Telehealth Reimbursement Allows Access to Mental Health Care During COVID-19

Lepkowsky, Charles M.

doi:10.1016/j.jagp.2020.05.008

Cited by 13 publications

(15 citation statements)

References 1 publication

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“…As the COVID-19 pandemic is expected to continue for the next few years, there is an urgent need to identify alternative supports that can be used to promote the mental and physical health of community-dwelling persons with ADRD and their spouses. 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 Home health services delivered through telehealth may be able to mitigate the impact of the loss of in-person services as well as keep home health care providers in business so they can return to providing this critical service as the conclusion of the pandemic. It is possible that the use of outpatient care may actually increase for ADRD spouses during the COVID-19 pandemic as telehealth may actual increase access to outpatient professional services.…”

Section: Discussionmentioning

confidence: 99%

Incremental Health Care Expenditures of the Spouses of Older Adults With Alzheimer's Diseases and Related Dementias (ADRD)

Chu

Benjenk

Chen

2021

The American Journal of Geriatric Psychiatry

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Highlights What is the primary question addressed by this study? This paper aims to estimate the adjusted incremental health care expenditures of having a spouse with ADRD. What is the main finding of this study? ADRD spouses had significantly higher unadjusted total healthcare expenditures ($13234.83 vs. $10533.89, p<0.001), however the adjusted total incremental expenditure was not significantly greater ($1002.78, p=0.18). After adjustment, ADRD spouses had significantly higher home health care expenditures ($555.53, p <0.001), but significantly lower outpatient expenditures (-$419, p=0.002). What is the meaning of the finding? Older adults with ADRD spouses had significantly higher total health care expenditures, but these differences in expenditures could be attributed to differences in demographics, health status and health services utilization.

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Section: Discussionmentioning

confidence: 99%

Incremental Health Care Expenditures of the Spouses of Older Adults With Alzheimer's Diseases and Related Dementias (ADRD)

Chu

Benjenk

Chen

2021

The American Journal of Geriatric Psychiatry

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“…In order to protect individuals' vulnerable health during this time, preventive mental health programs should be widely available for diverse populations (27) (30). In particular, considering the pandemic, utilization of Telehealth, a remote service, should be more common (41). This is helpful for individuals with health problems or elderly individuals who are in a selfquarantine situation and, therefore, barely access health care services from nearby community facilities.…”

Section: Discussionmentioning

confidence: 99%

Associations between Accessibility to Health Care Service, Social Support, and Korean Americans’ Mental Health Status Amid the COVID-19 Pandemic

Min

Choi²

2020

Preprint

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Background: While previous studies have examined the relationships between social support and healthcare accessibility among ethnic minority populations, studies on Korean Americans remain scarce. Therefore, this study aims to assess the relationship between Korean Americans’ mental health, accessibility to healthcare, and how they perceive their level of social support during the COVID-19 pandemic. Result: We distributed online surveys to Korean Americans from May 24, 2020 to June 14, 2020, generating 790 responses from participants residing in 42 states. Binary Logistic and Ordinary Least Square regression analyses revealed that poor mental health was associated with language barriers inhibiting Korean Americans’ access to COVID-19-related information. Their perceived social support from family members and close friends was positively associated with mental health. Conclusion: Our findings recommend that equipping community healthcare services with translators or interpreters is necessary. Additionally, health practitioners and staff should be trained to utilize telehealth tools to effectively treat individuals with mental health problems. American policymakers and healthcare professionals need to understand and address the unique hardships Korean Americans experience amid COVID-19.

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“…Paradoxically, over the past decade health care organizations have defaulted to the use of IT for patient communication, in the absence of any data supporting patient utilization of IT for the purpose of communication with health care providers. With one exception [18,60,69,72], health care protocols, especially for working with older adults, have not included frequency of internet or IT utilization as a specific area of assessment or treatment [18,55,60,61,69,[72][73][74]. In fact, the American Psychological Association's (APA's) 21 Guidelines for psychologists working with older adults [75] do not specifically include familiarity with the assessment and treatment of technology challenges or barriers for older adults as a guideline [18,55,60,61,69].…”

Section: Communication With Patients and Outcomes: Assessment Of It Utilization By Patient Populationsmentioning

confidence: 99%

“…In general, IT has not been included as area of assessment or treatment in healthcare protocols [18,55,60,61,69,72,74]. Most of the research exploring IT utilization has come from the IT sector [76][77][78][79][80][81][82][83][84][85][86][87][88].…”

Section: Communication With Patients and Outcomes: Assessment Of It Utilization By Patient Populationsmentioning

confidence: 99%

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COVID-19, Telehealth and Access to Care

Lepkowsky¹

2021

SARS-CoV-2 Origin and COVID-19 Pandemic Across the Globe

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Telehealth has become increasingly prominent during the COVID-19 pandemic, highlighting limitations in access to care for older adults less fluent in information technology (IT). Although the 20 percent disparity in IT use between younger and older adult cohorts remains unchanged over several decades, insurers, institutional and independent providers of health care have made increasing use of IT for patient communication. Data demonstrate an age-related decline in the frequency of IT use for accessing health care. Restrictions on reimbursement for the use of the telephone for accessing health care during the COVID-19 pandemic are discussed as a barrier to access to care. Recommendations are made for assessment of media most available to older adults for accessing health care, as well as providing funding to support increased access to care.

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Telehealth Reimbursement Allows Access to Mental Health Care During COVID-19

Cited by 13 publications

References 1 publication

Incremental Health Care Expenditures of the Spouses of Older Adults With Alzheimer's Diseases and Related Dementias (ADRD)

Incremental Health Care Expenditures of the Spouses of Older Adults With Alzheimer's Diseases and Related Dementias (ADRD)

Associations between Accessibility to Health Care Service, Social Support, and Korean Americans’ Mental Health Status Amid the COVID-19 Pandemic

COVID-19, Telehealth and Access to Care

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