Viewing Telehealth Through the Lens of a Community Benefit Mission

LeRouge, Cynthia; Wilson, Kristin D.; Sterling, Ryan; Trocchio, Julie

doi:10.1089/tmj.2016.0147

Cited by 3 publications

(4 citation statements)

References 20 publications

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“…For example, Fleischhacker provides a commentary for those in food and nutrition as to how they might leverage hospital resources to increase support for evidence-based programs (74). LeRouge et al use several hypothetical cases to suggest why telehealth ought to be considered as part of community benefit strategies, namely because telehealth increases access, improves community health, and advances medical knowledge (75). Franz, Skinner, and Kelleher analyzed the 2013 CHNAs at 21 hospitals in Appalachia and conducted interviews to determine why substance abuse was less frequently prioritized compared to obesity and access to care (29).…”

Section: Community Programsmentioning

confidence: 99%

Nonprofit Hospital Community Benefit in the U.S.: A Scoping Review From 2010 to 2019

Rozier

2020

Front. Public Health

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Section: Community Programsmentioning

confidence: 99%

Nonprofit Hospital Community Benefit in the U.S.: A Scoping Review From 2010 to 2019

Rozier

2020

Front. Public Health

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“…Instead, their access concerns will depend on telemedicine arrangements in which cases remain local with support of a complete array of telespecialists—or, when necessary, are selectively transferred to comprehensive specialty centers. 37…”

Section: Tele-neurohospitalist Challengesmentioning

confidence: 99%

“…Instead, their access concerns will depend on telemedicine arrangements in which cases remain local with support of a complete array of telespecialists-or, when necessary, are selectively transferred to comprehensive specialty centers. 37 The clinical outcomes related to the expansion of commercial (i.e., nonacademic) telemedicine companies have not yet been studied. While these companies may help provide greater access to neurological care, they may pose a competitive challenge to a traditional teleneurology program's ability to remain financially sustainable.…”

Section: Tele-neurohospitalist Challengesmentioning

confidence: 99%

Telehealth for Comprehensive Care of Acute Neurologic Disorders

Matiello

Cohen

2022

Semin Neurol

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A teleneurology hospitalist model aims to address the demand for high-quality neurologic acute care and the shortage of neurologists. Here, we review concepts and models of teleneurology services to address access and care gaps in neurology beyond telestroke models. The goal of these emergent teleservices is to empower community hospitals to deliver the highest quality care, while also reducing unnecessary patient transfers to tertiary care hospitals. We highlight the clinical models, patient populations, and innovative approaches of different tele-neurohospitalist services. This includes challenges related to clinical limitations, legal issues, and reimbursement. We highlight specific areas of research that can further clarify and refine the appropriate use, cost-effectiveness, and clinical outcomes of these telemedicine-based care models.

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“…For decades, proponents have touted telehealth as a means to eliminate health disparities in underserved communities (ie, areas with large percentages of ethnic minorities, elderly individuals, rural residents, and/or individuals of low socioeconomic status) [1][2][3][4][5][6] and to advance the Triple Aim of improving the patient's experience of care, improving population health, and reducing healthcare costs. [1][2][3][4][5][6][7][8][9] However, prior to the COVID-19 pandemic, fewer than 1% of Medicaid and rural Medicare beneficiaries in the United States had ever used telehealth services. 10 Relaxation of regulations for telehealth delivery led to an unprecedented increase in telehealth uptake after the start of the pandemic, [11][12][13] but significant disparities remain.…”

Section: Introductionmentioning

confidence: 99%

Comfort With Telehealth Among Residents of an Underserved Urban Area

Bagchi

Damas

Noguera

et al. 2022

J Prim Care Community Health

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Background: Deployment of telehealth has been touted as a means of reducing health disparities in underserved groups. However, efforts to reduce regulatory barriers have not been associated with greater telehealth uptake. The goal of this study was to examine engagement with technology among low-income people of color living in Newark, New Jersey. Methods: Using surveys and focus groups, we examined study participants’ daily use of technology (eg, Internet) and comfort with telehealth services (eg, use of teleconferencing for medication refills) before and after COVID-related social distancing mandates went into effect. Results: Use of technology was significantly lower in the pre-COVID period. However, prior months’ use of technology had a weak but significant correlation with comfort with telehealth ( r = .243, P = .005) in bivariate analyses and was the only significant predictor in multivariate analyses. Analyses of focus group discussions confirmed that lack of experience with technology and distrust of the security and privacy of digital systems were the most important barriers to comfort with telehealth in our sample. Conclusion: Our study found that approximately 20% of people in this under-resourced community lacked access to basic technologies necessary for successful deployment of telehealth services. The study’s timing provided an unexpected opportunity to compare experiences and attitudes relating to telehealth in 2 regulatory environments. Although uptake of telehealth services increased with the Federal governments’ relaxation of regulatory barriers, there was not a similar increase in comfort with telehealth use. Investments in broadband access and equipment should be accompanied by educational programs to increase day-to-day use of and comfort with associated technologies which would improve consumer confidence in telehealth.

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Viewing Telehealth Through the Lens of a Community Benefit Mission

Abstract: This article is intended to spur inspiration for possible telehealth and community health/community benefit connections.

Cited by 3 publications

References 20 publications

Nonprofit Hospital Community Benefit in the U.S.: A Scoping Review From 2010 to 2019

Nonprofit Hospital Community Benefit in the U.S.: A Scoping Review From 2010 to 2019

Telehealth for Comprehensive Care of Acute Neurologic Disorders

Comfort With Telehealth Among Residents of an Underserved Urban Area

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