Telemedicine Services During COVID‐19: Considerations for Medically Underserved Populations

Woodall, Tasha; Ramage, Melinda; LaBruyere, John T.; McLean, William; Tak, Casey

doi:10.1111/jrh.12466

Cited by 57 publications

(65 citation statements)

References 3 publications

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“…Exclusion criteria for telemedicine visits often include the inability to provide informed consent, which can prevent the use of telemedicine for people with advanced cognitive dysfunction, and those who need an interpreter, for example [87]. In turn, cognitive and sensory impairments reduce the ability to provide seamless care via video visits if no proper accommodations are provided [56].…”

Section: Digital Divide In Access To Health Education and Support Servicesmentioning

confidence: 99%

Lockdown-Related Disparities Experienced by People with Disabilities during the First Wave of the COVID-19 Pandemic: Scoping Review with Thematic Analysis

Jesus

Bhattacharjya

Papadimitriou

et al. 2021

IJERPH

133

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People with disabilities may be disproportionally affected by the COVID-19 pandemic. We synthesize the literature on broader health and social impacts on people with disabilities arising from lockdown-related measures. Methods: Scoping review with thematic analysis. Up to mid-September 2020, seven scientific databases and three pre-print servers were searched to identify empirical or perspective papers addressing lockdown-related disparities experienced by people with disabilities. Snowballing searches and experts’ consultation also occurred. Two independent reviewers took eligibility decisions and performed data extractions. Results: Out of 1026 unique references, 85 addressed lockdown-related disparities experienced by people with disabilities. Ten primary and two central themes were identified: (1) Disrupted access to healthcare (other than for COVID-19); (2) Reduced physical activity leading to health and functional decline; (3) From physical distance and inactivity to social isolation and loneliness; (4) Disruption of personal assistance and community support networks; (5) Children with disabilities disproportionally affected by school closures; (6) Psychological consequences of disrupted routines, activities, and support; (7) Family and informal caregiver burden and stress; (8) Risks of maltreatment, violence, and self-harm; (9) Reduced employment and/or income exacerbating disparities; and (10) Digital divide in access to health, education, and support services. Lack of disability-inclusive response and emergency preparedness and structural, pre-pandemic disparities were the central themes. Conclusions: Lockdown-related measures to contain the COVID-19 pandemic can disproportionally affect people with disabilities with broader impact on their health and social grounds. Lack of disability-inclusive response and emergency preparedness and pre-pandemic disparities created structural disadvantages, exacerbated during the pandemic. Both structural disparities and their pandemic ramifications require the development and implementation of disability-inclusive public health and policy measures.

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Section: Digital Divide In Access To Health Education and Support Servicesmentioning

confidence: 99%

Lockdown-Related Disparities Experienced by People with Disabilities during the First Wave of the COVID-19 Pandemic: Scoping Review with Thematic Analysis

Jesus

Bhattacharjya

Papadimitriou

et al. 2021

IJERPH

133

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“…In this regard, the use of new telecommunication technologies integrating telemedicine systems represents an alternative solution to facilitate the exchange between the healthcare providers and the patients (17,18). Recently, some investigations reported the effectiveness of telemedicine services in remotely assisting, monitoring, and treating COVID-19 subjects or other diseases (17,(19)(20)(21)(22)(23)(24)(25)(26)(27). Indeed, a well-organized network could have the potential to reduce case fatality or at least provide a better management and supervision of the clinical conditions of vulnerable patients, such as those with neurological disorders, during the COVID-19 pandemic (28).…”

Section: Introductionmentioning

confidence: 99%

Telemedicine and Virtual Reality at Time of COVID-19 Pandemic: An Overview for Future Perspectives in Neurorehabilitation

et al. 2021

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In catastrophic situations such as pandemics, patients' healthcare including admissions to hospitals and emergency services are challenged by the risk of infection and by limitations of healthcare resources. In such a setting, the use of telemedicine interventions has become extremely important. New technologies have proved helpful in pandemics as a solution to improve the quality of life in vulnerable patients such as persons with neurological diseases. Moreover, telemedicine interventions provide at-home solutions allowing clinicians to telemonitor and assess patients remotely, thus minimizing risk of infection. After a review of different studies using telemedicine in neurological patients, we propose a telemedicine process flow for healthcare of subjects with chronic neurological disease to respond to the new challenges for delivering quality healthcare during the transformation of public and private healthcare organizations around the world forced by COVID-19 pandemic contingency. This telemedicine process flow represents a replacement for in-person treatment and thereby the provision equitable access to the care of vulnerable people. It is conceptualized as comprehensive service including (1) teleassistance with patient counseling and medical treatment, (2) telemonitoring of patients' health conditions and any changes over time, as well as (3) telerehabilitation, i.e., interventions to assess and promote body functions, activities, and consecutively participation. The hereby proposed telemedicine process flow could be adopted on a large scale to improve the public health response during healthcare crises like the COVID-19 pandemic but could equally promote equitable health care independent of people's mobility or location with respect to the specialized health care center.

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“…Telemedicine (also referred to as telehealth) has been recently shown to play an important role in distance-based treatment during this pandemic (5)(6)(7)(8), despite the lack of quality, evidence-based trials that exist (9). Telemedical solutions are often feasible and acceptable in delivering care to older adults in LTCFs, even in those with sensory impairments such as hearing or visual loss (9).…”

mentioning

confidence: 99%

Telemedicine in Long-Term Care Facilities During and Beyond COVID-19: Challenges Caused by the Digital Divide

Seifert

Batsis

Smith

2020

Front. Public Health

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Telemedicine Services During COVID‐19: Considerations for Medically Underserved Populations

Cited by 57 publications

References 3 publications

Lockdown-Related Disparities Experienced by People with Disabilities during the First Wave of the COVID-19 Pandemic: Scoping Review with Thematic Analysis

Lockdown-Related Disparities Experienced by People with Disabilities during the First Wave of the COVID-19 Pandemic: Scoping Review with Thematic Analysis

Telemedicine and Virtual Reality at Time of COVID-19 Pandemic: An Overview for Future Perspectives in Neurorehabilitation

Telemedicine in Long-Term Care Facilities During and Beyond COVID-19: Challenges Caused by the Digital Divide

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