Telehealth in COVID-19 and Cardiovascular Disease—Ensuring Equitable Care

Wang, Laureen Yi-Ting; Low, Ting Ting; Yeo, Tee Joo

doi:10.47102/annals-acadmedsg.2020338

Cited by 11 publications

(14 citation statements)

References 11 publications

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“…It is true that with so unstable and indigent persons, we can expect many difficulties in its implementation. However, it seems to be a valuable and affordable strategy, 47 and it is definitely worth to be further investigated. As mentioned previously, these persons usually have a mobile phone, so the first subject of research could be its use to implement some form of telemedicine.…”

Section: Discussionmentioning

confidence: 99%

Effects of SARS-CoV-2 pandemic on follow-up and pharmacological treatment of chronic diseases in undocumented migrants

Fiorini

Franchi

Corrao

et al. 2021

BMJNPH

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BackgroundAll over the world, the COVID-19 pandemic, not unlikely other epidemics, has hit harder people in low socioeconomic conditions.In Western countries, undocumented migrants are a growing component of this disadvantaged segment of the population.Their health conditions are frequently burdened by a number of chronic conditions, and they experience many difficulties in accessing public health services. Frequently, the only medical assistance they can get is provided by non-governmental organisations.MethodsWe studied the medical records (including pharmacological treatments) of all patients attending the outpatient clinics of Opera San Francesco (OSF; a big charity in Milano, Italy), in the first 5 months of 2020. These comprise the outbreak of the pandemic and the lockdown period. The 1914 patients (1814 undocumented migrants and 100 Italians) seen during the lockdown were compared with those seen in the same period of 2019 and with those seen in the preceding months of 2020. We especially focused on three chronic conditions: cardiovascular diseases, diabetes and psychiatric disorders.ResultsThe number of consultations during the first 5 months of 2020 was much smaller than that of the same period of 2019. During the lockdown, we found 4048 consultations for 1914 patients, while they were 8051 in the same period of 2019 and 5681 in the first 2 months of 2020.The quantity of medicines dispensed by OSF showed a marked decrease in the period of the study and mainly during the lockdown.The decrease in consultations and dispensation of medicines was most evident for psychiatric patients and almost not existent for patients with diabetes. Female patients suffered a more pronounced reduction.ConclusionsWestern countries need strategies to better assist the very poor during epidemics.Differences among different groups of disadvantaged persons should be taken into account when designing recovery plans.

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Section: Discussionmentioning

confidence: 99%

Effects of SARS-CoV-2 pandemic on follow-up and pharmacological treatment of chronic diseases in undocumented migrants

Fiorini

Franchi

Corrao

et al. 2021

BMJNPH

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“…If patients do not have access to telehealth-enabled devices or internet access due to financial difficulties, perhaps clinics could supply a low-cost device on loan for appointments. 3 Access to these devices could help Sharon and her family have access to two different services-app for the devices and interpreter services or Tyler's family does not have to go to the laundromat for internet access. What about limited accessibility to telehealth visits due to cultural or language differences?…”

Section: Discussionmentioning

confidence: 99%

“…What about limited accessibility to telehealth visits due to cultural or language differences? Perhaps looking into designing a telehealth program that reflects diversity and translating options, 3 which could also have helped Sharon, it is important that we work with our patients to ensure proper care should they elect to participate in telehealth appointments.…”

Section: Discussionmentioning

confidence: 99%

“…1 For others, there are several barriers that stand in the way of telehealth being an ideal solution; for example, telehealth-compatible devices or access to the internet may be unattainable to low-income households. 3 Additionally, the person receiving care needs to be tech-savvy enough to connect their devices to the internet and connect to the provider-secured link. Given the need for HIPAA-secured connections and conversations, even commonly used communications like FaceTime may not be used by physicians for secure connections.…”

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confidence: 99%

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Case Study Comparison: Limitations in Telehealth Relating to Poverty and Family Support

Jorgensen

Barrett

2021

Semin Hear

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Telehealth appointments have grown in popularity due to the COVID-19 global pandemic. Three cases presented in this article show several different perspectives where telehealth was utilized. For the first patient, appointments were successfully completed via telehealth; however, the patient's family opted to continue with an unsecure internet connection at a local laundromat. For the second patient, a stable internet connection could not be obtained in his home, thus making telehealth appointments unavailable. The caregiver of this patient ended up driving to the clinic to have adjustments made in person. For the third patient, telehealth appointments were unavailable due to unstable internet connections as well as difficulty setting up video interpreting services. These cases highlight the idea that telehealth can be incredibly beneficial, when used correctly. For some, the option to attend appointments virtually gives them access to specialists that otherwise may not be available. For other patients, aspects such as access to smart devices and steady internet access must be considered to ensure a successful connection. The hope is that this article sheds light on some of the potential setbacks that can come from the use of telehealth appointments in a practice and provides discussion regarding for whom telehealth may be appropriate, even in pediatric patients. After reading this article, readers should be able to discuss ways in which there could be solutions for these barriers that may prevent some patients from utilizing these types of virtual appointments.

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“…Out of the remaining departments , the majority of the articles were from the radiology department [175][176][177][178][179][180][181][182][183][184][185][186][187][188][189][190]. It is worth noting that dedicated articles on the adoption of telemedicine [191][192][193][194][195][196][197][198][199][200][201][202][203][204] were also published, with populations of child and adolescent telemedicine [195,197] and that of older adults [194,196,204] being discussed separately.…”

Section: Figurementioning

confidence: 99%

One Year on: An Overview of Singapore’s Response to COVID-19—What We Did, How We Fared, How We Can Move Forward

Anand

Shuy

Lee³

et al. 2021

IJERPH

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Background—One year has passed since the first COVID-19 case in Singapore. This scoping review commemorates Singaporean researchers that have expanded the knowledge on this novel virus. We aim to provide an overview of healthcare-related articles published in peer-reviewed journals, authored by the Singapore research community about COVID-19 during the first year of the pandemic. Methods—This was reported using the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) protocol. It included healthcare-related articles about COVID-19 published between 23 January 2020 and 22 January 2021 with a Singapore-affiliated author. MEDLINE, Embase, Scopus, Web of Science, CINAHL, PsycINFO, Google Scholar, and local journals were searched. The articles were screened independently by two reviewers. Results—The review included 504 articles. Most of the articles narrated the changes to hospital practice (210), while articles on COVID-19 pathology (94) formed most of the non-narrative papers. Publications on public health (61) and the indirect impacts to clinical outcomes (45) were other major themes explored by the research community. The remaining articles detailed the psychological impact of the pandemic (35), adaptations of medical education (30), and narratives of events (14). Conclusion—Amidst a resurgence of community cases involving variant COVID-19 strains, the resources from the research community will provide valuable guidance to navigate these uncertain times.

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Telehealth in COVID-19 and Cardiovascular Disease—Ensuring Equitable Care

Cited by 11 publications

References 11 publications

Effects of SARS-CoV-2 pandemic on follow-up and pharmacological treatment of chronic diseases in undocumented migrants

Effects of SARS-CoV-2 pandemic on follow-up and pharmacological treatment of chronic diseases in undocumented migrants

Case Study Comparison: Limitations in Telehealth Relating to Poverty and Family Support

One Year on: An Overview of Singapore’s Response to COVID-19—What We Did, How We Fared, How We Can Move Forward

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