A Call for Addressing Barriers to Telemedicine: Health Disparities during the COVID-19 Pandemic

Zhai, Yusen

doi:10.1159/000509000

Cited by 144 publications

(138 citation statements)

References 9 publications

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“…Indeed, privacy has been identified as limitation for the offering of telemental health services in children and youth ( Golberstein, Wen, & Miller, 2020 ). Taken together, physical limitations to telemental health are exacerbated for children and families who are most marginalized and facing the highest levels of social and economic barriers ( Zhai, 2020 ). Thus, it is critical to consider and, if possible, address these barriers in the provision of child trauma treatment.…”

Section: Limitations Of Child-trauma Treatment Via Telemental Healthmentioning

confidence: 99%

Telemental health for child trauma treatment during and post-COVID-19: Limitations and considerations

Racine

Hartwick

Collin‐Vézina

et al. 2020

Child Abuse & Neglect

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The ongoing COVID-19 pandemic has led to unprecedented disruptions and stress in the lives of children and families internationally. Heightened family stress and turmoil can increase risk for, and exacerbate, child maltreatment. As a result, child maltreatment experts are concerned that there will be an influx of children requiring trauma assessment and treatment during and after COVID-19. As physical distancing measures have been implemented and will likely persist into 2021, organizations providing trauma treatment to children and their families have had to rapidly pivot to telemental health to maintain service delivery with clients. While the benefits of telemental health have been identified, including reduced barriers to access, increased cost effectiveness, and broad availability of services, there are unique limitations to its implementation within a child maltreatment population, such as challenges with attention and emotion regulation skills, difficulties identifying dissociative symptoms, and increased time with perpetrators of abuse due to shelter in place orders. These limitations are exacerbated for children and families who are most marginalized and facing the highest levels of social and economic barriers. Lack of access to reliable technology, lack of a private or confidential space for sessions, and reluctance to process trauma in the absence of a safe environment, are all barriers to conducting effective trauma treatment over telemental health. This article discusses both the benefits and barriers to telemental health in a child maltreatment population and offers considerations for child trauma service provision, program development, and policy during and post the COVID-19 pandemic.

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Section: Limitations Of Child-trauma Treatment Via Telemental Healthmentioning

confidence: 99%

Telemental health for child trauma treatment during and post-COVID-19: Limitations and considerations

Racine

Hartwick

Collin‐Vézina

et al. 2020

Child Abuse & Neglect

View full text Add to dashboard Cite

show abstract

“…The ongoing COVID-19 pandemic has prompted discussions of the positive outcomes of telemedicine for residents of LTCFs (29,30). However, these discussions have also created awareness of the existing limitations of these facilities' current telemedicine infrastructures (11,31).…”

Section: Telemedicine and Digital Infrastructure In Long-term Carementioning

confidence: 99%

“…Telemedical solutions are often feasible and acceptable in delivering care to older adults in LTCFs, even in those with sensory impairments such as hearing or visual loss (9). However, older adults are less likely than younger people to be able to take advantage of the opportunities enabled by modern information and communication technology (ICT) or telemedicine (10)(11)(12)(13)(14). Older adults living in LTCFs often (a) opt not to use the internet, (b) cannot afford internet access or ICT devices, (c) lack technical solutions with which to use telemedicine to connect virtually with doctors or other health professionals, (d) have physical or cognitive limitations that may limit possible telemedicine use or prevent them from using telemedicine at all without assistance, and (e) lack the skills to use ICT or telemedicine even if they do have access (9,11,(15)(16)(17)(18).…”

mentioning

confidence: 99%

Telemedicine in Long-Term Care Facilities During and Beyond COVID-19: Challenges Caused by the Digital Divide

Seifert

Batsis

Smith

2020

Front. Public Health

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“…It is important to be aware that, to be able to offer telehealth as a response to public health emergencies, like the pandemic COVID-19, some barriers exist and must be faced ( Zhai, 2020 ). In fact, barriers like the difficulty in access to the Internet, the stability of the connection, the suitability of the connection for VCS, the need for technology training and the economic and socio-cultural limits of the families must be faced to be able to improve and make distance support optimal.…”

Section: Discussionmentioning

confidence: 99%

Distance support and online intervention to blind and visually impaired children during the pandemic COVID-19

Battistin¹,

Mercuriali²,

Zanardo³

et al. 2021

Research in Developmental Disabilities

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A Call for Addressing Barriers to Telemedicine: Health Disparities during the COVID-19 Pandemic

Cited by 144 publications

References 9 publications

Telemental health for child trauma treatment during and post-COVID-19: Limitations and considerations

Telemental health for child trauma treatment during and post-COVID-19: Limitations and considerations

Telemedicine in Long-Term Care Facilities During and Beyond COVID-19: Challenges Caused by the Digital Divide

Distance support and online intervention to blind and visually impaired children during the pandemic COVID-19

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