Geospatial Information System Analysis of Healthcare Need and Telemedicine Delivery in California

Kaufman, Taylor; Geraghty, Estella M.; Dullet, Navjit; King, Jesse; Kissee, Jamie L.; Marcin, James P.

doi:10.1089/tmj.2016.0144

Cited by 8 publications

(5 citation statements)

References 19 publications

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“…Every day, new generations of technologies and mobile communications with many different capabilities are developed. To introduce and familiarize relief workers with these new technologies, it seems necessary to hold training courses [13]. The communication equipment was at an excellent level, which confirms the results of the Taylor et al study.…”

Section: Communication Equipment Requirements and Equipment And Medicsupporting

confidence: 76%

Assessing the Status of Yazd Province Medical Emergency and Accident Management Center in Terms of Necessary Standards for Air Emergencies

Jafari

Ranjbar

Mozaffari

et al. 2020

HEDQ

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Background: Air emergency medical services provide advanced medical care to patients and critically injured as soon as possible to reduce injuries and casualties. In this study, the status of the Medical Emergency and Accident Management Center in Yazd Province in terms of the necessary standards for air emergencies was investigated and compared with existing standards. Materials and Methods: The present research was a cross-sectional descriptive study. Using a researcher-made checklist, the required data, such as human resource requirements, physical and environmental space, time, communication equipment, medical equipment, equipment for traffic detection and management, and equipment for technical and safety services, were collected by asking relevant officials and experts. Finally, data analysis was performed using tables and descriptive statistics. Results: The study findings showed that in total, 2 items in the field of human resource requirements, 7 items in physical space and environmental requirements, 2 items regarding time requirements, 4 items regarding communication equipment requirements, 43 items regarding equipment and medicine requirements, including patient cabin equipment, emergency resuscitation kit and Cardiopulmonary Resuscitation (CPR), medicine and jump bag equipment, delivery set, triage bag, dressing equipment and technical and safety service equipment requirements were in accordance with the existing standards. Conclusion: Based on the existing standards, the air emergency in Yazd Province in most areas was satisfactory. Because of the importance of the issue, authorities must take the necessary measures to address the deficiencies and limitations so that the emergency missions be carried out in the best conditions.

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Section: Communication Equipment Requirements and Equipment And Medicsupporting

confidence: 76%

Assessing the Status of Yazd Province Medical Emergency and Accident Management Center in Terms of Necessary Standards for Air Emergencies

Jafari

Ranjbar

Mozaffari

et al. 2020

HEDQ

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“…9,10 Prior studies have explored geographic data for modeling appropriate locations in which to establish rural telehealth centers, or to determine if existing telehealth services target communities of greatest need. 11,12 However, outside of survey-based methods, no specific analyses have been done in the United States to examine the feasibility or outcomes of providing TAH in rural areas. Telehealth is most needed in rural areas, owing to factors, such as distance, that limit access to in-person care compared to urban populations.…”

Section: Introductionmentioning

confidence: 99%

Geographic variability in rural patient internet connectivity when accessing telehealth services from home: A retrospective analysis during the COVID‐19 pandemic

Sotzen

Stratman

2022

The Journal of Rural Health

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Purpose Telehealth at home (TAH) is a means of providing patient care that is increasingly utilized by health care organizations. It is crucial to identify factors, such as internet accessibility, that might impact the ability of patients to make use of such services. Methods A retrospective analysis was conducted using real‐time data from audio‐visual telehealth encounters conducted using the Cisco Webex Meetings platform from April 22, 2020 to May 26, 2020, and originating from a single rural health care system in the state of Wisconsin. Quality scores were determined for each encounter, and comparative call qualities were mapped to demonstrate zones of poor and unacceptable quality throughout the service area. Findings Of 3,962 encounters meeting the study criteria, 746 (18.8%) had poor or unacceptable quality, with 116 of poor or unacceptable encounters failing to connect, and greater than 1 in 20 encounters (5.8%) requiring conversion to a telephone‐only visit. Geographic mapping of encounters with poor to unacceptable quality highlights numerous locations throughout the service area that suffer from connectivity issues. Conclusions In our study, there is wide and unpredictable variability in the quality of TAH encounters throughout the service area, which impacts the ability of patients living in rural areas to access timely and effective care. Our study supports the need for further infrastructure changes to improve internet connection quality in rural areas, with implications that extend beyond the current COVID‐19 pandemic.

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“…Regionally, we previously found that nearly half of New England EDs use telemedicine, most frequently for stroke and neurology care. 22 And while other studies have described telemedicine utilization regionally 23 or for specific clinical applications, 8,10,24 none have provided data on the prevalence of telemedicine use in EDs nationally.…”

Section: Introductionmentioning

confidence: 99%

A national survey of telemedicine use by US emergency departments

et al. 2018

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Objective Telemedicine has the potential to improve the delivery of emergency medical care: however, the extent of its adoption in United States (US) emergency departments is not known. Our objective was to characterise the prevalence of telemedicine use among all US emergency departments, describe clinical applications for which it is most commonly used, and identify emergency department characteristics associated with its use. Methods As part of the National Emergency Department Inventory-USA survey, we queried all 5375 US emergency departments open in 2016. Multivariable logistic regression analyses identified characteristics associated with emergency department receipt of telemedicine services. Results Overall, 4507 emergency departments (84%) responded to our survey, with 4031 responding to both telemedicine questions (75%). Although 1694 emergency departments (42%) reported no telemedicine in 2016, most did: 1923 (48%) emergency departments received telemedicine services, 149 (4%) emergency departments received telemedicine services and were in hospitals that provided telemedicine, and 265 emergency departments (7%) did not receive telemedicine but were in hospitals that provided telemedicine services. Among emergency departments receiving telemedicine, the most common applications were stroke/neurology (76%), psychiatry (38%), and paediatrics (15%). In multivariable analysis, telemedicine-receiving emergency departments had higher annual total visit volume for adults and lower annual total visit volume by children; were less likely to be academic or freestanding; and varied by region. In multivariable analysis, emergency departments in telemedicine-providing hospitals had higher annual total visit volume for adults and children, were more likely to be academic and were less likely to be freestanding. Conclusion In 2016, telemedicine was used in most US emergency departments (58%), especially for stroke/neurology and psychiatry. Future research is needed to understand the value of telemedicine for different clinical applications, and the barriers to its implementation.

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Geospatial Information System Analysis of Healthcare Need and Telemedicine Delivery in California

Cited by 8 publications

References 19 publications

Assessing the Status of Yazd Province Medical Emergency and Accident Management Center in Terms of Necessary Standards for Air Emergencies

Assessing the Status of Yazd Province Medical Emergency and Accident Management Center in Terms of Necessary Standards for Air Emergencies

Geographic variability in rural patient internet connectivity when accessing telehealth services from home: A retrospective analysis during the COVID‐19 pandemic

A national survey of telemedicine use by US emergency departments

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