Telemedicine, Telehealth, and Mobile Health Applications That Work: Opportunities and Barriers

Weinstein, Ronald S.; Lopez, Ana Maria; Joseph, Bellal; Erps, Kristine A.; Holcomb, Michael J.; Barker, Gail; Krupiński, Elizabeth A.

doi:10.1016/j.amjmed.2013.09.032

Cited by 491 publications

(368 citation statements)

References 23 publications

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“…9 Several studies have found that the quality of telehealth services and patients' clinical outcomes following telehealth visits may be comparable to those of traditional face-to-face office visits, with the additional benefit of superior access to care. 10,11 Based on the accumulating positive evidence, the Centers for Medicare and Medicaid Services (CMS) has expanded geographic coverage for telemedicine and coverage for new services such as wellness visits and psychotherapy, [12][13][14][15] and 19 states have passed Bparity^legis-lation requiring third-party payers to reimburse for telehealth visits.…”

Section: Introductionmentioning

confidence: 99%

“…10,11 Based on the accumulating positive evidence, the Centers for Medicare and Medicaid Services (CMS) has expanded geographic coverage for telemedicine and coverage for new services such as wellness visits and psychotherapy, [12][13][14][15] and 19 states have passed Bparity^legis-lation requiring third-party payers to reimburse for telehealth visits. 9 The ACA mandates further study of and reimbursement for telehealth services. 12,16 In October 2013, CVS Health implemented a pilot telehealth program.…”

Section: Introductionmentioning

confidence: 99%

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Patients’ Satisfaction with and Preference for Telehealth Visits

et al. 2015

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BACKGROUND: One-quarter of U.S. patients do not have a primary care provider or do not have complete access to one. Work and personal responsibilities also compete with finding convenient, accessible care. Telehealth services facilitate patients' access to care, but whether patients are satisfied with telehealth is unclear. OBJECTIVE: We assessed patients' satisfaction with and preference for telehealth visits in a telehealth program at CVS MinuteClinics. DESIGN: Cross-sectional patient satisfaction survey. PARTICIPANTS: Patients were aged ≥18 years, presented at a MinuteClinic offering telehealth in January-September 2014, had symptoms suitable for telehealth consultation, and agreed to a telehealth visit when the on-site practitioner was busy. MAIN MEASURES: Patients reported their age, gender, and whether they had health insurance and/or a primary care provider. Patients rated their satisfaction with seeing diagnostic images, hearing and seeing the remote practitioner, the assisting on-site nurse's capability, quality of care, convenience, and overall understanding. Patients ranked telehealth visits compared to traditional ones: better (defined as preferring telehealth), just as good (defined as liking telehealth), or worse. Predictors of preferring or liking telehealth were assessed via multivariate logistic regression. KEY RESULTS: In total, 1734 (54 %) of 3303 patients completed the survey: 70 % were women, and 41 % had no usual place of care. Between 94 and 99 % reported being Bvery satisfied^with all telehealth attributes. Onethird preferred a telehealth visit to a traditional in-person visit. An additional 57 % liked telehealth. Lack of medical insurance increased the odds of preferring telehealth (OR=0.83, 95 % CI,

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Patients’ Satisfaction with and Preference for Telehealth Visits

et al. 2015

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“…In addition, Weinstein et al, 2014 [52], describe three major bureaucratic challenges that challenge the widespread adoption and effective use of telemedicine and mHealth applications:…”

Section: Challenges To Using Mhealth Technologies Effectivelymentioning

confidence: 99%

“…Rapid and widespread adoption of mobile communication technologies, such as the smart phones, tablets, and wearable devices have been shown to provide health communicators with powerful new channels for disseminating health information [10,52]. Mobile communication tools have become increasingly well-liked, adopted, and frequently used channels for communication by diverse audiences, including by members of at-risk populations who often suffer from health inequities and poor access to health information [16].…”

Section: The Promise Of Mhealthmentioning

confidence: 99%

“…• audio and video enabled telemedicine applications, such as closed circuit telephone and/or televised conferencing systems, with both data collection tools (often collecting images, or measuring body temperature, heart rate, and brain activity for diagnostic and monitoring purposes) and delivery tools (that can remotely control surgical equipment, and provide treatment instructions) can be set up in different sites to provide mediated (virtual) care to patients who may not have easy access to health care delivery systems [52]; • telephonic and internet-based message systems that can provide individuals with health information via SMS text messages, phone calls, or e-mail via mobile phones [15]; • websites and web-based portals (intranets) that are available to health care consumers via portable lap-top computers, tablets, and smart phones; • wearable (sometimes implantable) devices such as fitness tracking wristbands and other digital monitoring devices [3]; • specialized application software programs (apps) that are typically downloaded on to smart phones, tablets, or laptop computers that provide health information and support, and are often linked to Internet delivered resources and services [10].…”

Section: Introductionmentioning

confidence: 99%

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The relevance of health literacy to mHealth

Kreps

2017

ISU

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Abstract. This paper examines the importance of health literacy to the design and use of mobile digital health information technology (mHealth) applications. Over the past two decades mHealth has evolved to become a major health communication channel for delivering health care, promoting health, and tracking health behaviors. Yet, there are serious communication challenges that must be addressed concerning the best way to design and utilize mHealth application to achieve key health promotion goals, including assuring the appropriateness and effectiveness of mHealth messaging for audiences with different communication competencies, styles, and health literacy levels, to ensure that mHealth applications are truly effective tools for health promotion.Health literacy is one of the major communication issues relevant to the effective use of mHealth. To be effective, mhealth applications need to match the messages conveyed via these mobile media to the specific health communication needs, orientations, and competencies of intended audience members. Unfortunately, current evidence suggests that many mHealth applications are difficult for audiences to utilize because they provide health information that is not easy for many consumers to understand and apply.Health literacy refers to the ability of participants within the health care system to accurately interpret and utilize relevant health information and resources to achieve their health goals. Evidence suggests that many consumers possess limited levels of health literacy to adequately understand health information, especially when they are feeling ill, since health literacy is both a trait (limited education, language facility, etc.), and a state condition (based on how their current physical and mental states influence their abilities to communicate effectively). Therefore, it is incumbent upon mHealth developers to design and utilize message systems. Strategies for designing and implementing mHealth applications to meet the health literacy levels of different audiences are described in this article.

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Changes in Short-term, Long-term, and Preventive Care Delivery in US Office-Based and Telemedicine Visits During the COVID-19 Pandemic

et al. 2021

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IMPORTANCE While the COVID-19 pandemic has been associated with some substitution of telemedicine for office-based care in the US, to our knowledge, little is known regarding the pandemic's association with the clinical content of ambulatory care. OBJECTIVE To characterize changes in the clinical content of ambulatory care among office-based vs telemedicine encounters in the US before vs during the COVID-19 pandemic. DESIGN, SETTINGS, AND PARTICIPANTS This analysis of serial cross-sectional data from the IQVIA National Disease and Therapeutic Index was a 2-stage, stratified nationally representative audit of outpatient care in the US from January 1, 2018, through December 31, 2020. The National Disease and Therapeutic Index generates approximately 33 617 quarterly visits that are projected to 306.7 million national visits based on the survey design. MAIN OUTCOMES AND MEASURES(1) Prevalence of common diagnoses and (2) mix of long-term, short-term, and preventive care. RESULTSThe mean (SD) number of projected quarterly, in-person, office-based visits was 282.1

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Telemedicine, Telehealth, and Mobile Health Applications That Work: Opportunities and Barriers

Cited by 491 publications

References 23 publications

Patients’ Satisfaction with and Preference for Telehealth Visits

Patients’ Satisfaction with and Preference for Telehealth Visits

The relevance of health literacy to mHealth

Changes in Short-term, Long-term, and Preventive Care Delivery in US Office-Based and Telemedicine Visits During the COVID-19 Pandemic

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