The Drum Must Beat On: COVID-19 and the U.S. Military's Virtual Health Response in Europe.

In response to COVID-19 international restriction of movement laws, the closure of health care facilities, and an ongoing need to support a medically ready force, the U.S. Department of Defense's Virtual Health Europe (VHE) program spearheaded a campaign for synchronous video virtual health (VH) across 42 specialties. Overcoming the challenges of a VH platform designed for nonclinical video teleconferencing, VHE augmented an existing pool of >300 VH-trained providers with an additional 276 providers who collectively performed >4,000 synchronous VH visits between 71 countries from April 2020 through May 2020. Providers proved eager to utilize VH to bring health care to the point of need, however, new challenges emerged highlighted by unreliable and poor connectivity, military-specific network security challenges, and an unfamiliarity with VH etiquette by patients. Addressing the hypothesized third wave of health care demand due to COVID-19 through VH is critical not only for ongoing military readiness requirements, but holds lessons both good and bad for civilian health care delivery as well.