care for years, its use has been somewhat limited in the past. 4,5 However, some studies did demonstrate an increase in the use of telehealth in recent years before the pandemic. 4,6 Telehealth offers several advantages, including lower cost, convenience, and more access for people traditionally limited due to distance or disability.…”

mentioning

confidence: 99%

“…With regard to telehealth, issues related to privacy concerns and beliefs that it is ineffective, among many others, contribute to low utilization of such care in the general population before the pandemic. 5 Given the recent increased use of telehealth services, the purpose of this study was to examine Veteran's satisfaction with the use of telehealth care during the COVID-19 pandemic as well as the impact of the pandemic on access to care.…”

mentioning

confidence: 99%

Satisfaction of the Use of Telehealth and Access to Care for Veterans During the COVID-19 Pandemic

Kintzle

Rivas

Castro

2022

Telemedicine and e-Health

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Background: While many health care providers have shifted toward telehealth services in response to the COVID-19 pandemic, little is known about the perception and acceptance of such services, particularly among vulnerable populations. Veterans, who are at increased risk of physical and mental health needs, may benefit from the use and availability of telehealth services. Materials and Methods: Cross sectional survey data related to telehealth use, satisfaction, and access were collected through an online survey. Participants from previous research studies and veterans receiving care at a national veteran behavioral health organization were invited to participate. Results: A total of 404 veterans participated. Before the pandemic, many veterans had never used telehealth for physical (72%) or mental (76%) health care. Since the start of the pandemic, 62% of participants reported they received some care through telehealth services. Most participants found telehealth valuable and helpful (82%), indicated the technology was well explained (77%), and felt that issues were resolved quickly and easily (67%). Access to care was limited among participants who utilize massage therapy (64%), dental care (53%), routine checkups (50%), acupuncture (50%), and physical therapy (48%). Discussion: These findings showed an increase in the use of telehealth services and overwhelming satisfaction among veterans. Despite this, some veterans indicated barriers to receiving physical and mental health care. Conclusions: This provides an opportunity to expand the use of telehealth services to meet the health care needs of veterans. Barriers to care should be addressed to minimize the impact on the well-being of veterans.

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System-wide implementation of telehealth to support military Veterans and their families in response to COVID-19: A paradigm shift

Cited by 8 publications

References 0 publications

Use of Telemedicine and Virtual Care for Remote Treatment in Response to COVID-19 Pandemic

Use of Telemedicine and Virtual Care for Remote Treatment in Response to COVID-19 Pandemic

Pain intensity and mental health quality of life in veterans with mental illnesses: the intermediary role of physical health and the ability to participate in activities

Satisfaction of the Use of Telehealth and Access to Care for Veterans During the COVID-19 Pandemic

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