Outpatient Telehealth Implementation in the United States during the COVID-19 Global Pandemic: A Systematic Review

Lieneck, Cristian; Weaver, E. Strode; Maryon, Thomas

doi:10.3390/medicina57050462

Cited by 45 publications

(47 citation statements)

References 26 publications

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“…Partnerships with the industry hold promise for extending BP telemonitoring reach. Some vendors offer cellular enabled monitors that can directly transfer BP, weight, and other vital data to a website or an electronic health record without a smartphone or broadband Internet, which would improve access to and usability of chronic condition telemonitoring [51] .…”

Section: United States Of Americamentioning

confidence: 99%

“…Lieneck et al . [ 52 ] performed a systematic review of implementation of telehealth services in the US during the COVID-19 pandemic and found 24 US articles focusing on multi-level facilitators and barriers to adoption of telehealth in ambulatory care settings [ Table 3 ] [ 53 ] . These telehealth facilitators and barriers are not unique to the US.…”

Section: Experience In Different Countriesmentioning

confidence: 99%

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The worldwide impact of telemedicine during COVID-19: current evidence and recommendations for the future

Omboni¹,

Padwal²,

Alessa³

et al. 2022

186

140

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During the COVID-19 pandemic, telemedicine has emerged worldwide as an indispensable resource to improve the surveillance of patients, curb the spread of disease, facilitate timely identification and management of ill people, but, most importantly, guarantee the continuity of care of frail patients with multiple chronic diseases. Although during COVID-19 telemedicine has thrived, and its adoption has moved forward in many countries, important gaps still remain. Major issues to be addressed to enable large scale implementation of telemedicine include: (1) establishing adequate policies to legislate telemedicine, license healthcare operators, protect patients’ privacy, and implement reimbursement plans; (2) creating and disseminating practical guidelines for the routine clinical use of telemedicine in different contexts; (3) increasing in the level of integration of telemedicine with traditional healthcare services; (4) improving healthcare professionals’ and patients’ awareness of and willingness to use telemedicine; and (5) overcoming inequalities among countries and population subgroups due to technological, infrastructural, and economic barriers. If all these requirements are met in the near future, remote management of patients will become an indispensable resource for the healthcare systems worldwide and will ultimately improve the management of patients and the quality of care.

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Section: United States Of Americamentioning

confidence: 99%

Section: Experience In Different Countriesmentioning

confidence: 99%

The worldwide impact of telemedicine during COVID-19: current evidence and recommendations for the future

Omboni¹,

Padwal²,

Alessa³

et al. 2022

186

140

View full text Add to dashboard Cite

show abstract

“…Recently, more and more other studies discussed the implications of telemedicine in orthopedics from various aspects. [ 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 ].…”

Section: Discussionmentioning

confidence: 99%

Global Impact of the COVID-19 Pandemic on Orthopedics and the Implications of Telemedicine: A Systematic Review of the Literature

Hsu

Huang

et al. 2022

JCM

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This study aimed to systematically review the literature on the impact of the coronavirus disease (COVID-19) pandemic on the orthopedics field by focusing on multiple aspects, including orthopedic training and application, performance, work loading, change of practice, research work, and other psychological factors. Published articles were searched using the PubMed database. Articles were selected in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Of 58 studies published between 1 January 2020 and 1 October 2021, 57 peer-reviewed original articles were included. Nearly 90% of students experienced an impact of the pandemic on application. The impact on training stemmed from redeployment rates of 20.9–23.1%. The rate of emergency or outpatient visits decreased from 18% to 58.6%. The rates of all surgeries or emergency surgeries decreased by 15.6–49.4%, while the rates of elective surgeries decreased by 43.5–100%. The rate of work loading ranged from 33% to 66%. Approximately 50–100% of surgeons had a change of practice. A total of 40.5% of orthopedic surgeons experienced mild psychological pressure. Approximately 64% had stopped research participant recruitment. Most of the included studies were conducted in Europe, followed by Asia and North America. It is suggested orthopedic surgeons prepare more sufficient, flexible, and reservable staffing measures, proper preventive strategies and surgical scheduling algorithms, and set up dedicated venues and equipment for routine telemedicine with staff training for virtual teaching or consultations in case of future impacts on orthopedics.

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“…The research team utilized the JHNEBP quality indicator as a tool to assess the quality of each article (strength of evidence) in the sample. This review did not include any level I (experimental study/randomized control trial) articles, which has also been the experience in prior reviews by members of the research team involved in ambulatory/outpatient care organizations [44,45]. This review included nine articles (30%) classified as level II (quasi-experimental) studies and 21 articles (70%) classified as level III (non-experimental, qualitative, or meta-synthesis) studies.…”

Section: Risk Of Biasmentioning

confidence: 99%

Patient Throughput Initiatives in Ambulatory Care Organizations during the COVID-19 Pandemic: A Systematic Review

et al. 2021

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Background and objectives: Ambulatory (outpatient) health care organizations continue to respond to the COVID-19 global pandemic using an array of initiatives to provide a continuity of care for both COVID-19 and non-COVID-19 patients. The purpose of this study is to systematically identify the facilitators and barriers experienced by outpatient health care organizations in an effort to maintain effective and efficient patient throughput during the pandemic. Materials and methods: This study systematically reviewed articles focused on initiatives taken by ambulatory care organizations to maintain optimal outpatient throughput levels while balancing pandemic precautions, published during 2020. Results: Among the 30 articles that met the inclusion criteria, three initiatives healthcare organizations have taken to maintain throughput were identified: the use (and enhanced use) of telehealth, protocol development, and health care provider training. The research team also identified three barriers to patient throughput: lack of telehealth, lack of resources, and overall lack of knowledge. Conclusions: To maintain patient throughput during the COVID-19 pandemic, healthcare organizations need to develop strategies such as the use of virtual consultation and follow-up, new guidelines to move patients along the care delivery value-chain, and ongoing training of providers. Additionally, the availability of required technology for telehealth, availability of resources, and adequate knowledge are vital for continuous patient throughput to ensure continuity of care during a pandemic.

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Outpatient Telehealth Implementation in the United States during the COVID-19 Global Pandemic: A Systematic Review

Cited by 45 publications

References 26 publications

The worldwide impact of telemedicine during COVID-19: current evidence and recommendations for the future

The worldwide impact of telemedicine during COVID-19: current evidence and recommendations for the future

Global Impact of the COVID-19 Pandemic on Orthopedics and the Implications of Telemedicine: A Systematic Review of the Literature

Patient Throughput Initiatives in Ambulatory Care Organizations during the COVID-19 Pandemic: A Systematic Review

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