Telehealth Best Practice: A Call for Standards of Care

Sheperis, Donna S.; Smith, Arielle C.

doi:10.22371/tces/0004

Cited by 10 publications

(13 citation statements)

References 12 publications

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Section: Discussion and Implications For Building Virtual Care Capacitymentioning

confidence: 99%

“…19,21,24,36 Some of the guideline literature also suggests a protocol for establishing contact arrangements and expectations for non-emergency situations, contact between virtual care consultations, including whether or not the provider will be available for contact between sessions and the conditions under which such contact is appropriate. 19,29,30 Knowledge of local resources and networks is important not only for emergency care, but also for effective interprofessional collaboration. In the primary care setting, for example, guidelines suggest that virtual care affords an excellent opportunity to collaborate with pharmacists, medical specialists and allied health professionals to deliver comprehensive care.…”

Section: Education Guidelinesmentioning

confidence: 99%

“…recordings, how the data will be used, information sharing), is recommended in most publications. 17,29,31,40,41 Linked to informed consent, privacy and confidentiality are recurring themes. Virtual care raises additional concerns and complexities with regard to upholding patient privacy and confidentiality, 17,27 and becomes even more challenging when there are multiple stakeholders involved, for example, caregivers, school officials, justice personnel, interprofessional collaborations.…”

Section: Education Guidelinesmentioning

confidence: 99%

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Education guidelines, frameworks and resources for building virtual care capacity: An integrative review

2023

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Introduction Despite its reported benefits, the accelerated adoption of virtual care since the COVID-19 pandemic has occurred without critical consideration of clinician education and training. This integrative review aims to better understand the necessary education guidelines, frameworks and resources for building the confidence and capability of the workforce for virtual care delivery. Methods Whittemore and Knafl's (2005) five-stage methodological framework informed this review. Using a clearly articulated search strategy and reporting process, over 8000 pieces of literature were analysed. A final 46 publications comprising 26 scholarly papers and 20 pieces of grey literature were included for review. Results A set of key curriculum inclusions under three domains: clinical, administrative and technical are proposed. Many publications emphasise a domain-specific approach as the most effective means of translating virtual care knowledge and skills to practice. A number of new domain frameworks have been tailormade for specific disciplines, while well-established frameworks such as the ACGME, CanMEDS, AAMC and IPEC have been adapted for virtual care education. Virtual care checklists, clinical champions and models that involve frontline clinicians, content experts and care recipients are considered useful resources for virtual care education. Discussion Moving beyond the COVID-19 pandemic, virtual care education for current and future clinicians requires a cohesive, interprofessional approach. This approach should be rigorously evaluated as part of a continuous quality improvement process.

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Section: Discussion and Implications For Building Virtual Care Capacitymentioning

confidence: 99%

Section: Education Guidelinesmentioning

confidence: 99%

Section: Education Guidelinesmentioning

confidence: 99%

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Education guidelines, frameworks and resources for building virtual care capacity: An integrative review

2023

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“…Public health concerns and health safety underscored the shift to teletherapy [ 33 ], rather than a structured or clinically sound plan to increase access with trained practitioners. As we emerge from pandemic-related restrictions, it is likely that teletherapy will continue [ 17 ]. However, few studies have examined mental health providers’ perspective on potential inequities of shifting to teletherapy [ 34 ] and the resultant disproportionate experiences of those living in underresourced communities [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

“…Before the COVID-19 pandemic, scholars contended that historically underserved populations derived more benefits from the flexibility and accessibility of teletherapy [ 15 , 16 ]. As COVID-19–related restrictions are lifted, teletherapy will remain part of the mental health landscape [ 17 ]. However, given the existing challenges of the need for training, technological advances, and other barriers to effective use [ 8 , 18 , 19 ], we are yet to understand whether teletherapy will be accessible equitably postpandemic.…”

Section: Introductionmentioning

confidence: 99%

Continuation of Teletherapy After the COVID-19 Pandemic: Survey Study of Licensed Mental Health Professionals

Gangamma¹,

Walia²,

Luke³

et al. 2022

JMIR Form Res

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Background The use of teletherapy has exponentially increased in the context of the ongoing COVID-19 pandemic. Studies on teletherapy documented substantial benefits of accessibility and convenience even before the start of the pandemic. Although recent studies show that this modality of therapy delivery is here to stay, few have studied who will most benefit from this trend. Objective In this paper, we report predictors of continued teletherapy usage in a sample of licensed mental health professionals in the United States during a time period when pandemic-related restrictions began diminishing. As such, it is one of the first studies to examine factors related to continued benefits of teletherapy postpandemic. Methods Participation from licensed mental health professionals was sought on listservs of national organizations of multiple mental health organizations. Data were collected via an anonymous link to a survey on Qualtrics between January 2021 and April 2021. Participants responded to questions on therapist demographics, practice setting, experiences of shifting to teletherapy, perspectives on continued use of teletherapy, and their client characteristics. Findings related to client characteristics that predicted continued teletherapy usage are presented here. Results A total of 186 individuals consented to participate in the survey, with a final sample of 114 with complete data. A majority of participants identified as female (92/114, 80.7%), White (94/114, 82.5%), and having a master's degree (75/114, 65.5%) from a nationally accredited program (106/114, 93%). Data were analyzed using heteroskedastic regression modeling with client-related factors as predictors. Two models were run with and without distance travelled by clients as a control variable. Model estimates from both models showed that continued use of teletherapy postpandemic was predicted by the following factors: higher percentage of clients from rural areas, younger and older adult clients, clients with Medicare, and clients with marginalized gender and religious/spiritual identities. Significantly, having a higher percentage of clients from lower socioeconomic status, a higher percentage of those with Medicaid coverage, and a higher percentage of couples and families as clients predicted decreased use of teletherapy postpandemic. Conclusions Findings from the study suggest that while some groups of clients are more likely to continue to receive benefits of teletherapy, vulnerable groups such as those in lower socioeconomic conditions, Medicaid beneficiaries, and those who seek couple and family therapy may be less likely to be served by it. These differences point to a need to address factors driving telehealth care disparities such as access to technology, housing, and childcare issues, as well as the need for continued training for licensed professionals.

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Telehealth services for aging patients in Pakistan: Understanding challenges and developing regionally relevant support through social policy

Jafree,

Fischer,

Bukhari

et al. 2024

Digital Healthcare in Asia and Gulf Region for Healthy Aging and More Inclusive Societies

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Telehealth Best Practice: A Call for Standards of Care

Cited by 10 publications

References 12 publications

Education guidelines, frameworks and resources for building virtual care capacity: An integrative review

Education guidelines, frameworks and resources for building virtual care capacity: An integrative review

Continuation of Teletherapy After the COVID-19 Pandemic: Survey Study of Licensed Mental Health Professionals

Telehealth services for aging patients in Pakistan: Understanding challenges and developing regionally relevant support through social policy

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