Perspectives on Telehealth for older adults during the COVID-19 pandemic using the quadruple aim: interviews with 48 physicians
Elizabeth M. Goldberg,Michelle Lin,Laura G. Burke,Frances Jimenez,Natalie M. Davoodi,Roland C. Merchant +5 more
Reads0
Chats0
TLDR
In this paper , the authors conducted semi-structured interviews from September 2020 to November 2020 with 48 physicians to understand experiences of frontline physicians caring for older adults via telehealth during the COVID-19 pandemic.Abstract:
Telehealth delivery expanded quickly during the COVID-19 pandemic after the reduction of payment and regulatory barriers, but older adults are the least likely to benefit from this expansion. Little is known about physician experiences initiating telehealth and factors that fostered or discouraged adoption during the COVID-19 pandemic with older adult patients. Therefore, our objective was to understand experiences of frontline physicians caring for older adults via telehealth during the COVID-19 pandemic.We conducted semi-structured interviews from September 2020 to November 2020 with 48 physicians. We recruited a diverse sample of geriatricians (n = 18), primary care (n = 15), and emergency (n = 15) physicians from all United Stated (US) regions, rural-urban settings, and academic-community practices who cared for older adult patients during the pandemic using purposive sampling methods. We completed framework analysis of the transcribed interviews to identify emerging themes and used the Quadruple Aim to organize themes.Frontline physicians described telehealth as a more flexible, value-based, and patient-centered mode of health care delivery. Benefits of using telehealth to treat older adults included reducing deferred care and increasing timely care, improving efficiency for physicians, enhancing communication with caregivers and patients, reducing patient travel burdens, and facilitating health outreach and education. Challenges included unequal access for rural, older, or cognitively impaired patients. Physicians noted that payment parity with in-person visits, between video and telephone visits, and relaxation of restrictive regulations would enhance their ability to continue to offer telehealth.Frontline physicians who treated older adults during the COVID-19 pandemic were largely in favor of continuing telehealth use beyond the pandemic; however, they noted that sustainability would depend on enacting policies that address access inequities and reimbursement concerns. Our data provide policy insights that if placed into action could facilitate the long-term success of telehealth and encourage a more flexible healthcare delivery system in the US. read more
Citations
More filters
Journal ArticleDOI
Doctoring from home: Physicians’ perspectives on the advantages of remote care delivery during the COVID-19 pandemic
TL;DR: The authors' data provides preliminary evidence that PCPs and their patients had positive experiences with remote care during the early months of the COVID-19 pandemic and more research is needed to understand how to sustain these benefits beyond the global CO VID-19Pandemic and ensure patients’ needs are met.
Journal ArticleDOI
Towards data-driven tele-medicine intelligence: community-based mental healthcare paradigm shift for smart aging amid COVID-19 pandemic
TL;DR: In this article , the authors investigated the preparedness mechanisms of mental health disease including response, intervention, and connection these three healthcare delivery pipelines with the collection, consolidation, and synergy of heath parameters and social determinants, using data analytics approach to achieve Evidence-Based Medicine (EBM).
Journal ArticleDOI
Association Between In-Person vs Telehealth Follow-up and Rates of Repeated Hospital Visits Among Patients Seen in the Emergency Department
Vivek V Shah,Chad Wes A. Villaflores,Linh Chuong,Richard K. Leuchter,Austin S. Kilaru,Sitaram Vangal Vangala,Catherine A. Sarkisian +6 more
TL;DR: In this cohort study of patients in an urban integrated health care system, those with telehealth follow-up visits after an ED encounter were more likely to return to the ED and be hospitalized than patients with in-person follow-ups.
Journal ArticleDOI
Adaptation of Serious Illness Care Program to be delivered via telehealth for older patients with hematologic malignancy
M. Locastro,Chandrika Sanapala,Jason H. Mendler,Sally Norton,Rachelle Bernacki,Thomas Carroll,Heidi D. Klepin,E. Watson,Jane L. Liesveld,Eric Huselton,Kristen M. O'Dwyer,Andrea Baran,Marie Flannery,Benzi M. Kluger,Kah Poh Loh +14 more
TL;DR: In this article, the authors adapted an SICP to be delivered via telehealth for older adults with hematologic malignancies in order to facilitate earlier care planning discussions.
Journal ArticleDOI
Smartphone app‐delivered gut‐directed hypnotherapy improves symptoms of self‐reported irritable bowel syndrome: A retrospective evaluation
TL;DR: In this paper , a smartphone app delivering Gut-Directed Hypnotherapy (GDH) was developed to fill gaps in accessibility but has not been assessed in IBS patients, and a retrospective evaluation aims to assess the efficacy of app-delivered GDH in managing IBS symptoms and to investigate associating factors that predict response.
References
More filters
Journal ArticleDOI
Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups
Allison Tong,Allison Tong,Peter Sainsbury,Peter Sainsbury,Jonathan C. Craig,Jonathan C. Craig +5 more
TL;DR: The criteria included in COREQ, a 32-item checklist, can help researchers to report important aspects of the research team, study methods, context of the study, findings, analysis and interpretations.
Journal ArticleDOI
Qualitative data analysis: the framework approach.
Joanna Smith,Jill Firth +1 more
TL;DR: This work will outline the framework approach of data management, discuss its relative merits and provide a working example of its application to data management and analysis.
Journal ArticleDOI
Trends in the Use of Telehealth During the Emergence of the COVID-19 Pandemic - United States, January-March 2020.
Lisa M. Koonin,Brooke E. Hoots,Clarisse A. Tsang,Zanie Leroy,Kevin Farris,Tilman Jolly,Peter Antall,Bridget McCabe,Cynthia B R Zelis,Ian Tong,Aaron M. Harris +10 more
TL;DR: Changes in the frequency of use of telehealth services during the early pandemic period might provide increased access to acute, chronic, primary, and specialty care during and after the pandemic.
Journal ArticleDOI
The Quadruple Aim: care, health, cost and meaning in work
TL;DR: This work proposes a modification of the Triple Aim to acknowledge the importance of physicians, nurses and all employees finding joy and meaning in their work, and adds a fourth aim: improving the experience of providing care.
Related Papers (5)
Pharmacist intervention amid the coronavirus disease 2019 (COVID-19) pandemic: from direct patient care to telemedicine.
Ali Elbeddini,Aniko Yeats +1 more