A Narrative Review of Factors Historically Influencing Telehealth Use across Six Medical Specialties in the United States

Rangachari, Pavani; Mushiana, Swapandeep S.; Herbert, Krista

doi:10.3390/ijerph18094995

Cited by 28 publications

(22 citation statements)

References 98 publications

(258 reference statements)

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“…Additionally, other significant barriers to telehealth implementation that need to be taken into consideration are budgetary constraints, data privacy and reimbursement issues and a lack of understanding and familiarity with the use of (new) technology [ 48 , 49 ]. With particular regard to the last point, efforts must also be made to educate healthcare professionals, since they must be thoroughly knowledgeable about the available communication technologies to then instruct and encourage patients to use them for telehealth and telerehabilitation services.…”

Section: Discussionmentioning

confidence: 99%

Using Telehealth to Guarantee the Continuity of Rehabilitation during the COVID-19 Pandemic: A Systematic Review

Brigo

Rintala

Kossi

et al. 2022

IJERPH

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COVID-19 has abruptly disrupted healthcare services; however, the continuity of rehabilitation could be guaranteed using mobile technologies. This review aims to analyze the feasibility and effectiveness of telehealth solutions proposed to guarantee the continuity of rehabilitation during the COVID-19 pandemic. The PubMed, Cochrane Library, Web of Science and PEDro databases were searched; the search was limited to randomized controlled trials, observational and explorative studies published up to 31 May 2022, assessing the feasibility and effectiveness of telerehabilitation during the COVID-19 pandemic. Twenty studies were included, for a total of 224,806 subjects: 93.1% with orthopedic complaints and 6.9% with non-orthopedic ones. The main strategies used were video and audio calls via commonly available technologies and free videoconferencing tools. Based on the current evidence, it is suggested that telerehabilitation is a feasible and effective solution, allowing the continuity of rehabilitation while reducing the risk of infection and the burden of travel. However, it is not widely used in clinical settings, and definitive conclusions cannot be currently drawn. Telerehabilitation seems a feasible and safe option to remotely deliver rehabilitation using commonly available mobile technologies, guaranteeing the continuity of care while respecting social distancing. Further research is, however, needed to strengthen and confirm these findings.

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Section: Discussionmentioning

confidence: 99%

Using Telehealth to Guarantee the Continuity of Rehabilitation during the COVID-19 Pandemic: A Systematic Review

Brigo

Rintala

Kossi

et al. 2022

IJERPH

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“…The organization and participation of healthcare systems in the revalidation process varies by country, so we will not discuss reimbursement in detail here. However, we know that the two most significant barriers to the implementation of telemedicine and telehealth for patients, regardless of their pathologies or specialties, are financial concerns and a lack of knowledge and experience with the use of (new) technology [100,101]. Most patients are familiar with smartphones, apps, and mobile technology, so familiarity with the technology should not be an issue for the majority of patients [102], whereas this can be a significant barrier for other diseases or patient groups (e.g., older adults with dementia) [103].…”

Section: Implications For the Rehabilitationmentioning

confidence: 99%

The Impact of COVID-19 Infection on Cognitive Function and the Implication for Rehabilitation: A Systematic Review and Meta-Analysis

Houben

Bonnechère

2022

IJERPH

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There is mounting evidence that patients with severe COVID-19 disease may have symptoms that continue beyond the acute phase, extending into the early chronic phase. This prolonged COVID-19 pathology is often referred to as ‘Long COVID’. Simultaneously, case investigations have shown that COVID-19 individuals might have a variety of neurological problems. The accurate and accessible assessment of cognitive function in patients post-COVID-19 infection is thus of increasingly high importance for both public and individual health. Little is known about the influence of COVID-19 on the general cognitive levels but more importantly, at sub-functions level. Therefore, we first aim to summarize the current level of evidence supporting the negative impact of COVID-19 infection on cognitive functions. Twenty-seven studies were included in the systematic review representing a total of 94,103 participants (90,317 COVID-19 patients and 3786 healthy controls). We then performed a meta-analysis summarizing the results of five studies (959 participants, 513 patients) to quantify the impact of COVID-19 on cognitive functions. The overall effect, expressed in standardized mean differences, is −0.41 [95%CI −0.55; −0.27]. To prevent disability, we finally discuss the different approaches available in rehabilitation to help these patients and avoid long-term complications.

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“…The organization and involvement of healthcare systems in the revalidation process is country-specific and we will not discuss reimbursement specifically here. However, we know that two of the most important barriers to the implementation of telemedicine and telehealth for the patients, regardless of the pathologies or the specialties, are the financial issues and the lack of knowledge and familiarity with the use of (new) technology [77,78]. The pwMS being relatively young, most of them are familiar with smartphones, apps, and mobile technology, therefore the familiarity with the technology should not be an issue for most of the patients [79], but this can be a real barrier for other diseases or patient groups (e.g., older adults with dementia) [80].…”

Section: Discussionmentioning

confidence: 99%

Is mHealth a Useful Tool for Self-Assessment and Rehabilitation of People with Multiple Sclerosis? A Systematic Review

et al. 2021

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The development of mobile technology and mobile Internet offers new possibilities in rehabilitation and clinical assessment in a longitudinal perspective for multiple sclerosis management. However, because the mobile health applications (mHealth) have only been developed recently, the level of evidence supporting the use of mHealth in people with multiple sclerosis (pwMS) is currently unclear. Therefore, this review aims to list and describe the different mHealth available for rehabilitation and self-assessment of pwMS and to define the level of evidence supporting these interventions for functioning problems categorized within the International Classification of Functioning, Disability and Health (ICF). In total, 36 studies, performed with 22 different mHealth, were included in this review, 30 about rehabilitation and six for self-assessment, representing 3091 patients. For rehabilitation, most of the studies were focusing on cognitive function and fatigue. Concerning the efficacy, we found a small but significant effect of the use of mHealth for cognitive training (Standardized Mean Difference (SMD) = 0.28 [0.12; 0.45]) and moderate effect for fatigue (SMD = 0.61 [0.47; 0.76]). mHealth is a promising tool in pwMS but more studies are needed to validate these solutions in the other ICF categories. More replications studies are also needed as most of the mHealth have only been assessed in one single study.

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A Narrative Review of Factors Historically Influencing Telehealth Use across Six Medical Specialties in the United States

Cited by 28 publications

References 98 publications

Using Telehealth to Guarantee the Continuity of Rehabilitation during the COVID-19 Pandemic: A Systematic Review

Using Telehealth to Guarantee the Continuity of Rehabilitation during the COVID-19 Pandemic: A Systematic Review

The Impact of COVID-19 Infection on Cognitive Function and the Implication for Rehabilitation: A Systematic Review and Meta-Analysis

Is mHealth a Useful Tool for Self-Assessment and Rehabilitation of People with Multiple Sclerosis? A Systematic Review

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