The Regulatory Environment of Telemedicine After COVID-19

Pandya, Aarti; Waller, Morgan; Portnoy, Jay M.

doi:10.1016/j.jaip.2022.07.001

Cited by 11 publications

(10 citation statements)

References 4 publications

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“…This was done to ensure that patient data would not remain in a third-party cloud database. Nevertheless, it is imperative for healthcare professional to choose telemedicine digital platforms that comply with high cybersecurity standards, such as the Health Insurance Portability and Accountability Act of 1996 (HIPAA 1996) enacted in the United States of America [ 46 ]. Zoom was chosen for use in TELEG during the study period because it is the video conferencing platform that had been subscribed to by the institute during COVID-19 pandemic.…”

Section: Discussionmentioning

confidence: 99%

“…Zoom was chosen for use in TELEG during the study period because it is the video conferencing platform that had been subscribed to by the institute during COVID-19 pandemic. Notably, the US government had permitted several video chats platforms, such as Apple FaceTime, Facebook Messenger video chat, Google Hangouts video, Zoom, or Skype, without the risk of prosecution for noncompliance with the HIPAA rules [ 46 ]. Hence, it is imperative for healthcare professionals who intend to start telemedicine to be aware of the latest relevant regulations related to the practice of telemedicine.…”

Section: Discussionmentioning

confidence: 99%

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The use of a multi-disciplinary geriatric telemedicine service (TELEG) and its acceptance at a tertiary care centre in Malaysia

Ting,

Abdul Halim,

Ling

et al. 2024

BMC Geriatr

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Background The COVID-19 pandemic has fueled the widespread adoption of telemedicine in healthcare, particularly in Sarawak, Malaysia. This study investigates the use and acceptance of Sarawak’s inaugural multidisciplinary geriatric telemedicine service, TELEG. Methods This cross-sectional study took place at the Sarawak Heart Centre’s geriatric department from July 1, 2021, to April 30, 2022. Convenient sampling included all TELEG-enrolled patients during this period, to achieve minimum sample size of 148. TELEG’s utilization was assessed in terms of medication therapy and treatment plan optimization, as well as enhanced healthcare accessibility. Participants’ acceptance of TELEG was measured using the Service User Technology Acceptability Questionnaire (SUTAQ) administered through Google Forms. Descriptive statistics percentages illustrated the proportion of participants who found TELEG moderately to highly acceptable. Associations between baseline characteristics and overall acceptance were explored through bivariate analyses, including Pearson’s correlation test, independent t-test, and ANOVA. The influence of six SUTAQ dimensions on overall acceptance, multivariable linear regression using enter method was employed. Statistical significance was determined by p-values less than 0.5. Results Among 180 geriatric patients enrolled in TELEG during the study period, 149 agreed to participate. TELEG led to medication therapy optimization for 88.6% of participants, primarily involving dose adjustment (44.7%), de-prescribing (31.8%), and prescribing (15.9%). Additionally, 53.8% received treatment plan optimization, predominantly in the form of self-care education (56.3%), referrals for further treatment (33.8%), additional laboratory investigations (29.6%), and increased monitoring (26.8%). Among those educated in self-care (n = 40), dietary intake (27.5%), lower limb exercise (25.0%), and COVID-19 vaccination (12.5%) were the most common topics. All participants expressed moderate to high acceptance of TELEG (mean = 4.9, SD = 0.65, on a scale of 1 to 6). Notably, care personnel concern (B = 0.256; p < 0.001) had the most significant impact on overall acceptance. Conclusion This pioneering study evaluates the utilization and user acceptance of a geriatric telemedicine service in the region, providing valuable insights to support its expansion. Follow-up surveys or interviews to gain insights into users’ experiences are crucial to further enhance acceptance.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The use of a multi-disciplinary geriatric telemedicine service (TELEG) and its acceptance at a tertiary care centre in Malaysia

Ting,

Abdul Halim,

Ling

et al. 2024

BMC Geriatr

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“…1 Additionally, the government relaxed telehealth regulations early on during the pandemic. 10 This may have played an additional part in the increasing reliance on VCs. Government-implemented changes are evolving over time and may reintroduce bureaucratic limitations as more lenient regulatory policy is adjusted.…”

Section: Discussionmentioning

confidence: 99%

“…18,19 However, given the ease, acceptance, and cost-effectiveness of telemedicine and VCs in surgical practices, 20 it will likely be a fixture in practices for the foreseeable future. 10…”

Section: Discussionmentioning

confidence: 99%

Utilization of Virtual Consultations in Facial Plastic Surgery during the COVID-19 Pandemic

et al. 2022

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Background The coronavirus disease 2019 pandemic affected many aspects of medical practice, particularly surgical fields. The American College of Surgery initially recommended the cancellation of all elective procedures. As a result, virtual consultations (VCs; a form of telemedicine), became widely used in the field of facial plastic and reconstructive surgery. With more facial plastic and reconstructive surgeons (FPRS) conducting both in-person and virtual visits, it is imperative to understand how VCs are utilized in practice. Methods An electronic, anonymous survey was distributed to 1,282 electronic mail addresses in the 2018 American Academy of Facial Plastic and Reconstructive Surgery directory. The survey collected responses on various topics including demographic information and past, current, and future use of VCs. Results The survey yielded 84 responses. Most surgeons (66.7%) were 11+ years out of fellowship. There was a significant increase in the percentage of VCs scheduled after the pandemic than before (p = 0.03). FPRS most frequently responded that VCs should always be followed by an in-person visit (48.6%). A majority of FPRS (66.2%) believe that VCs have improved the delivery of health care in at least some cases. Almost all FPRS (86.5%) plan on using VCs after the pandemic. Conclusion Since the pandemic, VCs are more frequently used by surgeons and are mostly utilized as an initial patient visit. A majority of FPRS believe that VCs have improved health care in at least some cases, and plan on using VCs after the pandemic.

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“…On an institutional and policy level, strict regulations, licensing requirements, and reimbursement codes slowed adoption of telemedicine for years. Pandya et al 8 provide a thorough analysis on regulatory changes during the pandemic and discuss how our current policy approach will play a central role in dictating the future of telemedicine uptake. Because of the public health emergency, regulatory agencies such as the Department of Health and Human Services granted leniency surrounding Health Insurance Portability and Accountability Act (HIPAA) rules so long as provision was under good faith; this ensured patients could access their care safely.…”

mentioning

confidence: 99%

Could Telemedicine Be Here to Stay? Understanding the Rapidly Changing Landscape of Telemedicine in Allergy and Immunology Practice

Rehman

Portnoy²,

Wu³

2022

The Journal of Allergy and Clinical Immunology: In Practice

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The Regulatory Environment of Telemedicine After COVID-19

Cited by 11 publications

References 4 publications

The use of a multi-disciplinary geriatric telemedicine service (TELEG) and its acceptance at a tertiary care centre in Malaysia

The use of a multi-disciplinary geriatric telemedicine service (TELEG) and its acceptance at a tertiary care centre in Malaysia

Utilization of Virtual Consultations in Facial Plastic Surgery during the COVID-19 Pandemic

Could Telemedicine Be Here to Stay? Understanding the Rapidly Changing Landscape of Telemedicine in Allergy and Immunology Practice

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