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Research papers on Telemedicine and access to care

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  1. Telehealth Interventions and Outcomes Across Rural Communities in the United States: Narrative Review

    Michael Butzner, Yendelela Cuffee · 2021 · Journal of Medical Internet Research · 329 citations

    BACKGROUND: In rural communities, there are gaps in describing the design and effectiveness of technology interventions for treating diseases and addressing determinants of health. OBJECTIVE: The aim of this study is to evaluate literature on current applications, therapeutic areas, and outcomes of telehealth interventions in rural communities in the United States. METHODS: A narrative review of studies published on PubMed from January 2017 to December 2020 was conducted. Key search terms included telehealth, telemedicine, rural, and outcomes. RESULTS: Among 15 included studies, 9 studies analyzed telehealth interventions in patients, 3 in health care professionals, and 3 in both patients an

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  3. Revolutionizing Healthcare: How Telemedicine Is Improving Patient Outcomes and Expanding Access to Care

    Victor Chiedozie Ezeamii, Okelue Edwards Okobi, Hassana Wambai-Sani, et al. · 2024 · Cureus · 321 citations

    Telemedicine uses digital technologies to provide healthcare services remotely, greatly improving patient access, especially during crises like the COVID-19 pandemic. This systematic review investigates telemedicine's effects on patient outcomes, access to care, and its role in the evolving healthcare landscape. Relevant studies were identified using MeSH terms and keywords through electronic databases and manual reference list screenings. The selected empirical studies, both quantitative and qualitative, examined telemedicine across various patient populations. The review categorized findings into themes related to patient outcomes and access to care. Telemedicine was found to be a transfor

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  5. Standards and Guidelines in Telemedicine and Telehealth

    Elizabeth Anne Krupinski, Jordana Bernard · 2014 · Healthcare · 120 citations

    The development of guidelines and standards for telemedicine is an important and valuable process to help insure effective and safe delivery of quality healthcare. Some organizations, such as the American Telemedicine Association (ATA), have made the development of standards and guidelines a priority. The practice guidelines developed so far have been well received by the telemedicine community and are being adopted in numerous practices, as well as being used in research to support the practice and growth of telemedicine. Studies that utilize published guidelines not only help bring them into greater public awareness, but they also provide evidence needed to validate existing guidelines and

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  8. Optimizing the Use of Telemedicine in Oncology Care: Postpandemic Opportunities

    Karen E. Knudsen, Cheryl L. Willman, Robert A. Winn · 2020 · Clinical Cancer Research · 90 citations

    Utilization of telehealth as part of the cancer care delivery continuum dramatically escalated in response to the COVID-19 pandemic at major cancer centers across the globe. The rapid shift toward telehealth visits for nontreatment cancer care provided immediate benefit through reducing unnecessary risk of exposure, overcoming transportation barriers faced by both patients and caregivers, and fast-tracking care transformation. As such, delineating the impact of telehealth on access, health equity, quality, and outcomes will be essential for refining the use of digital strategies and telehealth toward optimizing cancer care. Herein, experiences to date with telehealth usage for oncology care

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  10. Telehealth Increases Access to Care for Children Dealing with Suicidality, Depression, and Anxiety in Rural Emergency Departments

    R. Fairchild, Shiaw-Fen Ferng-Kuo, Hicham Rahmouni, et al. · 2020 · Telemedicine and e-Health · 61 citations

    Background: Targeted research efforts in implementation and evaluation of telemental health care for U.S. youth are needed to increase accessibility to care. Before telehealth, children and families may wait weeks for psychiatric evaluation. Introduction: Increasing numbers of pediatric patients are reporting the need for mental health care when they present to region's rural emergency departments (EDs). Outcomes of telemental health services were evaluated, with a focus on treatment throughput and referral. Materials and Methods: Observational 18-month program evaluation of outcomes for children age <18 years (N = 87) who received physical and mental health assessment by an ED physician. Ch

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  12. Telehealth: Increasing Access to High Quality Care by Expanding the Role of Technology in Correctional Medicine

    Jeremy Young, Melissa E. Badowski · 2017 · Journal of Clinical Medicine · 51 citations

    The United States (US) has a large correctional population. However, many incarcerated persons lack access to evidence-based, up-to-date medical care, particularly by subspecialty providers, due to limitations of geography, travel, cost and other resources. The use of telehealth technologies can remove these barriers, increasing access to high quality, multidisciplinary care. Studies have shown that, with telemedicine, timely triage and medical management can be provided across many disciplines, which may lead to improved clinical outcomes and significant cost savings.

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  15. A Primary Care Telehealth Pilot Program to Improve Access: Associations with Patients' Health Care Utilization and Costs

    Kritee Gujral, J. Scott, Leena Ambady, et al. · 2021 · Telemedicine and e-Health · 23 citations

    Background: The Veterans Health Administration (VHA) piloted an innovative video telehealth program called Virtual Integrated Multisite Patient Aligned Care Teams (V-IMPACT) in fiscal year (FY) 2014. V-IMPACT set up one regional “hub” site where primary care (PC) teams provided regular PC through telehealth services to patients in outlying “spoke” sites that experienced gaps in provider coverage. We evaluated associations between clinic-level adoption of V-IMPACT and patients' utilization and VHA's costs for primary, emergency, and inpatient care. Materials and Methods: This observational study used repeated cross-sections of 208,612 unique veteran patients assigned to a PC team in 22 V-IMPA

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  16. Enhancing Rural Population Health Care Access and Outcomes Through the Telehealth EcoSystem™ Model

    B. Leath, Lucenia W. Dunn, Antwon Alsobrook, et al. · 2018 · Online Journal of Public Health Informatics · 21 citations

    The article highlights the Telehealth EcoSystem™ model, a holistic cross-sector approach for socioeconomic revitalization, connectivity, interoperability and technology infrastructure development to address health equity for rural underserved communities. Two guiding frameworks, Community & Economic Development (CED) and Collective Impact, provided the foundation for the Telehealth EcoSystem™ model. Public and private organizational capacities are addressed by comprehensive healthcare and social service delivery through stakeholder engagement and collaborative decision-making processes. A focus is maintained on economic recovery and policy reforms that enhance population health outcomes for

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  17. Improving Specialty Care Access via Telemedicine

    G. Burke, K. Osman, S. Lew, et al. · 2022 · Telemedicine and e-Health · 15 citations

    Introduction: Telehealth is a potential solution to persistent disparities in health and health care access by eliminating structural barriers to care. However, its adoption in urban underserved settings has been limited and remains poorly characterized. Methods: This is a prospective cohort study of patients receiving telemedicine (TM) consultation for specialty care of diabetes, hypertension, and/or kidney disease with a Federally Qualified Health Center (FQHC) as the originating site and an academic medical center (AMC) multispecialty group practice as the distant site in an urban setting. Primary data were collected onsite at a local FQHC and an urban AMC between March 2017 and March 202

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  18. Improving access to maternal care in Africa through telemedicine and digital health.

    W. Bilal, P. Mohanan, Z. Rahmat, et al. · 2022 · The International journal of health planning and management · 14 citations

    Access to maternal health care is limited for women in Africa, while it remains a crucial determinant of maternal mortality and morbidity. The utilization of telemedicine and digital health can help remove barriers to access through economical and geographical convenience. In addition, feasible frameworks operating on themes such as technology, user acceptance, short-term and long-term funding, organizational factors, and political and legislative aspects can help overcome implementation challenges that persist in Africa and permit maximal utilization of telehealth to enhance maternal outcomes.

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  19. The Impact of Telehealth Expansion on Health Care Utilization, Access, and Outcomes During the Pandemic: A Systematic Review

    Deirdre A. Colburn · 2024 · Telemedicine and e-Health · 12 citations

    Introduction: The COVID-19 pandemic brought unprecedented change to the health care industry, including a large and rapid shift to providing care through telehealth technologies. Although the expansion of telehealth services was successful in continuing to provide patients with care while preventing the spread of disease, it is less clear how patient sociodemographic characteristics influenced telehealth use during this time. This study aims to systematically review the published literature on demographic differences in telehealth access, utilization, and health outcomes among a variety of adult patient types in the United States. Methods: Litcovid, PubMed, Web of Science, and MEDLINE databa

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  20. Outcomes of telemedicine care during the COVID-19 pandemic: Experience from an intervention program designed for vulnerable population in Brazil

    Ana Carolina Carneiro, Guilherme S. de Pinho, J. Belo, et al. · 2022 · Journal of Telemedicine and Telecare · 10 citations

    Purpose Telehealth plays an important role on the combat of COVID-19. In this context, the SAS Brasil telemedicine program became a viable option in Brazil, where the population faced challenging access to healthcare services during the pandemics. In this study, we describe the sociodemographic profile, reasons for enrollment, outcomes of consultation, and satisfaction of participants who received telemedicine consultations through the SAS program. Methods A retrospective cross-sectional study was conducted with data from the SAS Telemedicine program including consultations performed from July 15, 2020, to April 15, 2021. The study describes the SAS Brasil experience and data collected in th

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  21. Pediatric Telehealth Access and Utilization in Chicago During the First Year of the COVID-19 Pandemic

    K. Kronforst, L. Barrera, Mia T. Casale, et al. · 2023 · Telemedicine Journal and e-Health · 5 citations

    Background: The COVID-19 pandemic demanded rapid development of telemedicine services for pediatric care and highlighted disparities for marginalized communities. Objective: To understand the demographic characteristics of patients with completed and incomplete telemedicine visits at Ann and Robert H. Lurie Children's Hospital of Chicago. Methods: This was a cross-sectional retrospective analysis of telemedicine visits for patients <25 years old scheduled between March 21, 2020, and March 17, 2021. We examined visit outcomes and compared outcomes by race/ethnicity, language, and payer using logistic regression. Geographic information system mapping and linear regression were used to examine

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  24. Pediatric Telemedicine Consults to Improve Access to Intensive Care in Rural Environments.

    Rachel A. Umoren, K. Birnie · 2024 · Pediatric clinics of North America · 4 citations

    Recent advances in telehealth adoption prompted by the COVID-19 pandemic have highlighted the potential for improved intensive care outcomes through implementing pediatric telehealth in rural and remote settings. Telemedicine consults can be used in a variety of intensive care scenarios including procedural support, resuscitation, specialty consults, and transport. Telemedicine consults for pediatric care in rural environments improve access, cost-effectiveness, and family-centeredness. Challenges to adopting telemedicine consults for intensive care unit level care include issues around training, technology, resource allocation, and attention to how implementation exacerbate or improve healt

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