Telemedicine in the United States: An Introduction for Students and Residents

Hyder, Maryam; Razzak, Junaid Abdul

doi:10.2196/20839

Cited by 99 publications

(99 citation statements)

References 22 publications

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“…Respondents in our sample raised concerns about the legitimacy of telemedicine, and some mentioned the potential for misuse with mifepristone in particular. Yet, even before COVID-19, telehealth has increasingly been used to provide various healthcare services across the US; this trend was intensified by the pandemic but the prominent use of telehealth is expected to continue [32] . Thus, it is possible that as telemedicine becomes more commonplace, the acceptability of using telehealth to provide medication abortion may shift.…”

Section: Discussionmentioning

confidence: 99%

Attitudes of US adults toward using telemedicine to prescribe medication abortion during COVID-19: A mixed methods study

2021

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Objectives: We explored public opinion about using telemedicine to provide medication abortion during the COVID-19 pandemic in 2020. We also investigated the associations between socio-demographic characteristics and support for using telemedicine in this context and explored factors that influenced respondents' attitudes on the topic. Study design: In a nationally representative, web-based survey of US adults ( n = 711), we asked openand closed-ended questions about using telemedicine to prescribe medication abortion during COVID-19. We used multinomial logistic regression to assess the relationship between socio-demographic characteristics, endorsement of abortion labels, and political affiliation and support for telemedicine in this circumstance. Then, we conducted content and thematic analyses with the open-ended data to explore what influenced respondents' opinions. Results: Overall, 332 (44%) of respondents supported using telemedicine for medication abortion during the pandemic; 237 (35%) opposed and 138 (21%) were unsure. Respondents who identified as prochoice were more likely to support using telemedicine for abortion during the pandemic than those who identified as prolife were to oppose it in this context (RRR 2.95; 95% CI 1.31-6.64). Via our content and thematic analysis, we identified that concerns about safety, the legitimacy of telemedicine, and the belief that abortion should occur as early in the pregnancy as possible influenced respondents' beliefs about using telemedicine for medication abortion. Conclusions: More respondents supported using telemedicine for medication abortion during COVID-19 than opposed it. Among respondents who expressed support, most thought that medication abortion was safe and that telemedicine was equivalent to the in-person provision of care. Implications: There appears to be support among US adults for the provision of medication abortion via telemedicine during COVID-19. Policymakers may consider public sentiment as well as clinical evidence when considering legislation about abortion.

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Section: Discussionmentioning

confidence: 99%

Attitudes of US adults toward using telemedicine to prescribe medication abortion during COVID-19: A mixed methods study

2021

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“…In general, telemedicine refers to the delivery of medical care and provision of general health services from a distance [ 1 ] (e.g., medical aftercare of patients after surgery via video). It has grown steadily in the past decades, also driven by increased greater availability of the internet and faster (high speed) connections [ 1 ]. By telemedicine, patient outcomes can be enriched as it improve access to care [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

“…It has grown steadily in the past decades, also driven by increased greater availability of the internet and faster (high speed) connections [ 1 ]. By telemedicine, patient outcomes can be enriched as it improve access to care [ 1 ]. Moreover, telemedicine services can also contribute to work satisfaction in physicians [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Use of and Satisfaction with Telemedicine Services during the Pandemic: Findings from the COVID-19 Snapshot Monitoring in Germany (COSMO)

et al. 2022

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Our aim was to investigate to what extent physician visits were replaced by telemedicine services because of the COVID-19 pandemic and the satisfaction with such telemedicine services. Cross-sectional data from the “COVID-19 Snapshot Monitoring in Germany” (COSMO, wave 49 from 11 to 12 August 2021 with n = 967). The average age was 44.9 years (SD: 15.6 years, ranging from 18 to 74 years) and 50.8% were female. Indiviuals were asked whether any physician visit was replaced by a telemedicine service (e.g., video consultation) since March 2020 because of the pandemic (yes, once; yes, several times; yes, always; no, not replaced; no, there was no need to see a doctor). Additionally, individuals who gave positive responses (i.e., yes, once; yes, several times; yes, always) were asked how satisfied they were with the corresponding telemedicine services (from 1 = very dissatisfied to 7 = very satisfied). While 55.4% of the respondents reported no need to see a doctor and 31.3% of the respondents did not replace physician visits by telemedicine services, about 13.3% of the respondents did replace physician visits by telemedicine services (4.8%: yes, once; 6.4%: yes, several times; 2.1%: yes, always). Among the individuals who used such services, the average satisfaction was moderately high (4.7, SD: 2.0). Additionally, several correlates of the replacing telemedicine service use were identified (e.g., perceived severity of a COVID-19 infection). In conclusion, about one out of seven individuals replaced physician visits by telemedicine services during the pandemic. For example, knowledge about the correlates of satisfaction with such services might be of importance to increase the quality of such services.

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“…However, there is a difference between countries. More than 76% of healthcare institutions in the USA have a fully functioning telemedicine system (8) . More than 75% in Norway and in developing countries 10% of their health care institutions have successfully implemented a Telemedicine system (7,9) .…”

Section: Introductionmentioning

confidence: 99%

Health Professionals' Readiness And Its Associated Factors To Implement Telemedicine System At Private Hospitals In Amhara Region, Ethiopia 2021

Wubante

Nigatu

Jemere

2022

Preprint

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Introduction: in resource-limited settings incorporating the Telemedicine system into the healthcare system enhances exchanging valid health information for practicing evidence-based medicine for the diagnosis, treatment, and prevention of diseases. The successful implementation of a telemedicine system in health care inquires a study of numerous technical, organizational, infrastructure, and human elements.Objective: This study aimed to assess health professionals' readiness and its associated factors to implement a Telemedicine system at private hospitals in Amhara Region, Ethiopia 2021.Method: An institution-based cross-sectional study was conducted among 423 health professionals from March 3 to April 7 2021 at private hospitals in Amhara Region. A self-administered questionnaire was employed to collect the data. The data were analyzed by SPSS version 20 software. Descriptive statistics,bi-variable and multi-variable logistic regression analyses were performed. An adjusted odds ratio (AOR) with 95% CI was used to determine the s association between the independent and the outcome variable. Result: About Two-third (268;65.4%) of health professionals were ready to Telemedicine system.Knowledge (AOR=2.5;95% CI: [1.4, 4.6]), Attitude (AOR=3.2;95% CI: [(1.6,6.2]), computer literacy (AOR=2.2; 95% CI: [1.3, 3.9]), computer training (AOR=2.1;95% CI: [1.1, 4.1]), Computer skill (AOR=1.9;95% CI:[1.1, 3.4]),computer access at office (AOR = 2.1;95% CI: [1.1,3.7],Internet access at office (AOR=2.8;95%CI: [1.6,5.1]),Own personal computer(AOR=3.0;95% CI: [1.5,5.9])and work experience(AOR=3.1;95%CI: [1.4,6.7]) were significantly associated withTelemedicine readiness .Conclusion and Recommendation: In general the overall readiness of health professionals for the Telemedicine system is moderate. Inclusive packages of capacity building are fundamental to increasing the level of, knowledge, attitude, and training among health professionals.

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Telemedicine in the United States: An Introduction for Students and Residents

Cited by 99 publications

References 22 publications

Attitudes of US adults toward using telemedicine to prescribe medication abortion during COVID-19: A mixed methods study

Attitudes of US adults toward using telemedicine to prescribe medication abortion during COVID-19: A mixed methods study

Use of and Satisfaction with Telemedicine Services during the Pandemic: Findings from the COVID-19 Snapshot Monitoring in Germany (COSMO)

Health Professionals' Readiness And Its Associated Factors To Implement Telemedicine System At Private Hospitals In Amhara Region, Ethiopia 2021

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