The Digital Reconstruction of Health Care

HalamkaJohn,; Cerrato, Paul

doi:10.1056/cat.20.0082

Cited by 15 publications

(21 citation statements)

References 18 publications

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“…The coronavirus disease 2019 (COVID-19) pandemic exposed more clearly the unmet need for the widespread use of TM solutions in HF patients. [ 5 , 47 – 52 ] However, the need for TM use in HF patients is independent of the COVID-19 pandemic, and digital medicine will certainly continue to expand in this field long after the COVID-19 pandemic is controlled. [ 2 , 52 ] Multiple options of care will probably emerge, combining conventional and telemedical care, according to patients’ needs and preferences, as well as health services resources.…”

Section: The Digital Transformation Of Heart Failure Carementioning

confidence: 99%

“…Other recent studies associated TM interventions with an overall HF care costs reduction. [ 21 – 24 , 47 , 48 ] A slight increase in ambulatory care costs in the telemedical intervention arm was observed, compared with the usual care arm. [ 23 , 24 ] This was probably due to the higher frequency of virtual visits compared with face-to-face appointments.…”

Section: Costs and Barriers To Telemedicine Implementationmentioning

confidence: 99%

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The Future of Telemedicine in the Management of Heart Failure Patients

et al. 2021

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Telemedicine (TM) is potentially a way of escalating heart failure (HF) multidisciplinary integrated care. Despite the initial efforts to implement TM in HF management, we are still at an early stage of its implementation. The coronavirus disease 2019 pandemic led to an increased utilisation of TM. This tendency will probably remain after the resolution of this threat. Face-to-face medical interventions are gradually transitioning to the virtual setting by using TM. TM can improve healthcare accessibility and overcome geographic inequalities. It promotes healthcare system efficiency gains, and improves patient self-management and empowerment. In cooperation with human intervention, artificial intelligence can enhance TM by helping to deal with the complexities of multicomorbidity management in HF, and will play a relevant role towards a personalised HF patient approach. Artificial intelligence-powered/telemedical/heart team/multidisciplinary integrated care may be the next step of HF management. In this review, the authors analyse TM trends in the management of HF patients and foresee its future challenges within the scope of HF multidisciplinary integrated care.

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Section: The Digital Transformation Of Heart Failure Carementioning

confidence: 99%

Section: Costs and Barriers To Telemedicine Implementationmentioning

confidence: 99%

The Future of Telemedicine in the Management of Heart Failure Patients

et al. 2021

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“…Current literature seems to suggest that increased integration of telemedical services may be sustained past the pandemic, but work by Pourmand and colleagues shows that prior to COVID-19, the incorporation of telemedicine training in the medical school curriculum was insufficient. 8 - 12 Our model begins to address this critical gap and will help introduce volunteers to the skills necessary for delivering high-quality healthcare in a virtual setting.…”

Section: Telehealth Educationmentioning

confidence: 99%

The COVID-19 Pandemic as an Opportunity for Operational Innovation at 2 Student-Run Free Clinics

Colón

Mulaney

Reed

et al. 2021

J Prim Care Community Health

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The onset of the COVID-19 pandemic and subsequent county shelter-in-place order forced the Cardinal Free Clinics (CFCs), Stanford University’s 2 student-run free clinics, to close in March 2020. As student-run free clinics adhering to university-guided COVID policies, we have not been able to see patients in person since March of 2020. However, the closure of our in-person operations provided our student management team with an opportunity to innovate. In consultation with Stanford’s Telehealth team and educators, we rapidly developed a telehealth clinic model for our patients. We adapted available telehealth guidelines to meet our patient care needs and educational objectives, which manifested in 3 key innovations: reconfigured clinic operations, an evidence-based social needs screen to more effectively assess and address social needs alongside medical needs, and a new telehealth training module for student volunteers. After 6 months of piloting our telehealth services, we believe that these changes have made our services and operations more robust and provided benefit to both our patients and volunteers. Despite an uncertain and evolving public health landscape, we are confident that these developments will strengthen the future operations of the CFCs.

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“…For digital health initiatives to more fully impact upon patient care, medical informatics specialists are investing resources in AI and machine-learning-based algorithms [ 8 ]. In some cases, machine-learning-based algorithms are allowing investigators to conduct a more in-depth subgroup analysis of previous published studies, the results of which call into question the practical application of the original investigation [ 8 ]. The digital transformation in the healthcare arena also opens a new frontier of on-demand healthcare.…”

Section: Literature Reviewmentioning

confidence: 99%

Integrating Social Determinants of Health to Precision Medicine through Digital Transformation: An Exploratory Roadmap

Kwon

Kim

Martín

2021

IJERPH

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The COVID-19 pandemic has altered healthcare delivery platforms from traditional face-to-face formats to online care through digital tools. The healthcare industry saw a rapid adoption of digital collaborative tools to provide care to patients, regardless of where patients or clinicians were located, while mitigating the risk of exposure to the coronavirus. Information technologies now allow healthcare providers to continue a high level of care for their patients through virtual visits, and to collaborate with other providers in the networks. Population health can be improved by social determinants of health and precision medicine working together. However, these two health-enhancing constructs work independently, resulting in suboptimal health results. This paper argues that artificial intelligence can provide clinical–community linkage that enhances overall population health. An exploratory roadmap is proposed.

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The Digital Reconstruction of Health Care

Cited by 15 publications

References 18 publications

The Future of Telemedicine in the Management of Heart Failure Patients

The Future of Telemedicine in the Management of Heart Failure Patients

The COVID-19 Pandemic as an Opportunity for Operational Innovation at 2 Student-Run Free Clinics

Integrating Social Determinants of Health to Precision Medicine through Digital Transformation: An Exploratory Roadmap

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