The State of Telehealth Before and After the COVID-19 Pandemic

Shaver, Julia

doi:10.1016/j.pop.2022.04.002

Cited by 357 publications

(189 citation statements)

References 41 publications

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“… 17 This mirrors larger trends nationally, in which there was a 766% increase found in telemedicine encounters among 36 million individuals with private insurance claims. 18 Doximity, an online medical networking service that includes 1.8 million physicians (approximately 80% of the physician workforce in the U.S.) estimated that 20% of all U.S. health care visits were conducted virtually in 2020. 18 Furthermore, preliminary results from several novel programs have shown improved patient satisfaction and access to care, 19 , 20 even in underserved patient populations.…”

Section: Discussionmentioning

confidence: 99%

Experience and Attitudes Toward Telehealth in Student-Run Free Clinics (SRFC)

Luong

Shahin

Porter

et al. 2023

J Prim Care Community Health

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Introduction/Objectives: Telehealth services expanded during the coronavirus disease 2019 (COVID-19) pandemic. Student-run free clinics (SRFC) deliver important health care services to underserved populations, who may face barriers to telehealth use. This study characterizes telehealth usage, experiences, and attitudes among individuals working in SRFCs. Methods: In November 2021, a survey adapted from the COVID-19 Healthcare Coalition Telehealth Impact Physician Survey was sent to all registrants who identified themselves as students at the 2020 Society of Student-Run Free Clinics Annual Conference. Results: Thirty-eight individuals of 576 registrants (7%) representing 21 of 88 (24%) SRFCs completed the survey. Twenty-one (58%) individuals reported using telehealth in their clinic. Those that did not cited lack of infrastructure as a barrier (eg, broadband, Internet challenges, technology investments), were more likely to serve homeless (P = .01), and less likely to serve non-English speaking populations (P = .02). There were increases in telehealth and decreases in in-person visits after March 11, 2020 though changes did not reach statistical significance. At least 15 (68%) wanted to continue chronic disease management, preventative care, and mental/behavioral health via telehealth after COVID-19. Most felt that telehealth was easy to use and improved the health, safety, and timeliness of care of patients, but not work satisfaction or access to care. Difficulty accessing physical devices, Internet, and data was the most-cited barrier to maintaining and accessing telehealth. Conclusions: Nearly all participants cited significant benefits and barriers to telehealth that impacted perceived access to care and sustainability. SRFCs’ experiences may be modulated by their underserved populations and role in student education. Addressing barriers, particularly patient- and clinic-level technology challenges, could work to improve inequities in telehealth uptake.

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Section: Discussionmentioning

confidence: 99%

Experience and Attitudes Toward Telehealth in Student-Run Free Clinics (SRFC)

Luong

Shahin

Porter

et al. 2023

J Prim Care Community Health

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“…All over the world the multitude of telemedicine usage increase tremendously after the pandemic and has now become a permanent fixture. A study conducted by Julia et al stated that the doximity survey showed the number of physicians working in the USA in the field of telemedicine has doubled from 20% (as of 2020) to 40% (as of 2021) [13]. This shows the increase in the international trend of practicing telehealth [14].…”

Section: Discussionmentioning

confidence: 99%

“…A study conducted by Julia et al. stated that the doximity survey showed the number of physicians working in the USA in the field of telemedicine has doubled from 20% (as of 2020) to 40% (as of 2021) [ 13 ]. This shows the increase in the international trend of practicing telehealth [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Perception and Attitude of Pakistani Doctors Toward the Use of Telemedicine Technology

Zahid¹,

Ali²,

Gul³

et al. 2022

Cureus

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Background: Healthcare providers may improve healthcare delivery and make it available to more people by combining advanced technologies with high-quality network services. In this regard, telemedicine has improved healthcare providers' ability to provide services for a large number of individuals without their physical presence. Pakistan's healthcare system is a mix of government infrastructure, parastatal healthcare, the private sector, civil society, and charitable contributions. However, unawareness, poor education, lack of skills, lack of resources, and technical issues including internet connectivity, and load shedding have limited the accessibility of the Pakistani population towards advancement in the healthcare industry.Methodology: It was a cross-sectional study conducted at a private tertiary care hospital from April to June 2022 in Karachi. To recruit the study participants, a purposive sampling technique was used. Practicing doctors (n=100), who were aware of telemedicine technology and agreed to participate in the study, were included as study participants. A self-developed proforma was administered to doctors to assess the study's objectives.Results: Out of 100, 64% (n=64) of the participants have no experience working in telemedicine while only 36% have worked with telemedicine for at least one year. When asked about the application of telemedicine technology only 46% of the doctors knew the technology used. While only 42% of the doctors were familiar with the telemedicine tools, including a virtual stethoscope, pulse oximeter, etc. views regarding continue using telemedicine, 26% of the participants having no experience with telemedicine agreed that they would like to use telemedicine, 35% agreed to use telemedicine with improvement whereas 3% of them do not want to use the telemedicine technology. Conclusion:The participants of the current study were aware of telemedicine technology and its advantages. However, despite their agreement, the majority of the doctors emphasized the improvement of the system to deliver better services by using this technology.

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“…In the pre-pandemic period, urgent calls were made for radical approaches to technological use in healthcare [ 1 – 3 , 17 ].Authors of systematic reviews on telehealth had demonstrated client satisfaction, including improved outcomes (varied definitions), cost savings, better communication and ease of use, and reductions in travel time [ 18 ]. There were pockets of excellence in telehealth delivery, however, uptake and widespread integration was slow [ 1 – 3 , 17 ]. Barriers to uptake included a lack of infrastructure, fractured and complex health systems, and unwieldy funding models/jurisdictional boundaries.…”

Section: Introductionmentioning

confidence: 99%

“…In May 2020, Dr. Sacha Bhatia stated, ‘… the COVID pandemic was the match that lit the fire around this revolution in virtual care’. [ 4 ] The US Congress rapidly overturned telehealth billing and reimbursement restrictions, enabled telehealth from people’s homes (including physicians), and expanded approved platforms [ 3 ]. Similar changes were made in Australia [ 21 , 22 ], Canada [ 4 , 17 , 19 ], and the UK [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

Mental health professionals and telehealth in a rural setting: a cross sectional survey

Nelson

Inghels

Kenny

et al. 2023

BMC Health Serv Res

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Background Telehealth usage has been promoted in all settings but has been identified as a panacea to issues of access and equity in the rural context. However, uptake and widespread integration of telehealth across all parts of the health system has been slow, with a myriad of barriers documented, including in rural settings. The crisis of the COVID-19 pandemic, saw barriers rapidly overturned with the unprecedented and exponential rise in telehealth usage. The uniqueness of the crisis forced telehealth adoption, but as the urgency stabilises, pandemic learnings must be captured, utilised, and built upon in a post-pandemic world. The aim of this study was to document staff experiences and perceptions of delivering rural psychological therapies via telehealth during the pandemic and to capture learnings for future rural telehealth delivery. Methods An online cross-sectional survey that explored mental health professional’s experiences, use, and perceptions of telehealth before and after pandemic-enforced changes to service delivery. Results Sixty-two respondents completed the questionnaire (response rate 68%). Both the delivery of telehealth via telephone and online video conferencing significantly increased during the pandemic (66% vs 98%, p < .001 for telephone and 10% vs 89%, p < 0.001 for online video). Respondents indicated that client’s access to services and attendance had improved with telehealth use but their attention and focus during sessions and non-verbal communication had been negatively affected. The challenges for older adults, people with learning and sensory disabilities, and residents in remote areas with poorer mobile/internet connectivity were identified. Despite these challenges, none of the respondents indicated a preference to return to fully face-to-face service delivery with most (86%) preferring to deliver psychological therapies fully or mostly via telehealth. Conclusions This study addresses three major gaps in knowledge: the experience of delivering local telehealth solutions to address rural mental health needs, the provision of strong rural-specific telehealth recommendations, and the dearth of rural research emanating from the United Kingdom. As the world settles into a living with COVID-19 era, the uniqueness of the rural telehealth context may be forgotten as urban myopia continues to dominate telehealth policy and uptake. It is critical that rural resourcing and digital connectivity are addressed.

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The State of Telehealth Before and After the COVID-19 Pandemic

Cited by 357 publications

References 41 publications

Experience and Attitudes Toward Telehealth in Student-Run Free Clinics (SRFC)

Experience and Attitudes Toward Telehealth in Student-Run Free Clinics (SRFC)

Perception and Attitude of Pakistani Doctors Toward the Use of Telemedicine Technology

Mental health professionals and telehealth in a rural setting: a cross sectional survey

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