After COVID-19: Thinking Differently About Running the Health Care System

Butler, Stuart M.

doi:10.1001/jama.2020.8484

Cited by 30 publications

(18 citation statements)

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“…5 6 Nevertheless, when discussing the integration of telemedicine into healthcare systems, it is important to consider the barriers that may prevent successful adoption. [7][8][9][10][11][12][13] First, only 8.1% (447 of 5517) of physicians at WCH used the telemedicine platform. A recent physician survey at WCH identified the following potential challenges: lack of time, insufficient authenticity and reliability and underdeveloped policies.…”

Section: Discussionmentioning

confidence: 99%

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How telemedicine integrated into China’s anti-COVID-19 strategies: case from a National Referral Center

Liu

Mason

et al. 2020

BMJ Health Care Inform

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IntroductionWe present the integration of telemedicine into the healthcare system of West China Hospital of Sichuan University (WCH), one of the largest hospitals in the world with 4300 inpatient beds, as a means for maximising the efficiency of healthcare delivery during the COVID-19 pandemic.MethodsImplemented on 22 January 2020, the telemedicine technology allowed WCH providers to conduct teleconsultations, telerounds, teleradiology and tele-intensive care unit, which in culmination provided screening, triage and treatment for COVID-19 and other illnesses. To encourage its adoption, the government and the hospital publicised the platform on social media and waived fees.DiscussionFrom 1 February to 1 April 2020, 10557 online COVID-19 consultations were conducted for 6662 individuals; meanwhile, 32676 patients without COVID completed virtual follow-ups. We discuss that high-quality, secure, affordable and user-friendly telemedical platforms should be integrated into global healthcare systems to help decrease the transmission of the virus and protect healthcare providers from infection.

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Section: Discussionmentioning

confidence: 99%

“… 5 6 Nevertheless, when discussing the integration of telemedicine into healthcare systems, it is important to consider the barriers that may prevent successful adoption. 7–13 …”

Section: Discussionmentioning

confidence: 99%

How telemedicine integrated into China’s anti-COVID-19 strategies: case from a National Referral Center

Liu

Mason

et al. 2020

BMJ Health Care Inform

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“…COVID-19 has been a great promotor for changes in this area. For example, in the United States, Medicare took an important step this past March to reduce the payment obstacle by covering telehealth in many more settings, at least temporarily [ 21 ].…”

Section: Design and Implementation Considerationsmentioning

confidence: 99%

The Need for Sustainable Teleconsultation Systems in the Aftermath of the First COVID-19 Wave

Giunti¹,

Goossens²,

Bont³

et al. 2020

J Med Internet Res

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The physical and social distancing measures that have been adopted worldwide because of COVID-19 will probably remain in place for a long time, especially for senior adults, people with chronic conditions, and other at-risk populations. Teleconsultations can be useful in ensuring that patients continue to receive clinical care while reducing physical crowding and avoiding unnecessary exposure of health care staff. Implementation processes that typically take months of planning, budgeting, pilot testing, and education were compressed into days. However, in the urgency to deal with the present crisis, we may be forgetting that the introduction of digital health is not exclusively a technological issue, but part of a complex organizational change problem. This viewpoint offers insight regarding issues that rapidly adopted teleconsultation systems may face in a post–COVID-19 world.

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“…We acknowledge that this report is based on virtual roundtable meeting with a limited number of participants, but we think the insights conveyed in this report may be relevant for other health systems during potential future waves. Based on the experiences and combined reflections of Chinese, Norwegian,and UK hospital executives, we have formulated five lessons on how hospitals can manage the dual responsibilities (important to note: these lessons in themselves are not new, but substantiate and build on earlier published work from other countries, eg, [14][15][16][17][18] ): 1. Redesign organisation to separate COVID-19 and non-COVID-19 services both within and across hospitals: hospitals should continue to create designated spaces or separate facilities for COVID-19 and non-COVID-19 care, equipped with highly trained staff.…”

Section: Strategic and Leadership Lessons For Hospital Executivesmentioning

confidence: 99%

Balancing COVID-19 preparedness and ‘business as usual’ in hospitals: lessons from executives in China, Norway and the UK

Ikram

Hui²,

Shields-Zeeman

et al. 2020

leader

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BackgroundDuring the first wave of COVID-19 pandemic, hospitals were forced to cancel or postpone non-COVID-19 care. With new outbreaks emerging, hospitals are now figuring out how to balance preparedness for future COVID-19 waves with their elective and regular services. This report discusses how four hospital systems deal with these dual responsibilities in China, Norway and the UK.ReflectionsBased on the experiences and combined reflections of hospital executives, we have formulated five strategic and leadership lessons for hospitals as they manage these dual responsibilities. (1) Redesign organisation to separate COVID-19 and non-COVID-19 services both within and across hospitals. (2) Expand virtual care strategies to improve access. (3) Use data-driven models to allocate resources across COVID-19 and non-COVID-19 units. (4) Invest in programmes to promote frontline staff well-being. (5) Secure financial support to continue to deliver on the dual responsibilities.ConclusionThe COVID-19 pandemic gives rise to leadership challenges that have fuelled organisational change and new approaches to healthcare delivery. Leading hospitals during the pandemic is a balancing act—providing care for both patients with COVID-19 and non-COVID-19, while at the same time preparing for the next waves of the pandemic.

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After COVID-19: Thinking Differently About Running the Health Care System

Cited by 30 publications

References 0 publications

How telemedicine integrated into China’s anti-COVID-19 strategies: case from a National Referral Center

How telemedicine integrated into China’s anti-COVID-19 strategies: case from a National Referral Center

The Need for Sustainable Teleconsultation Systems in the Aftermath of the First COVID-19 Wave

Balancing COVID-19 preparedness and ‘business as usual’ in hospitals: lessons from executives in China, Norway and the UK

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