Health Care After the COVID-19 Pandemic and the Influence of Telemedicine

Temesgen, Zelalem; DeSimone, Daniel C.; Mahmood, Maryam; Libertin, Claudia R.; Palraj, Bharath Raj; Berbari, Elie F.

doi:10.1016/j.mayocp.2020.06.052

Cited by 97 publications

(82 citation statements)

References 3 publications

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“…In the COVID-19 era, telemedicine has taken a springboard trajectory, as governments and partnerships, thus made, have forged a way to support and accelerate its roll-out especially in developed countries. Telemedicine during COVID-19 has demonstrated organizations' ability to deliver quality care remotely (at home) while also reducing costs (115). This is likely to be sustained beyond the COVID-19 era with strengthening and widening of telemedicine services.…”

Section: Resultsmentioning

confidence: 99%

Telemedicine Across the Globe-Position Paper From the COVID-19 Pandemic Health System Resilience PROGRAM (REPROGRAM) International Consortium (Part 1)

Bhaskar

Bradley

Chattu

et al. 2020

Front. Public Health

211

198

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Coronavirus disease 2019 (COVID-19) has accelerated the adoption of telemedicine globally. The current consortium critically examines the telemedicine frameworks, identifies gaps in its implementation and investigates the changes in telemedicine framework/s during COVID-19 across the globe. Streamlining of global public health preparedness framework that is interoperable and allow for collaboration and sharing of resources, in which telemedicine is an integral part of the public health response during outbreaks such as COVID-19, should be pursued. With adequate reinforcement, telemedicine has the potential to act as the "safety-net" of our public health response to an outbreak. Our focus on telemedicine must shift to the developing and under-developing nations, which carry a disproportionate burden of vulnerable communities who are at risk due to COVID-19.

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Section: Resultsmentioning

confidence: 99%

Telemedicine Across the Globe-Position Paper From the COVID-19 Pandemic Health System Resilience PROGRAM (REPROGRAM) International Consortium (Part 1)

Bhaskar

Bradley

Chattu

et al. 2020

Front. Public Health

211

198

View full text Add to dashboard Cite

show abstract

“…Such innovative approaches offer numerous potential advantages and are likely to be highly accepted by patients, for safety as well as logistical reasons, even after the COVID-19 crisis is over. Such potentials will be fully realized if the necessary communication infrastructure is made available to people wherever they live, and if the use of these services is ensured to all patients [ 33 , 34 ].…”

Section: Discussionmentioning

confidence: 99%

Effects of the COVID-19 Epidemic on Hospital Admissions for Non-Communicable Diseases in a Large Italian University-Hospital: A Descriptive Case-Series Study

Caminiti

Maglietta

Meschi

et al. 2021

JCM

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Background: Concern is growing about the negative consequences that response measures to the COVID-19 epidemic may have on the management of other medical conditions. Methods: A retrospective descriptive case-series study conducted at a large University-hospital in northern Italy, an area severely hit by the epidemic. Results: Between 23 February and 14 May 2020, 4160 (52%) COVID-19 and 3778 (48%) non-COVID-19 patients were hospitalized. COVID-19 admissions peaked in the second half of March, a period characterized by an extremely high mortality rate (27.4%). The number of admissions in 2020 was similar to 2019, but COVID-19 patients gradually occupied all available beds. Comparison between COVID-19 and non-COVID-19 admissions in 2020 revealed significant differences concerning all age classes and gender. Specifically, COVID-19 patients were older, predominantly male, and exhibited more comorbidities. Overall, admissions for non-communicable diseases (NCDs) in 2020 vs. 2019 dropped by approximately one third. Statistically significant reductions were observed for acute myocardial infarction (−78, −33.9%), cerebrovascular disease (−235, −41.5%), and cancer (−368, −31.9%). While the first two appeared equally distributed between COVID-19 and non-COVID-19 patients, chronic NCDs were statistically significantly more frequent in the former, except cancer, which was less frequent in COVID-19 patients. Conclusions: Prevention of collateral damage to patients with other diseases should be an integral part of epidemic response plans. Prospective cohort studies are needed to understand the long-term impact.

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“…To address the issue of nonparticipation of external centers, both teleconferencing options and increased use of virtual platforms have been proposed but rarely implemented to date [8,9]. However, in the context of the COVID-19 pandemic, numerous efforts to increase digitalization/virtualization, particularly in healthcare, have accelerated [10,11]. This digitalization leap has not just created new challenges but, conversely, is also fostering new opportunities for expert networking in (neuro-) oncological tumor care [12].…”

Section: Introductionmentioning

confidence: 99%

Implementation, relevance, and virtual adaptation of neuro-oncological tumor boards during the COVID-19 pandemic: a nationwide provider survey

et al. 2021

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Purpose Neuro-oncology tumor boards (NTBs) hold an established function in cancer care as multidisciplinary tumor boards. However, NTBs predominantly exist at academic and/or specialized centers. In addition to increasing centralization throughout the healthcare system, changes due to the COVID-19 pandemic have arguably resulted in advantages by conducting clinical meetings virtually. We therefore asked about the experience and acceptance of (virtualized) NTBs and their potential benefits. Methods A survey questionnaire was developed and distributed via a web-based platform. Specialized neuro-oncological centers in Germany were identified based on the number of brain tumor cases treated in the respective institution per year. Only one representative per center was invited to participate in the survey. Questions targeted the structure/organization of NTBs as well as changes due to the COVID-19 pandemic. Results A total of 65/97 institutions participated in the survey (response rate 67%). In the context of the COVID-19 pandemic, regular conventions of NTBs were maintained by the respective centers and multi-specialty participation remained high. NTBs were considered valuable by respondents in achieving the most optimal therapy for the affected patient and in maintaining/encouraging interdisciplinary debate/exchange. The settings of NTBs have been adapted during the pandemic with the increased use of virtual technology. Virtual NTBs were found to be beneficial, yet administrative support is lacking in some places. Conclusions Virtual implementation of NTBs was feasible and accepted in the centers surveyed. Therefore, successful implementation offers new avenues and may be pursued for networking between centers, thereby increasing coverage of neuro-oncology care.

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Health Care After the COVID-19 Pandemic and the Influence of Telemedicine

Cited by 97 publications

References 3 publications

Telemedicine Across the Globe-Position Paper From the COVID-19 Pandemic Health System Resilience PROGRAM (REPROGRAM) International Consortium (Part 1)

Telemedicine Across the Globe-Position Paper From the COVID-19 Pandemic Health System Resilience PROGRAM (REPROGRAM) International Consortium (Part 1)

Effects of the COVID-19 Epidemic on Hospital Admissions for Non-Communicable Diseases in a Large Italian University-Hospital: A Descriptive Case-Series Study

Implementation, relevance, and virtual adaptation of neuro-oncological tumor boards during the COVID-19 pandemic: a nationwide provider survey

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