467 results match your criteria expanded telehealth

Changes in Emergency Medical Services before and during COVID-19 in the United States, January 2018-December 2020.

Clin Infect Dis 2021 May 6. Epub 2021 May 6.

Data, Analytics, and Visualization Task Force, CDC COVID-19 Emergency Response.

Background: As a result of the continuing surge of COVID-19, many patients have delayed or missed routine screening and preventive services. Medical conditions, such as coronary heart disease, mental health issues, and substance use disorder, may be identified later, leading to increases in patient morbidity and mortality.

Methods: The National Emergency Medical Services Information System (NEMSIS) data were used to assess 911 Emergency Medical Services (EMS) activations during 2018-2020. Read More

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Potential Utility of School-Based Telehealth in the Era of COVID-19.

J Sch Health 2021 May 5. Epub 2021 May 5.

University of Texas School of Public Health, Health Science Center, Dallas Campus, 6363 Forest Park Road, BL10.204, Dallas, TX, 75235.

Background: The COVID-19 pandemic presents unique opportunities for preexisting school telemedicine programs to reach pediatric populations that might otherwise experience a lapse in health care services.

Methods: A retrospective analysis of one of the largest school-based telemedicine programs in the country, based in the Dallas-Fort Worth (DFW), Texas was conducted that included 7021 pediatric patients who engaged in telehealth visits from 2014 to 2019.

Results: Asthma or other respiratory disease was the primary diagnosis (28. Read More

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Impact of Obesity-Induced Inflammation on Cardiovascular Diseases (CVD).

Int J Mol Sci 2021 Apr 30;22(9). Epub 2021 Apr 30.

Telemedicine and Telepharmacy Centre, School of Medicinal and Health Products Sciences, University of Camerino, 62032 Camerino, Italy.

Overweight and obesity are key risk factors of cardiovascular disease (CVD). Obesity is currently presented as a pro-inflammatory state with an expansion in the outflow of inflammatory cytokines, such as interleukin-6 (IL-6) and tumor necrosis factor-alpha (TNF-α), alongside the expanded emission of leptin. The present review aimed to evaluate the relationship between obesity and inflammation and their impacts on the development of cardiovascular disease. Read More

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The Promise of Remote Patient Monitoring: Lessons Learned During the COVID-19 Surge in New York City.

Am J Med Qual 2021 May-Jun 01;36(3):139-144

Clinical Medicine and Population Health Sciences, Weill Cornell Medical College, Adjunct Professor Columbia University, NewYork-Presbyterian/Weill Cornell Medical Center, New York, NY Population Health, NewYork-Presbyterian Healthcare System Inc., New York, NY NewYork-Presbyterian Healthcare System Inc., Digital Health, New York, NY Harvard Medical School, Boston, MA IS & Telehealth, NewYork-Presbyterian Heatlhcare System, Inc., New York, NY Center for Behavioral Cardiovascular Health. Columbia University Irving Medical Center. New York, NY Columbia University Irving Medical Center, New York, NY Weill Cornell Medicine. New York, NY Clinical Emergency Medicine, Weill Cornell Medicine. New York, NY.

The coronavirus pandemic catalyzed a digital health transformation, placing renewed focus on using remote monitoring technologies to care for patients outside of hospitals. At NewYork-Presbyterian, the authors expanded remote monitoring infrastructure and developed a COVID-19 Hypoxia Monitoring program-a critical means through which discharged COVID-19 patients were followed and assessed, enabling the organization to maximize inpatient capacity at a time of acute bed shortage. The pandemic tested existing remote monitoring efforts, revealing numerous operating challenges including device management, centralized escalation protocols, and health equity concerns. Read More

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Expanding telehealth options during the COVID pandemic eliminated racial and age disparities in electronic communication by inflammatory bowel disease patients.

J Natl Med Assoc 2021 Apr 30. Epub 2021 Apr 30.

Division of Gastroenterology and Liver Diseases, Department of Medicine, The George Washington University, Washington, D.C, USA. Electronic address:

Background: Electronic messaging and telemedicine visits increased during the COVID pandemic. African-Americans and older patients have less frequently used electronic messaging with their physicians. This study compares the utilization of virtual health care before and during the COVID pandemic for inflammatory bowel disease (IBD) patients. Read More

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U.S. physicians' perspective on sudden shift to Telehealth: Physician Survey Study.

JMIR Hum Factors 2021 May 3. Epub 2021 May 3.

Department of Public Health, Syracuse University, 430B Barclay, Syracuse, US.

Background: Given the sudden shift to telemedicine during the early COVID-19 pandemic, we conduct a survey of practicing-physician telehealth experience during pre-pandemic and early-pandemic periods. Our survey estimates that most U.S. Read More

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Pediatric Subspecialty Adoption of Telemedicine Amidst the COVID-19 Pandemic: An Early Descriptive Analysis.

Front Pediatr 2021 13;9:648631. Epub 2021 Apr 13.

Division of Pediatric Otolaryngology, Department of Otolaryngology-Head and Neck Surgery, Lucile Packard Children's Hospital-Stanford Children's Health, Stanford University School of Medicine, Stanford, CA, United States.

Telemedicine has rapidly expanded in many aspects of pediatric care as a result of the COVID-19 pandemic. However, little is known about what factors may make pediatric subspeciality care more apt to long-term adoption of telemedicine. To better delineate the potential patient, provider, and subspecialty factors which may influence subspecialty adoption of telemedicine, we reviewed our institutional experience. Read More

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An Experimental Education Project for Consultations of Older Adults during the Pandemic and Healthcare Lockdown.

Healthcare (Basel) 2021 Apr 6;9(4). Epub 2021 Apr 6.

Chair and Department of Palliative Medicine, Poznan University of Medical Sciences, 61-245 Poznan, Poland.

Objective: To develop a mentor-supervised, interprofessional, geriatric telemedicine experiential education project in response to the COVID-19 pandemic.

Method: Medical and pharmacy students collaborated via remote consultations to address the coexistence of multimorbidity and polypharmacy in geriatric patients. In-depth interviews of students and patients as well as Likert scale-based telephonic survey were performed for a comprehensive evaluation of the project's significance. Read More

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Curricular response to COVID-19: real-time interactive telehealth experience (RITE) program.

Med Educ Online 2021 Dec;26(1):1918609

Senior Associate Dean (Education) and Richard P. Cohen Associate Professor, Weill Department of Medicine, Weill Cornell Medicine, New York, NY, USA.

. The COVID-19 pandemic placed an unprecedented strain on academic healthcare systems necessitating a pause in medical student teaching in clinical care settings, including at Weill Cornell Medicine (WCM). WCM had a preexisting telemedicine curriculum, but limited opportunities for students to apply knowledge and skills related to direct virtual patient care. Read More

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December 2021

Using Telehealth Approaches to Address Social Determinants of Health and Improve Pregnancy and Postpartum Outcomes.

Clin Obstet Gynecol 2021 06;64(2):333-344

Departments of Obstetrics and Gynecology.

Telehealth has expanded its reach significantly since its inception due to the advances in technology over the last few decades. Social determinants of health (SDOH) negatively impact the health of pregnant and postpartum women and need to be considered when deploying telehealth strategies. In this article, we describe telehealth modalities and their application to improve the SDOH that impact pregnancy and postpartum outcomes. Read More

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The value of physical examination in the era of telemedicine.

J R Coll Physicians Edinb 2021 03;51(1):85-90

South Tyneside and Sunderland NHS Foundation Trust.

Telemedicine use has expanded rapidly to cope with increasing demand on services by delivering remote clinical review and monitoring of long-term conditions. Triaging individual patients to determine their suitability for telephone, video or face-to-face consultations is necessary. This is crucial in the context of COVID-19 to ensure doctor-patient safety. Read More

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Can vital signs recorded in patients' homes aid decision making in emergency care? A Scoping Review.

Resusc Plus 2021 Jun 10;6:100116. Epub 2021 Apr 10.

School of Medical Sciences, Bangor University, Bangor, United Kingdom.

Aim: Use of tele-health programs and wearable sensors that allow patients to monitor their own vital signs have been expanded in response to COVID-19. We aimed to explore the utility of patient-held data during presentation as medical emergencies.

Methods: We undertook a systematic scoping review of two groups of studies: studies using non-invasive vital sign monitoring in patients with chronic diseases aimed at preventing unscheduled reviews in primary care, hospitalization or emergency department visits and studies using vital sign measurements from wearable sensors for decision making by clinicians on presentation of these patients as emergencies. Read More

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Telestroke Across the Continuum of Care: Lessons from the COVID-19 Pandemic.

J Stroke Cerebrovasc Dis 2021 Apr 8;30(7):105802. Epub 2021 Apr 8.

Department of Neurology, University of Virginia, Charlottesville, VA, USA; Department of Public Health Sciences, University of Virginia, Charlottesville, VA, USA.

While use of telemedicine to guide emergent treatment of ischemic stroke is well established, the COVID-19 pandemic motivated the rapid expansion of care via telemedicine to provide consistent care while reducing patient and provider exposure and preserving personal protective equipment. Temporary changes in re-imbursement, inclusion of home office and patient home environments, and increased access to telehealth technologies by patients, health care staff and health care facilities were key to provide an environment for creative and consistent high-quality stroke care. The continuum of care via telestroke has broadened to include prehospital, inter-facility and intra-facility hospital-based services, stroke telerehabilitation, and ambulatory telestroke. Read More

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[User satisfaction with telephonic consultations carried out during the COVID-19 pandemic.]

Rev Esp Salud Publica 2021 Apr 16;95. Epub 2021 Apr 16.

Hospital San Juan de Dios del Aljarafe. Bormujos. Sevilla. España.

Objective: To face the COVID-19 pandemic, our intensive care and hospitalization units were expanded, surgical activity was limited to urgent and non-delayed procedures and teleconsultations were increased in order to minimize face-to-face consultations. The objective of this work was to learn users' satisfaction with teleconsultations performed during the pandemic as well as its benefits, applications and areas for improvement.

Methods: Cross-sectional study through a questionnaire with 26 closed questions and 5 open ones, grouped in 9 dimensions: patient characteristics; the query; treatment; utility; resolution; security; satisfaction; face-to-face modality and opportunities for improvement. Read More

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Quality and Safety Analysis of 2,999 Telemedicine Encounters During the COVID-19 Pandemic.

Neurol Clin Pract 2021 Apr;11(2):e73-e82

Division of Pediatric Neurology (CNJ, MLY, KE, MPJ, CS, AEK, SAS), University of Colorado School of Medicine, Anschutz Medical Campus, Children's Hospital Colorado, Aurora; Department of Pediatrics (ST), Children's Hospital Colorado, Aurora; Department of Biostatistics and Informatics (ST), Colorado School of Public Health, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora; Department of Pediatrics (JFT, CAO), University of Colorado School of Medicine, Anschutz Medical Campus, Children's Hospital Colorado, Aurora; and Telehealth Department (GMF, JFT, CAO), Children's Hospital Colorado, Aurora.

Objective: To examine whether telemedicine remains safe and of high quality despite rapid expansion of services by comparing telemedicine encounters before and during the COVID-19 pandemic.

Methods: Pre-post study investigating 2,999 telemedicine encounters: February 1, 2020-May 15, 2020, was performed. A total of 2,919 completed visits before and after strict social distancing implementation were analyzed for patient and provider characteristics, encounter characteristics (e. Read More

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The Effect of Telehealth Services on Provider Productivity.

Med Care 2021 05;59(5):456-460

Department of Veterans Affairs Office of Productivity, Efficiency, and Staffing, West Haven, CT.

Background: Telehealth services historically have played a small role in the provision of health care in the United States. However during the coronavirus disease 2019 (COVID-19) pandemic, public and private insurers rapidly expanded access to telehealth in order to reduce exposure and avoid transmission. It is unknown whether telehealth will become a more regular substitute for in-person care beyond the pandemic. Read More

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Logistics of Rehabilitation Telehealth: Documentation, Reimbursement, and Health Insurance Portability and Accountability Act.

Anne H Chan

Phys Med Rehabil Clin N Am 2021 05;32(2):429-436

Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, 1223 East Marshall Street, PO Box 980677, Richmond, VA 23298, USA. Electronic address:

As a result of the COVID-19 public health emergency, the Centers for Medicare & Medicaid Services expanded its telehealth benefit on a temporary and emergency basis. Effective March 6, 2020, Medicare will pay for Medicare telehealth services at the same rate as regular, in-person visits. Medicare has prescribed specific guidance on the billing and coding of such services, having an impact on reimbursement for qualified providers. Read More

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Telehealth for Amyotrophic Lateral Sclerosis and Multiple Sclerosis.

Phys Med Rehabil Clin N Am 2021 05 26;32(2):239-251. Epub 2021 Jan 26.

Rehabilitation Care Services, VA Puget Sound Healthcare System, 1660 South Columbian Way, Seattle, WA 98108, USA; Department of Rehabilitation Medicine, University of Washington, 325 Ninth Avenue, Box 359612 Seattle, WA 98104, USA.

Amyotrophic lateral sclerosis and multiple sclerosis are neurodegenerative diseases requiring interdisciplinary rehabilitation services to maximize function, manage symptoms, prevent complications, and promote higher quality of life. Distance and disability may pose barriers to access of subspecialized care. Telehealth is one solution to facilitate access and was rapidly expanded during the COVID-19 pandemic. Read More

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Syringe service program-based telemedicine linkage to opioid use disorder treatment: protocol for the STAMINA randomized control trial.

BMC Public Health 2021 03 31;21(1):630. Epub 2021 Mar 31.

Departments of Academic Internal Medicine and Pediatrics, University of Illinois Chicago, 840 S Wood St, Chicago, IL, 60612, USA.

Background: A key strategy for mitigating the current opioid epidemic is expanded access to medications for treating opioid use disorder (MOUD). However, interventions developed to expand MOUD access have limited ability to engage opioid users at higher levels of overdose risk, such as those who inject opioids. This paper describes the study protocol for testing STAMINA (Syringe Service Telemedicine Access for Medication-assisted Intervention through NAvigation), an intervention that engages high-risk opioid users at community-based syringe service programs (SSP) and quickly links them to MOUD using a telemedicine platform. Read More

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Children's Hospital Ambulatory Response to the 2019 Novel Coronavirus Disease (COVID-19) Pandemic.

J Ambul Care Manage 2021 Mar 30. Epub 2021 Mar 30.

Department of Pediatrics, George Washington University School of Medicine & Health Sciences, Washington, District of Columbia (Drs Harahsheh, Selekman, Simpson, Martin, Mbwana, Biddle, Kalloo, Sharma, DiFazio, Corriveau, Melwani, Saleh, and Hamburger); Children's National Hospital, Washington, District of Columbia (Drs Harahsheh, Selekman, Simpson, Martin, Mbwana, Biddle, Kalloo, Sharma, DiFazio, Corriveau, Melwani, and Saleh, Mss Cronin, Cady, Ricks, Lindquist, and Helmandollar, and Mr Schultz); and Children's National Pediatricians & Associates, Washington, District of Columbia (Dr Hamburger). Ms Cronin is now at Lucile Packard Children's Hospital Stanford, Palo Alto, California.

The 2019 novel coronavirus disease (COVID-19) pandemic produced an abrupt and near shutdown of nonemergent patient care. Children's National Hospital (CNH) mounted a multidisciplinary, coordinated ambulatory response that included supply chain management, human resources, risk management, infection control, and information technology. To ensure patient access, CNH expanded telemedicine and instituted operational innovations for outpatient procedures. Read More

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Collaboration Between Tele-ICU Programs Has the Potential to Rapidly Increase the Availability of Critical Care Physicians-Our Experience Was During Coronavirus Disease 2019 Nomenclature.

Crit Care Explor 2021 Mar 5;3(3):e0363. Epub 2021 Mar 5.

Telehealth Program, Northwell Health, New Hyde Park, NY.

Objectives: Implement a connected network between two Tele-ICU programs to support staffing and rounding during the first wave of the coronavirus disease 2019 pandemic in the United States.

Design: Proof of Concept model.

Setting: Northwell Health; a 23 Hospital, 40 ICU (500 ICU beds) healthcare organization serving the downstate NY area. Read More

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Using telehealth to improve buprenorphine access during and after COVID-19: A rapid response initiative in Rhode Island.

J Subst Abuse Treat 2021 05 20;124:108283. Epub 2021 Jan 20.

Department of Emergency Medicine, The Warren Alpert Medical School of Brown University, Providence, RI, United States of America.

Despite its proven efficacy, buprenorphine remains dramatically underutilized for management of opioid use disorder largely due to onerous barriers to treatment initiation. During the COVID-19 pandemic, many substance use disorder treatment facilities have reduced their hours and services, exacerbating existing barriers. To this end, the U. Read More

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The Virtual Hospitalist: a Critical Innovation During the COVID-19 Crisis.

J Gen Intern Med 2021 Mar 25. Epub 2021 Mar 25.

Section of Hospital Medicine, Division of General Internal Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY, 10065, USA.

A virtual hospitalist program expanded our ability to confront the challenges of the COVID-19 crisis at the epicenter of the pandemic in New York City. In concert with on-site hospitalists and redeployed physicians, virtual hospitalists aimed to expand capacity while maintaining high-quality care and communication. The program addressed multiple challenges created by our first COVID-19 surge: high patient census and acuity; limitations of and due to personal protective equipment; increased communication needs due to visitor restrictions and the uncertain nature of the novel disease, and limitations to in-person work for some physicians. Read More

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Transforming Interprofessional Roles During Virtual Health Care: The Evolving Role of the Medical Assistant, in Relationship to National Health Profession Competency Standards.

J Prim Care Community Health 2021 Jan-Dec;12:21501327211004285

Stanford University School of Medicine, Stanford, CA, USA.

Introduction: Medical assistants (MAs) were once limited to obtaining vital signs and office work. Now, MAs are foundational to team-based care, interacting with patients, systems, and teams in many ways. The transition to Virtual Health during the COVID-19 pandemic resulted in a further rapid and unique shift of MA roles and responsibilities. Read More

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Expanding frontiers in telehealth: Video assisted at-home application of capsaicin 8% patch.

Eur J Pain 2021 Mar 23. Epub 2021 Mar 23.

Multidisciplinary Pain Program, Montefiore Medical Center, Bronx, NY, USA.

In recent years, the delivery of health services has undergone a major paradigm shift towards expanded outpatient services and widespread use of telemedicine. Post-herpetic neuralgia (PHN) is a treatment recalcitrant neuropathic pain condition referring to pain persisting more than three months from the initial onset of an acute herpes zoster. QUTENZA® (capsaicin 8% patch) is a single 1-hr localized treatment for PHN and can provide several months of pain relief per application. Read More

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Wide field of view handheld smart fundus camera for telemedicine applications.

J Med Imaging (Bellingham) 2021 Mar 16;8(2):026001. Epub 2021 Mar 16.

University of Miami, Department of Electrical and Computer Engineering, Coral Gables, Florida, United States.

We report that a large field-of-view (FOV) retinal image can be acquired by a smart fundus camera. This handheld system consists of a Raspberry Pi board, a touch screen display, a customized optical lens group, a ring light-emitting diode, and a Li-battery. Wide FOV of is observed with proper lens configuration and can be expanded using image stitching algorithms. Read More

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Teledermatology Addressing Disparities in Health Care Access: a Review.

Curr Dermatol Rep 2021 Mar 12:1-8. Epub 2021 Mar 12.

Department of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA USA.

Purpose Of Review: Dermatologists have been at the forefront of researching telemedicine to expand access to care. The current COVID-19 pandemic has prompted even greater expansion and implementation of teledermatology. This review discusses the research examining the potential impact of teledermatology addressing disparities in care. Read More

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Evaluating evaluation frameworks: a scoping review of frameworks for assessing health apps.

BMJ Open 2021 Mar 19;11(3):e047001. Epub 2021 Mar 19.

Division of DIgital Psychaitry, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA

Objectives: Despite an estimated 300 000 mobile health apps on the market, there remains no consensus around helping patients and clinicians select safe and effective apps. In 2018, our team drew on existing evaluation frameworks to identify salient categories and create a new framework endorsed by the American Psychiatric Association (APA). We have since created a more expanded and operational framework Mhealth Index and Navigation Database (MIND) that aligns with the APA categories but includes objective and auditable questions (105). Read More

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Breastfeeding During a Pandemic: The Influence of COVID-19 on Lactation Services in the Northeastern United States.

J Hum Lact 2021 Mar 18:8903344211003898. Epub 2021 Mar 18.

3303 Egan School of Nursing and Health Studies, Fairfield University, Fairfield, CT, USA.

Background: Pandemic-related restrictions have limited traditional models of lactation support.

Research Aims: The primary aim of this study was to determine changes to breastfeeding support services during the coronavirus-2019 pandemic according to trained lactation providers. The secondary aim was to assess strengths and limitations of telehealth services. Read More

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Telehealth's New Horizon: Providing Smart Hospital-Level Care in the Home.

Telemed J E Health 2021 Mar 3. Epub 2021 Mar 3.

William Perry Center for Hemispheric Defense Studies, National Defense University, Washington, District of Columbia, USA.

During the COVID-19 pandemic, medical providers have expanded telehealth into daily practice, with many medical and behavioral health care visits provided remotely over video or through phone. The telehealth market was already facilitating home health care with increasing levels of sophistication before COVID-19. Among the emerging telehealth practices, telephysical therapy; teleneurology; telemental health; chronic care management of congestive heart failure, chronic obstructive pulmonary disease, diabetes; home hospice; home mechanical ventilation; and home dialysis are some of the most prominent. Read More

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