Telehealth and humanism: unexpected partnership forged during COVID-19

Stimell-Rauch, Mindy; Szalay, Leanna; Bregstein, Joan

doi:10.1136/emermed-2020-209989

Cited by 3 publications

(4 citation statements)

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“…To continue seeing patients, physicians began to rely on telehealth. Although telehealth is a technology-based patient encounter, its use throughout the pandemic has demonstrated advancement of technology does not necessarily require medicine to be dehumanized (Stimell-Rauch et al, 2020). Despite telehealth seeming distant and removing the traditional history, physical examination, and other entities of the physician-patient in-person interaction, the connections established virtually can feel intimate in that it is unrushed and without external distractions.…”

Section: Discussion Encouraging Humanism During the Pandemicmentioning

confidence: 99%

“…Telehealth can have a meaningful impact on a patient's life, especially during times of isolation. The physician's role in telehealth remains the same: to establish a physician-patient relationship and to guide patients through their care (Stimell-Rauch et al, 2020). While technology and humanism are separate entities for consideration, there exists a relationship, where one needs the other to function properly.…”

Section: Discussion Encouraging Humanism During the Pandemicmentioning

confidence: 99%

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Addressing Challenges in Humanistic Communication During COVID-19 Through Medical Education

et al. 2021

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The current global pandemic due to COVID-19 has resulted in widespread lockdowns, social distancing, and other protective guidelines; these infectious control and mitigation measures challenge the medical system and create anxiety among all populations. In hospitals and healthcare facilities, patient interaction and shared decision making are sacrificed for fear of COVID-19 nosocomial spread. The intangible effects of human interaction with COVID-19 patients, whether of a physician or a patient’s family, are replaced with isolation amid ventilators. Medical professionals must find a way to practice life-saving medical care while maintaining humanistic and professional interactions. This article provides insight into the necessity and challenges of humanistic communication during COVID-19 across various institutions and offers both short- and long-term solutions and reforms through medical education.

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Section: Discussion Encouraging Humanism During the Pandemicmentioning

confidence: 99%

Section: Discussion Encouraging Humanism During the Pandemicmentioning

confidence: 99%

Addressing Challenges in Humanistic Communication During COVID-19 Through Medical Education

et al. 2021

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“…Emerging telehealth applications allow clinicians to connect with their patients in less sterile, chaotic and rushed environments; advocates of technological advancement in medicine point to the irony that such methods actually augment, rather than interfere with, the humanisation of medicine. 12 Likewise, taking advantage of noticing features of the patient's home environment, meeting their beloved pets and otherwise 'investing in the relationship' can all decrease feelings of isolation and loneliness. 13 Inviting emotional expression during telemedicine visits can be one way in which providers address a patient's fears and anxiety.…”

Section: Communication and Interpersonal Skillsmentioning

confidence: 99%

“…This creates opportunity for reviewing results, educating patients, explaining prognosis and discussing what might be expected to come next. Emerging telehealth applications allow clinicians to connect with their patients in less sterile, chaotic and rushed environments; advocates of technological advancement in medicine point to the irony that such methods actually augment, rather than interfere with, the humanisation of medicine 12. Likewise, taking advantage of noticing features of the patient’s home environment, meeting their beloved pets and otherwise ‘investing in the relationship’ can all decrease feelings of isolation and loneliness 13.…”

Section: Application Of the Definition Of Clinical Excellence To The ...mentioning

confidence: 99%

Review of the published literature to characterise clinical excellence in COVID-19 care

Garibaldi

Chisolm

Berkenblit

et al. 2021

Postgraduate Medical Journal

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COVID-19 continues to be a major source of global morbidity and mortality. It abruptly stressed healthcare systems early in 2020 and the pressures continue. Devastating hardships have been endured by individuals, families and communities; the losses will be felt for years to come. As healthcare professionals and organisations stepped up to respond to the overwhelming number of cases, it is understandable that the focus has been primarily on coping with the quantity of the demand. During a pandemic, it is not surprising that few papers have drawn attention to the quality of the care delivered to those afflicted with illness. Despite the challenges, clinicians caring for patients with COVID-19 have risen to the occasion. This manuscript highlights aspirational examples from the published literature of thoughtful and superb care of patients with COVID-19 using an established framework for clinical excellence (formulated by the Miller-Coulson Academy of Clinical Excellence).

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The Influence of Telemedicine and Compassionate Care on the Quality of Life and Mental Health of Patients with Epilepsy in Northeastern China During the COVID-19 Crisis

Dai¹,

Zhong²,

Wang³

2021

JMDH

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Purpose To understand the influence of telemedicine and compassionate care on the quality of life and mental health of patients with epilepsy (PWE) in northeastern China during the COVID-19 crisis. Patients and Methods Physicians in the epilepsy department conducted a questionnaire survey on PWE on February 2020. The Quality Of Life In Epilepsy-31 (QOLIE-31), Generalized Anxiety Disorder 7-Item Scale (GAD-7) and Patient Health Questionnaire-9 (PHQ-9) were used. The intervention (IG) group received compassionate care and follow-up through telemedicine equipment every week, while the nonintervention (NIG) group did not receive. The questionnaire survey was conducted again three month later. Results Ninety patients were recruited: mean age 39.91±15.57 in the IG, 37.39±11.69 in the NIG, 46 (51.1%) were men. Twenty patients had difficulty in purchasing antiepileptic drugs (AEDs). Seven patients reported seizure in the last 1 month. Only 1 patient (2.2%) consulted the emergency department. Up to 84 patients’ lives were affected. Fifteen (33.3%) of the IG and 20 (44.4%) of the NIG patients stated that their family income had decreased, and among them, 13 (28.9%) in the IG group and 10 (22.2%) in the NIG group stated that they were unemployed. 3 months later, the interaction between groups and time of QOLIE-31 was significant, F (1, 88) = 16.996, p<0.001; the interaction between group and time on the PHQ-9 was significant, F (1, 88)= 14.992, p<0.001; the interaction between group and time on the QAD-7 was significant, F (1, 88)= 6.026, p<0.001. Conclusion Our study found that during the COVID-19 outbreak, when patients were in a lockdown, telemedicine and compassionate care were effective and successful in managing PWE in northeastern China. It is a valid method to decrease anxiety and depression and improve the patients’ quality of life. Further research is necessary about compassionate care methods for PWE.

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Telehealth and humanism: unexpected partnership forged during COVID-19

Cited by 3 publications

References 0 publications

Addressing Challenges in Humanistic Communication During COVID-19 Through Medical Education

Addressing Challenges in Humanistic Communication During COVID-19 Through Medical Education

Review of the published literature to characterise clinical excellence in COVID-19 care

The Influence of Telemedicine and Compassionate Care on the Quality of Life and Mental Health of Patients with Epilepsy in Northeastern China During the COVID-19 Crisis

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