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| http://dx.doi.org/10.1016/j.urology.2020.04.061 | DOI Listing |
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Health Care Utilization Patterns Associated with eConsults for Headache: Insights from an Urban Academic Medical Center.
Telemed J E Health
January 2025
Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
: Interprofessional electronic consultations (eConsults) can reduce health care utilization and improve access to specialty care. However, health care utilization and access impacts of eConsults for headache disorders remain incompletely characterized. : We conducted a retrospective, 1:3-matched cohort study comparing patients referred for in-person headache evaluations to patients who had a headache-related eConsult.
View Article and Find Full Text PDFPatients' Use of e-Consultations as an Alternative to Other General Practitioner Services: Cross-Sectional Survey Study.
J Med Internet Res
January 2025
Norwegian Centre for E-health Research, University Hospital of North Norway, Tromsø, Norway.
Background: e-Consultations, defined as asynchronous text-based messaging, have transformed how patients interact with their general practitioner (GP). While e-consultations can improve patient access to GP care, concerns about increased workload for GPs are raised.
Objective: This study aimed to address three research questions: (1) For what purpose and with what expectations do patients initiate e-consultations? (2) If e-consultations had not been available, what alternative actions would the patient have taken? and (3) How are the alternative actions associated with patient and e-consultation characteristics?
Methods: A cross-sectional study was conducted through a web-based survey on Helsenorge.
How is Telehealth Used to Increase Access to Specialty Palliative Care? A Systematic Review.
J Pain Symptom Manage
January 2025
Section of Palliative Care and Medical Ethics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA; Palliative Research Center, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA; School of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Context: Specialty palliative care remains inaccessible for many with serious illness, especially in rural areas. Telehealth may be one solution.
Objectives: To describe how telehealth increases access to specialty palliative care, describe facilitators and barriers to its use, and summarize evidence of patient benefits.
Effectiveness of General Medicine in the Management of Rheumatoid Arthritis in Rural Settings: A Systematic Review and Meta-Ethnography.
Cureus
November 2024
Community Medicine Management, Shimane University Faculty of Medicine, Izumo, JPN.
Rheumatoid arthritis (RA) is a global autoimmune disease causing significant morbidity, particularly in rural areas with limited rheumatology care access. Primary care plays a crucial role in early RA detection and management. This systematic review evaluates RA management in rural primary care to identify ways to enhance quality of care.
View Article and Find Full Text PDFCombined telemedicine-first and direct primary care as a promising model of healthcare delivery.
J Telemed Telecare
December 2024
Associate Professor Family and Community Medicine, Penn State College of Medicine, Medical Director Virtual Primary Care, Penn State Health, Hershey, PA, USA.
Telemedicine is comparable in quality to in-person care, adequate for many primary care concerns, acceptable to patients, and can overcome barriers to care. However, patients are reluctant to pay the same for telemedicine as in-person care and uncertainty about future payor reimbursement makes it risky to base a clinical practice primarily on telemedicine. Physical exam-supported information collection and relationship-building are limited in telemedicine, but can be mitigated through remote patient monitoring and ample access to a provider and clinical team.
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