Telemedicine: Innovation Has Outpaced Policy

Rheuban, Karen S.; Shanahan, Christine; Willson, Katherine

doi:10.1001/virtualmentor.2014.16.12.pfor1-1412

Cited by 7 publications

(3 citation statements)

References 21 publications

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“…However, one key finding is that telehealth has become a necessity, not just a convenience (88). The scale of the systemic changes required for its deployment has shown that technology "has outpaced policy" (113). The crisis has highlighted the gap between the obsolete and/or incoherent regulatory, economic, organizational, legal, technological, and clinical-administrative frameworks still in use in the HSSS and the requirements for innovative models of care and service delivery.…”

Section: Implications For the Future And Conclusionmentioning

confidence: 99%

A “Not So Quiet” Revolution: Systemic Benefits and Challenges of Telehealth in the Context of COVID-19 in Quebec (Canada)

Alami

Lehoux

Attieh

et al. 2021

Front. Digit. Health

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The COVID-19 pandemic has had a major impact on health and social service systems (HSSS) worldwide. It has put tremendous pressure on these systems, threatening access, continuity, and the quality of patient care and services. In Quebec (Canada), the delivery of care and services has radically changed in a short period of time. During the pandemic, telehealth has been widely deployed and used, notwithstanding the decades-long challenges of integrating this service modality into the Quebec HSSS. Adopting a narrative-integrative approach, this article describes and discusses Quebec's experience with the deployment and utilization of telehealth in the context of COVID-19. Firstly, we introduced the achievements and benefits made with the use of telehealth. Secondly, we discussed the challenges and concerns that were revealed or accentuated by the sanitary crisis, such as: (1) training and information; (2) professional and organizational issues; (3) quality of services and patient satisfaction; (4) cost, remuneration, and funding; (5) technology and infrastructure; (6) the emergence of private telehealth platforms in a public HSSS; (7) digital divide and equity; and (8) legal and regulatory issues. Finally, the article presents recommendations to guide future research, policies and actions for a successful integration of telehealth in the Quebec HSSS as well as in jurisdictions and countries facing comparable challenges.

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Section: Implications For the Future And Conclusionmentioning

confidence: 99%

A “Not So Quiet” Revolution: Systemic Benefits and Challenges of Telehealth in the Context of COVID-19 in Quebec (Canada)

Alami

Lehoux

Attieh

et al. 2021

Front. Digit. Health

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“…An increasingly developed base of knowledge around CH and CH practices has generated many definitions of exactly what CH is [2,8]. For instance, the American Medical Association (AMA) defines CH as a model that utilizes technology to maximize health care resources and offer enhanced, flexible opportunities for patients to engage with clinicians and better self-manage their care [9]. In order to achieve these goals, many technologies, including telemedicine and mobile health, are used to facilitate remote, mobile, and site-to-site medical care.…”

Section: Definition Of Connected Healthmentioning

confidence: 99%

“…Remote medical care is a key feature of CH [3][4][5][9][10][11][12]. Studies indicate that both the concept of remote health care and the practical application of information technology systems to health care include aspects of remote medical care, such as a telecare medicine information system, a personally controlled health records system, and patient monitoring.…”

Section: Remote Health Carementioning

confidence: 99%

Smart, Remote, and Targeted Health Care Facilitation Through Connected Health: Qualitative Study

Chen¹,

Hu²,

McAdam³

2020

J Med Internet Res

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Background Societies around the world are aging. Widespread aging creates problems for social services and health care practices. In this light, research on connected health (CH) is becoming essential. CH refers to a variety of technological measures that allow health care to be provided remotely with the aim of increasing efficiency, cost-effectiveness, and satisfaction on the part of health care recipients. CH is reshaping health care’s direction to be more proactive, more preventive, and more precisely targeted and, thus, more effective. CH has been demonstrated to have great value in managing and preventing chronic diseases, which create huge burdens on health care and social services. In short, CH provides promising solutions to diseases and social challenges associated with aging populations. However, there are many barriers that need to be overcome before CH can be successfully and widely implemented. Objective The research question of this study is as follows: How can CH facilitate smart, remote, and targeted health care? The objective is to identify how health care can be managed in more comprehensive ways, such as by providing timely, flexible, accessible, and personalized services to preserve continuity and offer high-quality seamless health care. Methods A qualitative approach was used based on 60 multistage, semistructured stakeholder interviews. Results The results can be divided into two functions of CH: ecosystem and platform. On the one hand, the interviews enabled the authors to develop a stakeholder classification and interaction diagram. These stakeholders interacted sequentially to provide technology-based content to end users. On the other hand, interviewees reflected on how CH serves as a platform to address remote monitoring and patient self-management. In the Discussion section, three innovation strategies are discussed to reflect the manner in which CH promotes smart, timely, and precise health care. Conclusions This study indicates that it is essential to continually revise CH business models, given the ongoing and rapid changes in technology across groups of CH stakeholders. We also found that global trends toward smart, timely, and precise health care shape what individuals expect from products and services, providing firms with unique opportunities for growth.

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Towards Equitable and Resilient Digital Primary Care Systems: An International Comparison and Insight for Moving Forward

et al. 2022

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Objective: While the COVID-19 pandemic provided a global stimulus for digital health capacity, its development has often been inequitable, short-term in planning, and lacking in health system coherence. Inclusive digital health and the development of resilient health systems are broad outcomes that require a systematic approach to achieving them. This paper from the IMIA Primary Care Informatics Working Group (WG) provides necessary first steps for the design of a digital primary care system that can support system equity and resilience. Methods: We report on digital capability and growth in maturity in four key areas: (1) Vaccination/Prevention, (2) Disease management, (3) Surveillance, and (4) Pandemic preparedness for Australia, Canada, and the United Kingdom (data from England). Our comparison looks at seasonal influenza management prior to COVID-19 (2019-20) compared to COVID-19 (winter 2020 onwards). Results: All three countries showed growth in digital maturity from the 2019-20 management of influenza to the 2020-21 year and the management of the COVID-19 pandemic. However, the degree of progress was sporadic and uneven and has led to issues of system inequity across populations. Conclusion: The opportunity to use the lessons learned from COVID-19 should not be wasted. A digital health infrastructure is not enough on its own to drive health system transformation and to achieve desired outcomes such as system equity and resilience. We must define specific measures to track the growth of digital maturity, including standardized and fit-for-context data that is shared accurately across the health and socioeconomic sectors.

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Telemedicine: Innovation Has Outpaced Policy

Cited by 7 publications

References 21 publications

A “Not So Quiet” Revolution: Systemic Benefits and Challenges of Telehealth in the Context of COVID-19 in Quebec (Canada)

A “Not So Quiet” Revolution: Systemic Benefits and Challenges of Telehealth in the Context of COVID-19 in Quebec (Canada)

Smart, Remote, and Targeted Health Care Facilitation Through Connected Health: Qualitative Study

Towards Equitable and Resilient Digital Primary Care Systems: An International Comparison and Insight for Moving Forward

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