Telehealth in US hospitals: State-level reimbursement policies no longer influence adoption rates

Gaziel-Yablowitz, Michal; Bates, David W.; Levine, David M.

doi:10.1016/j.ijmedinf.2021.104540

Cited by 17 publications

(7 citation statements)

References 29 publications

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“…Some supportive care services, such as occupational therapists and speech language pathologists, initially found the transition to virtual care challenging, although the majority were able to adapt and continue to provide high-quality and well tolerated care [ 33 , 34 ]. Government and regulatory agencies made significant adjustments to allow broader acceptance and financial reimbursement of telehealth [ 35 , 36 ].…”

Section: Widespread Adoption Of Telemedicinementioning

confidence: 99%

Impact of the coronavirus disease 2019 pandemic on delivery of and models for supportive and palliative care for oncology patients

Kazazian

Swallow

2022

Current Opinion in Supportive &Amp; Palliative Care

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Purpose of reviewSupportive and palliative care services have been an important component of the overall COVID-19 pandemic response. However, significant changes in the provision and models of care were needed in order to optimize the care delivered to vulnerable cancer patients. This review discusses the evolution of palliative and supportive care service in response to the pandemic, and highlights remaining challenges. Recent findingsDirect competition for resources, as well as widespread implementation of safety measures resulted in major shifts in the mode of assessment and communication with cancer patients by supportive care teams. Telemedicine/virtual consultation and follow-up visits became an integral strategy, with high uptake and satisfaction amongst patients, families and providers. However, inequities in access to the required technologies were sometimes exposed. Hospice/palliative care unit (PCU) bed occupancy declined markedly because of restrictive visitation policies. Collection of patient-reported outcome (PRO) data was suspended in many cancer centers, with resulting under-recognition of anxiety and depression in ambulatory patients. As in many other areas, disparities in delivery of supportive and palliative care were magnified by the pandemic.

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Section: Widespread Adoption Of Telemedicinementioning

confidence: 99%

Impact of the coronavirus disease 2019 pandemic on delivery of and models for supportive and palliative care for oncology patients

Kazazian

Swallow

2022

Current Opinion in Supportive &Amp; Palliative Care

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“…Many studies show a steady increase in the use of telemedicine among patients and caregivers, along with a high level of satisfaction (Levoy et al, 2022; Schoenmaekers et al, 2020; Velasco Yanez et al, 2023). Telemedicine is widespread in many countries, and although it has many advantages including: a virtual platform that allows multiple family members/caregivers to participate in the patient's palliative care, helps patients overcome disability and mobility difficulties to receive care, government and regulatory agencies adopt policies that increase reimbursement rates (Gaziel‐Yablowitz et al, 2021; Onesti et al, 2021), treats a wider range of patients (Biswas, Adhikari, & Bhatnagar, 2020; De Guzman & Malik, 2020), and provides a more convenient and comfortable patient experience (Calton et al, 2020; Donelan et al, 2019; Powell et al, 2017; Tasneem et al, 2019), telemedicine still has However, telemedicine still has shortcomings that cannot be ignored. This review shows that not all patients can experience telemedicine due to cultural and language barriers and financial constraints, which can increase inequality in healthcare resources (Chunara et al, 2021; Mercadante et al, 2020; Worster & Swartz, 2017).…”

Section: Discussionmentioning

confidence: 99%

Palliative care for cancer patients during the COVID‐19 pandemic: A narrative synthesis from 36 studies of 16 countries

Zhao

et al. 2023

Journal of Clinical Nursing

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BackgroundDuring the COVID‐19 epidemic, palliative care has become even more indispensable for cancer patients.AimTo identify the changes in palliative care for cancer patients and improvements in palliative care quality during the COVID‐19 pandemic.DesignA systematic review and narrative synthesis was conducted in PubMed, Embase and Web of Science. An evaluation tool using mixed methods was used to assess the quality of the study. The main relevant themes identified were used to group qualitative and quantitative findings.ResultsA total of 36 studies were identified, primarily from different countries, with a total of 14,427 patients, 238 caregivers and 354 health care providers. Cancer palliative care has been experiencing several difficulties following the COVID‐19 pandemic, including increased mortality and infection rates as well as delays in patient treatment that have resulted in poorer prognoses. Treatment providers are seeking solutions such as electronic management of patients and integration of resources to care for the mental health of patients and staff. Telemedicine plays an important role in many ways but cannot completely replace traditional treatment. Clinicians strive to meet patients' palliative care needs during special times and improve their quality of life.ConclusionsPalliative care faces unique challenges during the COVID‐19 epidemic. With adequate support to alleviate care‐related challenges, patients in the home versus hospital setting will be able to receive better palliative care. In addition, this review highlights the importance of multiparty collaboration to achieve personal and societal benefits of palliative care.Patient or Public ContributionNo Patient or Public Contribution.

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“…Along with relaxed regulations around telemedicine and opioid prescriptions, there were considerable changes in the reimbursement for telemedicine [35]. Telemedicine visits were historically reimbursed lower than in-person visits, making it a barrier for clinicians to offer virtual care to patients.…”

Section: Reimbursementmentioning

confidence: 99%

“…Telemedicine visits were historically reimbursed lower than in-person visits, making it a barrier for clinicians to offer virtual care to patients. Similar to the regulations around opioid prescribing, the reimbursement for virtual visits must remain favorable for patients and clinicians after the pandemic [35,36]. In countries such as the U.S., the future of telemedicine is highly dependent on policy decisions regarding reimbursement after the COVID-19 pandemic [37].…”

Section: Reimbursementmentioning

confidence: 99%

Telemedicine and Its Past, Present, and Future Roles in Providing Palliative Care to Advanced Cancer Patients

Tang

Reddy

2022

Cancers

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The landscape of healthcare delivery has considerably changed due to the emergence of coronavirus disease 2019 (COVID-19). This is nowhere more evident than in the care of advanced cancer patients receiving palliative care. This population is susceptible to the severe complications of COVID-19, and immediate measures had to be taken to ensure their safety. Thus, the adoption of telemedicine as a health care delivery model emerged. This model provides many benefits, such as improved access to care while maintaining social distancing; however, there exist challenges to this model, including health care disparities, reimbursement, and monitoring of opioids in high-risk populations. This narrative review provides an overview of the unique benefits and barriers of telemedicine in palliative care patients.

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Telehealth in US hospitals: State-level reimbursement policies no longer influence adoption rates

Cited by 17 publications

References 29 publications

Impact of the coronavirus disease 2019 pandemic on delivery of and models for supportive and palliative care for oncology patients

Impact of the coronavirus disease 2019 pandemic on delivery of and models for supportive and palliative care for oncology patients

Palliative care for cancer patients during the COVID‐19 pandemic: A narrative synthesis from 36 studies of 16 countries

Telemedicine and Its Past, Present, and Future Roles in Providing Palliative Care to Advanced Cancer Patients

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