Michelle Y Hamline, Guibo Xing, Richard L Kravitz, Marykate Miller, Joy Melnikow
BACKGROUND:  Telemedicine expanded rapidly during the COVID-19 pandemic, as key policy changes, financial support, and pandemic fears tipped the balance toward internet-based care. Despite this increased support and benefits to patients and clinicians, telemedicine uptake was variable across clinicians and practices. Little is known regarding physician and institutional characteristics underlying this variability. OBJECTIVE:  This study aimed to evaluate factors influencing telemedicine uptake among frontline physicians in the early pandemic response...
July 17, 2024: JMIR Formative Research
Akshara Singareeka Raghavendra, Kristofer Jennings, Gil Guerra, Debu Tripathy, Meghan S Karuturi
BACKGROUND: Before the coronavirus disease 2019 (COVID-19) pandemic, telehealth was rarely used for breast cancer management at tertiary care centers. We sought to examine patient satisfaction, experiences, preferences, and perceived effectiveness and technical quality of telehealth visits in follow-up patients receiving routine outpatient care in the breast medical oncology practice at The University of Texas MD Anderson Cancer Center. METHODS: We administered a survey to 60 follow-up patients for a duration of 9 months (January 5, 2021 to October 27, 2021) who had at least one telehealth consultation during the COVID-19 pandemic, from April 10, 2020 to October 21, 2021...
July 17, 2024: Oncologist
Rahul Awasthy, Meetu Malhotra, Michael L Seavers, Mark Newman
The primary objective of this study was to enhance the operational efficiency of the current healthcare system by proposing a quicker and more effective approach for healthcare providers to deliver services to individuals facing acute heart failure (HF) and concurrent medical conditions. The aim was to support healthcare staff in providing urgent services more efficiently by developing an automated decision-support Patient Prioritization (PP) Tool that utilizes a tailored machine learning (ML) model to prioritize HF patients with chronic heart conditions and concurrent comorbidities during Urgent Care Unit admission...
2024: Frontiers in digital health
Néstor Toapanta, Ester Sánchez-Gavilan, Cristina Guirao, Juan Leon Román, Natalia Ramos, Ander Vergara, María Azancot, Irene Agraz, Sheila Bermejo, Estefanía Montiel, Carlos Molina, Marc Ribó, María José Soler
INTRODUCTION: Diabetic Kidney Disease (DKD) is the most common cause of end-stage chronic kidney disease (CKD), conditioning these patients to a worse renal prognosis and higher cardiovascular mortality and/or requirement for renal replacement therapy. The use of novel information and communication technologies (ICTs) focused on the field of health, may facilitates a better quality of life and disease control in these patients. Our objective is to evaluate the effect of monitoring DKD patients using NORA-app...
July 15, 2024: Nefrología
Xinrui Bai, Hongyan Zhang, Yanxia Jiao, Chenlu Yuan, Yuxia Ma, Lin Han
BACKGROUND: Digital health interventions (DHIs) have shown promising results for the management of chronic wounds. However, its effectiveness compared to usual care and whether variability in the type of intervention affects wound outcomes are unclear. OBJECTIVE: The main objective was to determine the effectiveness of DHIs on wound healing outcomes in adult patients with chronic wounds. The secondary objectives were to assess if there was any variation in wound healing outcomes across the various types of DHIs...
July 16, 2024: Journal of Medical Internet Research
Brianna M Lombardi, Lisa de Saxe Zerden, Danya K Krueger, Sundania J W Wonnum, Erica L Richman
BACKGROUND AND OBJECTIVES: Integrated behavioral health (IBH) delivered in primary care is critical to addressing the growing behavioral health crisis in the United States. COVID-19 prompted changes to the core components of IBH, causing the model to shift. The specifics of how IBH teams adapted and what these adaptations mean for the future of IBH teams in primary care are uncertain. METHODS: We conducted individual interviews with IBH team members using a semistructured interview guide...
July 15, 2024: Family Medicine
Lisa Morrison, Zoe Louise Saynor, Alison Kirk, Lisa McCann
This viewpoint paper explores the dynamic intersection of physiotherapy and digital health technologies (DHTs) in enhancing the care of people with cystic fibrosis (CF), in the context of advancements such as highly effective modulator therapies that are enhancing life expectancy and altering physiotherapy needs. The role of DHTs, including telehealth, surveillance, home monitoring, and activity promotion, has expanded, becoming crucial in overcoming geographical barriers and accelerated by the recent pandemic...
July 15, 2024: JMIR Rehabilitation and Assistive Technologies
Robert P Adelson, Madalina Ciobanu, Anurag Garikipati, Natalie J Castell, Gina Barnes, Ken Tawara, Navan P Singh, Jodi Rumph, Qingqing Mao, Anshu Vaish, Ritankar Das
BACKGROUND/OBJECTIVES:  Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by social communication difficulties and restricted repetitive behaviors or interests. Applied behavior analysis (ABA) has been shown to significantly improve outcomes for individuals on the autism spectrum. However, challenges regarding access, cost, and provider shortages remain obstacles to treatment delivery. To this end, parents were trained as parent behavior technicians (pBTs), improving access to ABA, and empowering parents to provide ABA treatment in their own homes...
June 2024: Curēus
Andreea A Creanga, Briana Kramer, Carrie Wolfson, Meighan Mary, Elizabeth M Stierman, Sarah Clifford, Ada Ezennia, Jane Rhule, Nina Martin, Maxine Vance-Reed, Teneele Bruce, Bonnie DiPietro, Adriane Burgess, Nicole Warren, Shari N Lawson, Sarah Meyerholz, Kelly Bower
OBJECTIVE: To describe two main pillars of the Maryland Maternal Health Innovation Program (MDMOM): (1) centering equity and (2) fostering broad stakeholder collaboration and trust. METHODS: We summarized MDMOM's key activities and used severe maternal morbidity (SMM) surveillance and program monitoring data to quantify MDMOM's work on the two pillars. We developed measures of hospital engagement with MDMOM (participation in quality improvement [QI] activities, participation in check-in meetings, staff involvement) and with other partners (participation in QI activities, representation in state-level groups)...
2024: Health Equity
Lorna M Chess-Williams, Andrew M Broadbent, Laetitia Hattingh
BACKGROUND: Patients receiving palliative care are often on complex medication regimes to manage their symptoms and comorbidities and at high risk of medication-related problems. The aim of this cross-sectional study was to evaluate the involvement of a pharmacist to an existing community specialist palliative care telehealth service on patients' medication management. METHOD: The specialist palliative care pharmacist attended two palliative care telehealth sessions per week over a six-month period (October 2020 to March 2021)...
July 16, 2024: BMC Palliative Care
Bridget Morse-Karzen, Ji Won Lee, Patricia W Stone, Jingjing Shang, Ashley Chastain, Andrew W Dick, Laurent G Glance, Denise D Quigley
OBJECTIVE: To review evidence on post-acute care (PAC) use and disparities related to race and ethnicity and rurality in the United States over the past 2 decades among individuals who underwent major joint replacement (MJR). DESIGN: Systematic review. SETTING AND PARTICIPANTS: We included studies that examined US PAC trends and racial and ethnic and/or urban vs rural differences among individuals who are ≥18 years with hospitalization after MJR...
July 12, 2024: Journal of the American Medical Directors Association
Jacqueline B Henson, Yuval A Patel, April H Wall, Andrew J Muir
OBJECTIVE: To evaluate order completion after telehealth compared with in-person encounters. BACKGROUND: Completion of ordered testing, including laboratories and imaging, is an important aspect of successful outpatient care of patients with liver disease. Whether the completion of orders from telehealth encounters differs from in-person visits is unknown. MATERIALS AND METHODS: Completion of ordered laboratories and imaging from hepatology encounters at our center from 2021 to 2022 were evaluated and compared between video telehealth and in-person visits...
July 16, 2024: Journal of Clinical Gastroenterology
Sümeyra Yılmaz, Şeyma Nur Hepokur Yıldırım, Yeter Kitiş, Adnan Kan
AIM: To develop the nurses' attitudes towards use of a telehealth scale (NATUTS) and evaluate its psychometric properties. DESIGN: This methodological study involved two stages: the development of the NATUTS and the testing of the psychometric properties of NATUTS. We followed STROBE guidelines when reporting the study (File S1). METHODS: Items for NATUTS were created using evidence from the literature and presented to eight experts. The scale was tested in a methodological study conducted through a face-to-face survey with nurses working in outpatient and inpatient units of a tertiary hospital in Türkiye...
July 15, 2024: Journal of Clinical Nursing
Alexis Cooke, Mary Gray, Kate LaForge, Catherine J Livingston, Diana P Flores, Esther K Choo
Background and Purpose: Despite the lack of proven efficacy, opioids historically have been used for the treatment of noncancer back pain. A variety of other effective therapeutic options for pain management are becoming more available over time. In 2016, Oregon implemented a unique and novel policy to improve evidence-based back pain care and promote safer and more effective opioid prescribing through the state's Medicaid program, the Oregon Health Plan. This article examines the ways providers adapted to providing care for patients with back pain in the context of COVID-19 and to better understand the challenges faced by and adaptations made by providers...
July 15, 2024: J Integr Complement Med
Medhavi Malpe, Sonali G Choudhari, Nikhilesh Nagtode, Pramita Muntode Gharde
Teledentistry, a blend of dentistry and telecommunications used to provide dental care from a distance, holds great promise in enhancing public health, especially in reaching communities with limited access. However, putting it into practice has its own set of obstacles and background variables. It is frequently difficult to obtain dental treatment, especially in rural or economically underdeveloped areas. By removing geographical constraints and offering virtual consultations and diagnostics, teledentistry provides a solution...
June 2024: Curēus
Rita C Crooms, Jeannys F Nnemnbeng, Jennie W Taylor, Nathan E Goldstein, Ksenia Gorbenko, Barbara G Vickrey
BACKGROUND: Patients with high-grade glioma have high palliative care needs, yet few receive palliative care consultation. This study aims to explore themes on (1) benefits of primary (delivered by neuro-oncologists) and specialty palliative care (SPC) and (2) barriers to SPC referral, according to a diverse sample of clinicians. METHODS: From September 2021 to May 2023, 10 palliative physicians and 10 neuro-oncologists were recruited via purposive sampling for diversity in geographic setting, seniority, and practice structure...
August 2024: Neuro-oncology Practice
Amanda Irwin, Arunima Malik, Aditya Vyas, Catherine Bateman, Sarah Joyce
BACKGROUND: Health systems have a dual imperative to take action on climate change. First, they must develop climate resilient health services in response to the direct and indirect impacts of climate change on health. Second, they must reduce their own carbon footprint since health systems are a significant contributor to global greenhouse gas emissions. METHODS: An environmentally-extended multi-region input-output analysis was carried out, incorporating National Accounts data for Australia and annual expenditure data from WA Health for financial year 2019-20...
July 2024: The Lancet Regional Health. Western Pacific
Rebekah Harris, Elisa F Ogawa, Rachel E Ward, Emma Fitzelle-Jones, Thomas Travison, Jennifer S Brach, Jonathan F Bean
OBJECTIVE: To evaluate the feasibility and preliminary efficacy of the transition of an outpatient center-based rehabilitation program for middle and older aged Veterans with mobility limitations to a tele-health platform. DESIGN: Non-randomized non-controlled pilot study including 10 treatment sessions over 8 weeks and assessments at baseline, 8, 16, and 24 weeks. SETTING: VA Boston Healthcare System ambulatory care between August 2020 and March 2021...
June 2024: Archives of rehabilitation research and clinical translation
Toni Van Denend, Virgil Mathiowetz, Katharine Preissner, Francois Bethoux, Marcia Finlayson, Tanya Packer, Setareh Ghahari, Matthew Plow
OBJECTIVE: To describe the adaptations made and to examine interrater reliability and feasibility of administering a telehealth version of the Multiple Sclerosis Functional Composite (tele-MSFC). DESIGN: The Multiple Sclerosis Functional Composite (MSFC) is a commonly used, in-person clinical outcome assessment. It is composed of the timed 25-Foot Walk Test (T25FWT), Nine-Hole Peg Test (NHPT), and Paced Auditory Serial Addition Test (PASAT). The MSFC was adapted for videoconference administration as part of a larger clinical trial...
June 2024: Archives of rehabilitation research and clinical translation
Julie M Long, Allison Yoder, Lindsay Woodcock, Constantina Papoutsakis
No abstract text is available yet for this article.
July 12, 2024: Journal of the Academy of Nutrition and Dietetics
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