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Physician Experiences With Implementing a Virtual Observation Unit in Emergency Medicine.
Ann Emerg Med
January 2025
Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA.
Study Objective: Physician experiences with new care models like the virtual observation unit in emergency departments (EDs) can offer important insights. Virtual observation unit leverages telehealth, remote monitoring, and mobile integrated health to enable home-based ED-level care. We explored physicians' experience with delivering care in the virtual observation unit and perceived effect of this new model.
View Article and Find Full Text PDFAn innovative model of behavioral healthcare for older adults with serious mental illness, substance use disorders, and dementia.
J Am Geriatr Soc
December 2024
Author Health; Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA.
Introduction: Older adults with serious mental illness (SMI) experience higher rates of medical comorbidities, mortality, hospital readmissions, and total healthcare spending when compared with Medicare beneficiaries without SMI. Although telehealth provides an opportunity to overcome barriers to behavioral healthcare access, older adults face unique challenges when accessing and utilizing telehealth services. We present Author Health's care model, which integrates virtual-first behavioral health care with an interdisciplinary approach to health-related social needs (HRSN) screening and intervention in older adults.
View Article and Find Full Text PDFThe Effect of Telehealth on Cost of Health Care During the COVID-19 Pandemic: A Systematic Review.
Telemed J E Health
November 2024
Department of Emergency Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
As the COVID-19 public health emergency (PHE) altered delivery of health care, alternate forms of health care delivery were adopted. The usage of telehealth expanded during the PHE to reduce exposure to COVID-19, which provides the opportunity to understand how expanded telehealth access affected costs of care. The objective of this work was to evaluate the association between telehealth adoption and health care-related costs during the COVID-19 PHE.
View Article and Find Full Text PDFComparing the Quality of Direct-to-Consumer Telemedicine Dominated and Delivered by Public and Private Sector Platforms in China: Standardized Patient Study.
J Med Internet Res
November 2024
School of Public Health, Capital Medical University, Beijing, China.
Background: Telemedicine is expanding rapidly, with public direct-to-consumer (DTC) telemedicine representing 70% of the market. A key priority is establishing clear quality distinctions between the public and private sectors. No studies have directly compared the quality of DTC telemedicine in the public and private sectors using objective evaluation methods.
View Article and Find Full Text PDFUpdates in digital shared care: Launching into the 21st century.
Aust J Gen Pract
November 2024
MBBS, PhD, FRACS, Head of Unit, Department of Urology, Western Health, Melbourne, Vic; Professor of Surgery, Department of Surgery, University of Melbourne, Melbourne, Vic; Consultant Urologist, Department of Urology, Royal Melbourne Hospital, Melbourne, Vic; Victorian Comprehensive Cancer Centre (VCCC) Alliance Research and Education Lead @ Genitourinary Cancer, Division of Surgery, VCCC, Melbourne, Vic.
Background: The recent Intergenerational Report (2023) highlighted that the Australian healthcare system will face increasing economic and logistical challenges, with projected growth in health spending due to an ageing population and an increasing number of chronic diseases. Shared care, a model emphasising collaboration between nursing and allied health, general practice and specialist care providers, has emerged as one solution.
Objective: This paper explores the contemporary shared care landscape in Australia, highlighting the digital transformation of healthcare, the adoption of eHealth technologies, and their impact on improving patient care coordination.
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