Behavioral Health, Telemedicine, and Opportunities for Improving Access

Rogers, Daniel G.; Santamaria, Katie; Seng, Elizabeth K.; Grinberg, Amy S.

doi:10.1007/s11916-022-01096-w

Cited by 4 publications

(2 citation statements)

References 57 publications

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“…Even in the most developed settings, there could be inequalities referring to underserved populations and ethnic minorities [ 30 ]. Relying on a diversified offer of telemedicine services that includes access via commonly used devices such as smartphones, is a viable option [ 37 ].…”

Section: Introductionmentioning

confidence: 99%

Health equity, care access and quality in headache – part 2

Raffaelli,

Rubio-Beltrán,

Cho

et al. 2023

J Headache Pain

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Background Headache disorders are a global public health concern affecting diverse populations. This review examines headache service organizations in low-, middle-, and high-income countries. It addresses global challenges in pharmacological headache treatment, with a focus on safety, tolerability, reproductive and child health, and outlines disparities in accessing innovative treatments worldwide. Main body Organized headache services are essential due to the wide prevalence and varying severity of headache disorders. The tiered headache service model is globally recognized, although its implementation varies based on financial and workforce considerations. Headache burden affects well-being, causing disability, economic challenges, and work limitations, irrespective of location or income. All nations still require improved diagnosis and treatment, and the majority of countries face obstacles including limited access, awareness, economic barriers, and inadequate health policies. Provided adequate internet availability, telemedicine could help improve health equity by expanding access to headache care, since it can offer patients access to services without lengthy waiting times or extensive travel and can provide healthcare unavailable in underserved areas due to staff shortages. Numerous health disparities restrict global access to many headache medications, especially impacting individuals historically excluded from randomized controlled trials, such as those with cardiovascular and cerebrovascular conditions, as well as pregnant women. Furthermore, despite advancements in researching migraine treatments for young patients, the options for treatment remain limited. Access to headache treatment relies on factors like medication availability, approval, financial coverage, and healthcare provider expertise. Inadequate public awareness leads to neglect by policymakers and undertreatment by patients and healthcare providers. Global access discrepancies are exacerbated by the introduction of novel disease-specific medications, particularly impacting Asian, African, and Latin American nations excluded from clinical trials. While North America and Europe experience broad availability of migraine treatments, the majority of countries worldwide lack access to these therapies. Conclusions Healthcare disparities, treatment access, and medication availability are concerning issues in headache medicine. Variations in national healthcare systems impact headache management, and costly innovative drugs are widening these gaps. Healthcare practitioners and experts should acknowledge these challenges and work towards minimizing access barriers for equitable global headache care in the future.

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Section: Introductionmentioning

confidence: 99%

Health equity, care access and quality in headache – part 2

Raffaelli,

Rubio-Beltrán,

Cho

et al. 2023

J Headache Pain

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show abstract

“…Telehealth encompasses the distinct ways of interaction between patients and their health care providers. The growing popularity of virtual visits stems from the possibility of faster contact, elimination of transportation time [ 1 ], and by providing initial care in remote areas without adequate health care [ 2 ], making health care more efficient. Telehealth services can be used for diagnosis, treatment, follow-up, and screening purposes [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Syndromic Surveillance Using Structured Telehealth Data: Case Study of the First Wave of COVID-19 in Brazil

Boaventura¹,

Grave²,

Cerqueira‐Silva³

et al. 2023

JMIR Public Health Surveill

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Background Telehealth has been widely used for new case detection and telemonitoring during the COVID-19 pandemic. It safely provides access to health care services and expands assistance to remote, rural areas and underserved communities in situations of shortage of specialized health professionals. Qualified data are systematically collected by health care workers containing information on suspected cases and can be used as a proxy of disease spread for surveillance purposes. However, the use of this approach for syndromic surveillance has yet to be explored. Besides, the mathematical modeling of epidemics is a well-established field that has been successfully used for tracking the spread of SARS-CoV-2 infection, supporting the decision-making process on diverse aspects of public health response to the COVID-19 pandemic. The response of the current models depends on the quality of input data, particularly the transmission rate, initial conditions, and other parameters present in compartmental models. Telehealth systems may feed numerical models developed to model virus spread in a specific region. Objective Herein, we evaluated whether a high-quality data set obtained from a state-based telehealth service could be used to forecast the geographical spread of new cases of COVID-19 and to feed computational models of disease spread. Methods We analyzed structured data obtained from a statewide toll-free telehealth service during 4 months following the first notification of COVID-19 in the Bahia state, Brazil. Structured data were collected during teletriage by a health team of medical students supervised by physicians. Data were registered in a responsive web application for planning and surveillance purposes. The data set was designed to quickly identify users, city, residence neighborhood, date, sex, age, and COVID-19–like symptoms. We performed a temporal-spatial comparison of calls reporting COVID-19–like symptoms and notification of COVID-19 cases. The number of calls was used as a proxy of exposed individuals to feed a mathematical model called “susceptible, exposed, infected, recovered, deceased.” Results For 181 (43%) out of 417 municipalities of Bahia, the first call to the telehealth service reporting COVID-19–like symptoms preceded the first notification of the disease. The calls preceded, on average, 30 days of the notification of COVID-19 in the municipalities of the state of Bahia, Brazil. Additionally, data obtained by the telehealth service were used to effectively reproduce the spread of COVID-19 in Salvador, the capital of the state, using the “susceptible, exposed, infected, recovered, deceased” model to simulate the spatiotemporal spread of the disease. Conclusions Data from telehealth services confer high effectiveness in anticipating new waves of COVID-19 and may help understand the epidemic dynamics.

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Telemedicine in Headache Medicine: A Narrative Review

Robblee

2023

Curr Pain Headache Rep

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Behavioral Health, Telemedicine, and Opportunities for Improving Access

Cited by 4 publications

References 57 publications

Health equity, care access and quality in headache – part 2

Health equity, care access and quality in headache – part 2

Syndromic Surveillance Using Structured Telehealth Data: Case Study of the First Wave of COVID-19 in Brazil

Telemedicine in Headache Medicine: A Narrative Review

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