Telemedicine in Minority and Socioeconomically Disadvantaged Communities Amidst COVID‐19 Pandemic

Ramirez, Arianna Victoria; Ojeaga, Macaulay; Espinoza, Victor; Hensler, Blake; Honrubia, Vincent

doi:10.1177/0194599820947667

Cited by 69 publications

(82 citation statements)

References 5 publications

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“…However, telehealth continues to have several limitations including dependence on technology, which can be unreliable, particularly during times of high use as frequently seen over the course of the pandemic. Telehealth may also be difficult to access for patients who may be socioeconomically or techno-geographically disadvantaged (Ramirez et al, 2020).…”

Section: Telehealthmentioning

confidence: 99%

COVID-19 Pandemic and Impact on Patients with Autism Spectrum Disorder

Baweja

Brown

Edwards

et al. 2021

J Autism Dev Disord

110

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The COVID-19 infectious disease pandemic has caused significant fear and uncertainty around the world and had significant adverse psychological impact. Children, adolescents and adults with autism spectrum disorder (ASD) are a particularly vulnerable population, impacted by stay-at-home orders, closures at nonessential services, and social distancing standards. This commentary describes various challenges faced by individuals with ASD in the United States including disruptions caused by educational and vocational changes, challenges to home and leisure routines, limited access to behavioral health services and changes in health services delivery due to the pandemic. We highlight the need for ongoing skills development for individuals and development within systems to better respond to needs of the ASD population in future emergencies.

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Section: Telehealthmentioning

confidence: 99%

COVID-19 Pandemic and Impact on Patients with Autism Spectrum Disorder

Baweja

Brown

Edwards

et al. 2021

J Autism Dev Disord

110

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“…16 Furthermore, patients of lower socioeconomic status may have difficulty accessing telehealth services because of financial and digital literacy barriers. 17 These reasons may explain the large decrease in patient load, with a majority of survey respondents seeing an 80% to 100% decrease in patient load during that time. Similarly, we expected an increase in patient load relative to GA-09 after GA-15 but with less than normal capacity resulting from the resumption of elective procedures.…”

Section: Discussionmentioning

confidence: 99%

Effects of SARS-CoV-2 on the Practice of Otolaryngology

Momin¹,

Nguyen²,

McKinnon³

2021

Southern Medical Journal

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Objectives: Otolaryngologists in Texas have been greatly affected by the coronavirus disease 2019 (COVID-19) pandemic. Executive orders and professional recommendations have changed the way otolaryngologists practice. The objective of the study was to determine the effect of COVID-19 on otolaryngologists in the state of Texas.Methods: We surveyed the Texas Association of Otolaryngology to evaluate burnout, research output, and ability to respond to the pandemic. We also looked at the effect of Texas governmental executive orders GA-09 and GA-15 on work hours and patient load.Results: Our survey showed no significant difference in personnel contracting COVID-19 with perception of adequate personal protective equipment (P = 0.203), population density (P = 0.445), or type of practice (P = 0.763). The phenomenon of "pandemic burnout" was prevalent, with prolonged uncertainty the primary contributing factor for burnout caused by the pandemic. Conclusions:The response to COVID-19 and the course of the pandemic are continuing to evolve and may play a significant role in how otolaryngologists practice and on their well-being during the pandemic.

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“…Necessity is a powerful change agent. While the benefits of VH were known before the COVID-19 pandemic ( 11 , 12 ), the pandemic prompted a rapid shift to VH that would have been highly unlikely in typical circumstances ( 5 , 6 , 16 ). In our context of a Children's and Women's health center, more than half of participants surveyed indicated they would use VH regularly in the next six months despite limited to no exposure to VH before the pandemic.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, despite recommendations for VH training and core competencies ( 13 , 14 ), formal VH training programs are not widely established or studied ( 4 , 9 , 11 , 15 ). For patients, lack of access to technology and connectivity, privacy and security concerns, and low tech-literacy hinder utilization of VH ( 11 , 12 , 16 ). Some of these challenges, such as reluctance and inertia, and to some extent financial incentives, have been overcome due to the necessity created by COVID-19; others remain, particularly addressing training and education needs ( 16 ).…”

Section: Introductionmentioning

confidence: 99%

Rapid Implementation and Evaluation of Virtual Health Training in a Subspecialty Hospital in British Columbia, in Response to the COVID-19 Pandemic

et al. 2021

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Introduction: Adoption of virtual health (VH) solutions in healthcare has been challenging; this changed rapidly after implementation of physical distancing measures due to the COVID-19 pandemic. In response to the pandemic, British Columbia's Children's and Women's sub-specialty hospitals rapidly trained and scaled up support to equip staff and clinicians to use VH.Methods: Ninety-minute live online training workshops and frequently updated online support materials were offered for 6 weeks. Training was monitored via feedback collected at training sessions and a brief post-training survey. After training completion, a second survey was circulated to measure utilization outcomes and experiences with VH.Results: Eight hundred and ninety-five participants representing 82% of staff requiring support were trained through 101 sessions; 348 (38.9%) and 272 (30.4%) responses were collected for the monitoring and outcome surveys, respectively. Overall, 89% agreed that training was relevant to their needs; participants indicated average 58.1% (SD = 26.6) and 60.6% (SD = 25.2) increase in knowledge and confidence in VH after training; 90.1% had booked or conducted VH sessions. Increase in confidence was more pronounced in participants with lesser previous exposure to VH, but number of sessions conducted post-training and percentage of successful sessions were independent of previous exposure. For future training and support, participants suggested subject-tailored trainings, asynchronous trainings, and availability of experienced users.Discussion: Training is key to success of VH implementation. Moving forward, core competencies in VH should be developed to support standardization and allow for evaluation and quality improvement. Incorporation of VH training in continuous professional development and onboarding is also highly recommended.

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Telemedicine in Minority and Socioeconomically Disadvantaged Communities Amidst COVID‐19 Pandemic

Cited by 69 publications

References 5 publications

COVID-19 Pandemic and Impact on Patients with Autism Spectrum Disorder

COVID-19 Pandemic and Impact on Patients with Autism Spectrum Disorder

Effects of SARS-CoV-2 on the Practice of Otolaryngology

Rapid Implementation and Evaluation of Virtual Health Training in a Subspecialty Hospital in British Columbia, in Response to the COVID-19 Pandemic

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