Telemedicine: Patient-Provider Clinical Engagement During the COVID-19 Pandemic and Beyond

Carlo M Contreras, Gregory A Metzger, Joal D Beane, Priya H Dedhia, Aslam Ejaz, Timothy M Pawlik, Carlo M Contreras, Gregory A Metzger, Joal D Beane, Priya H Dedhia, Aslam Ejaz, Timothy M Pawlik

Abstract

Background: The novel coronavirus pandemic has drastically affected healthcare organizations across the globe.

Methods: We sought to summarize the current telemedicine environment in order to highlight the important changes triggered by the novel coronavirus pandemic, as well as highlight how the current crisis may inform the future of telemedicine.

Results: At many institutions, the number of telemedicine visits dramatically increased within days following the institution of novel coronavirus pandemic restrictions on in-person clinical encounters. Prior to the pandemic, telemedicine utilization was weak throughout surgical specialties due to regulatory and reimbursement barriers. As part of the pandemic response, the USA government temporarily relaxed various telemedicine restrictions and provided additional telemedicine funding.

Discussion: The post-pandemic role of telemedicine is dependent on permanent regulatory solutions. In the coming decade, telemedicine and telesurgery are anticipated to mature due to the proliferation of interconnected consumer health devices and high-speed 5G data connectivity.

Keywords: COVID-19; Novel coronavirus; Telemedicine; Telesurgery.

Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Telemedicine use in response to the COVID-19 pandemic. In response to COVID-19, the use of telemedicine at a single academic institution increased from less than 100 visits per day to more than 2200 over a period over 24 days

References

    1. Report to Congress: E-health and Telemedicine. In: Services USDoHaH, ed.; 2016.
    1. Barnett ML, Ray KN, Souza J, Mehrotra A. Trends in Telemedicine Use in a Large Commercially Insured Population, 2005-2017. Jama. 2018;320(20):2147–9. doi: 10.1001/jama.2018.12354.
    1. Mehrotra A, Jena AB, Busch AB, Souza J, Uscher-Pines L, Landon BE. Utilization of Telemedicine Among Rural Medicare Beneficiaries. Jama. 2016;315(18):2015–6. doi: 10.1001/jama.2016.2186.
    1. Huang EY, Knight S, Guetter CR, et al. Telemedicine and telementoring in the surgical specialties: A narrative review. American journal of surgery. 2019;218(4):760–6. doi: 10.1016/j.amjsurg.2019.07.018.
    1. Gunter RL, Chouinard S, Fernandes-Taylor S, et al. Current Use of Telemedicine for Post-Discharge Surgical Care: A Systematic Review. Journal of the American College of Surgeons. 2016;222(5):915–27. doi: 10.1016/j.jamcollsurg.2016.01.062.
    1. Asiri A, AlBishi S, AlMadani W, ElMetwally A, Househ M. The Use of Telemedicine in Surgical Care: a Systematic Review. Acta informatica medica: AIM: journal of the Society for Medical Informatics of Bosnia & Herzegovina: casopis Drustva za medicinsku informatiku BiH. 2018;26(3):201–6.
    1. Medicare and Medicaid Programs; Policy and Technical Changes to the Medicare Advantage, Medicare Prescription Drug Benefit, Programs of All-Inclusive Care for the Elderly (PACE), Medicaid Fee-For-Service, and Medicaid Managed Care Programs for Years 2020 and 2021. In: Services TDoHaH, ed.; 2019. p. 15680-844.
    1. Promoting Telehealth for Low-Income Consumers; COVID-19 Telehealth Program. In: Commission FC, ed.; 2020.
    1. Notification of Enforcement Discretion for Telehealth Remote Communications During the COVID-19 Nationwide Public Health Emergency. In: (OCR) OfCR, ed.; 2020.
    1. Promoting Telehealth for Low-Income Consumers. In: Commission FC, ed.; 2020. p. 1-93.
    1. Revisions to Payment Policies under the Medicare Physician Fee Schedule, Quality Payment Program and Other Revisions to Part B for CY 2020. Available at: . Accessed April 15, 2020.
    1. Onuma AE, Palmer Kelly E, Chakedis J, et al. Patient preferences on the use of technology in cancer surveillance after curative surgery: A cross-sectional analysis. Surgery. 2019;165(4):782–8. doi: 10.1016/j.surg.2018.12.021.
    1. Coldebella B, Armfield NR, Bambling M, Hansen J, Edirippulige S. The use of telemedicine for delivering healthcare to bariatric surgery patients: A literature review. Journal of telemedicine and telecare. 2018;24(10):651–60. doi: 10.1177/1357633X18795356.
    1. Smith A. American Americans and Technology Use: The Pew Research Center; 2014.
    1. Perrin A. D, M. Americans’ Internet Access: 2000-2015. Available at:. Accessed April 15, 2020.
    1. Rampey BD, Finnegan, R., Goodman, M., Mohadjer, L., Krenzke, T., Hogan, J., and Provasnik, S. Skills of U.S. Unemployed, Young, and Older Adults in Sharper Focus: Results From the Program for the International Assessment of Adult Competencies (PIAAC) 2012/2014: First Look (NCES 2016-039rev): National Center for Education Statistics; 2016.
    1. 21st Century Cures Act: Interoperability, Information Blocking, and the ONC Health IT Certification Program. In: Services TDoHaH, ed. p. 1-1244.
    1. Doffman Z. Coronavirus Spy Apps: Israel Joins Iran And China Tracking Citizens’ Smartphones To Fight COVID-19. Forbes; March 14, 2020.
    1. Valentino-DeVries J. Translating a Surveillance Tool into a Virus Tracker for Democracies. The New York Times; March 19, 2020.
    1. Boabang FG, R; Elbiaze, H; Belqami, F; Alfandi, O. A Framework for Predicting Haptic Feedback in Needle Insertion in 5G Remote Robotic Surgery. 2020 IEEE 17th Annual Consumer Communications & Networking Conference (CCNC). 2020:1-6.
    1. Lacy AM, Bravo R, Otero-Pineiro AM, et al. 5G-assisted telementored surgery. The British journal of surgery. 2019;106(12):1576–9. doi: 10.1002/bjs.11364.
    1. Cain SM, Moore R, Sturm L, et al. Clinical assessment and management of general surgery patients via synchronous telehealth. Journal of telemedicine and telecare. 2017;23(2):371–5. doi: 10.1177/1357633X16636245.

Source: PubMed

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