Cargando…

Telehealth use in emergency care during coronavirus disease 2019: a systematic review

OBJECTIVE: The coronavirus disease 2019 pandemic has presented emergency departments (EDs) with many challenges to address the acute care needs of patients. Many EDs have leveraged telehealth to innovatively respond to these challenges. This review describes the landscape of telehealth initiatives i...

Descripción completa

Detalles Bibliográficos
Autores principales: Jaffe, Todd A., Hayden, Emily, Uscher‐Pines, Lori, Sousa, Jessica, Schwamm, Lee H., Mehrotra, Ateev, Zachrison, Kori S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8087945/
https://www.ncbi.nlm.nih.gov/pubmed/33969356
http://dx.doi.org/10.1002/emp2.12443
_version_ 1783686758436700160
author Jaffe, Todd A.
Hayden, Emily
Uscher‐Pines, Lori
Sousa, Jessica
Schwamm, Lee H.
Mehrotra, Ateev
Zachrison, Kori S.
author_facet Jaffe, Todd A.
Hayden, Emily
Uscher‐Pines, Lori
Sousa, Jessica
Schwamm, Lee H.
Mehrotra, Ateev
Zachrison, Kori S.
author_sort Jaffe, Todd A.
collection PubMed
description OBJECTIVE: The coronavirus disease 2019 pandemic has presented emergency departments (EDs) with many challenges to address the acute care needs of patients. Many EDs have leveraged telehealth to innovatively respond to these challenges. This review describes the landscape of telehealth initiatives in emergency care that have been described during the coronavirus disease 2019 pandemic. METHODS: We conducted a comprehensive, systematic review of the literature using PubMed, supplemented by a review of the gray literature (ie, non‐peer reviewed), with input from subject matter experts to identify telehealth initiatives in emergency care during coronavirus disease 2019. We categorized types of telehealth use based on purpose and user characteristics. RESULTS: We included 27 papers from our review of the medical literature and another 8 sources from gray literature review. The vast majority of studies (32/35) were descriptive in nature, with the additional inclusion of 2 cohort studies and one randomized clinical trial. There were 5 categories of ED telehealth use during the pandemic: (1) pre‐ED evaluation and screening, (2) within ED (including as a means of limiting staff and patient exposure and facilitating consultation with specialists), (3) post‐ED discharge monitoring and treatment, (4) educating trainees and health care workers, and (5) coordinating resources and patient care. CONCLUSION: Telehealth has been used in a variety of manners during the coronavirus disease 2019 pandemic, enabling innovation in emergency care delivery. The findings from this study can be used by institutions to consider how telehealth may address challenges in emergency care during the coronavirus disease 2019 pandemic and beyond. Because few studies included cost data and given the variability in institutional resources, how organizations implement telehealth programs will likely vary. Future work should further explore barriers and facilitators of innovation, and the impact on care delivery and patient outcomes.
format Online
Article
Text
id pubmed-8087945
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher John Wiley and Sons Inc.
record_format MEDLINE/PubMed
spelling pubmed-80879452021-05-07 Telehealth use in emergency care during coronavirus disease 2019: a systematic review Jaffe, Todd A. Hayden, Emily Uscher‐Pines, Lori Sousa, Jessica Schwamm, Lee H. Mehrotra, Ateev Zachrison, Kori S. J Am Coll Emerg Physicians Open The Practice of Emergency Medicine OBJECTIVE: The coronavirus disease 2019 pandemic has presented emergency departments (EDs) with many challenges to address the acute care needs of patients. Many EDs have leveraged telehealth to innovatively respond to these challenges. This review describes the landscape of telehealth initiatives in emergency care that have been described during the coronavirus disease 2019 pandemic. METHODS: We conducted a comprehensive, systematic review of the literature using PubMed, supplemented by a review of the gray literature (ie, non‐peer reviewed), with input from subject matter experts to identify telehealth initiatives in emergency care during coronavirus disease 2019. We categorized types of telehealth use based on purpose and user characteristics. RESULTS: We included 27 papers from our review of the medical literature and another 8 sources from gray literature review. The vast majority of studies (32/35) were descriptive in nature, with the additional inclusion of 2 cohort studies and one randomized clinical trial. There were 5 categories of ED telehealth use during the pandemic: (1) pre‐ED evaluation and screening, (2) within ED (including as a means of limiting staff and patient exposure and facilitating consultation with specialists), (3) post‐ED discharge monitoring and treatment, (4) educating trainees and health care workers, and (5) coordinating resources and patient care. CONCLUSION: Telehealth has been used in a variety of manners during the coronavirus disease 2019 pandemic, enabling innovation in emergency care delivery. The findings from this study can be used by institutions to consider how telehealth may address challenges in emergency care during the coronavirus disease 2019 pandemic and beyond. Because few studies included cost data and given the variability in institutional resources, how organizations implement telehealth programs will likely vary. Future work should further explore barriers and facilitators of innovation, and the impact on care delivery and patient outcomes. John Wiley and Sons Inc. 2021-05-01 /pmc/articles/PMC8087945/ /pubmed/33969356 http://dx.doi.org/10.1002/emp2.12443 Text en © 2021 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of American College of Emergency Physicians https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle The Practice of Emergency Medicine
Jaffe, Todd A.
Hayden, Emily
Uscher‐Pines, Lori
Sousa, Jessica
Schwamm, Lee H.
Mehrotra, Ateev
Zachrison, Kori S.
Telehealth use in emergency care during coronavirus disease 2019: a systematic review
title Telehealth use in emergency care during coronavirus disease 2019: a systematic review
title_full Telehealth use in emergency care during coronavirus disease 2019: a systematic review
title_fullStr Telehealth use in emergency care during coronavirus disease 2019: a systematic review
title_full_unstemmed Telehealth use in emergency care during coronavirus disease 2019: a systematic review
title_short Telehealth use in emergency care during coronavirus disease 2019: a systematic review
title_sort telehealth use in emergency care during coronavirus disease 2019: a systematic review
topic The Practice of Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8087945/
https://www.ncbi.nlm.nih.gov/pubmed/33969356
http://dx.doi.org/10.1002/emp2.12443
work_keys_str_mv AT jaffetodda telehealthuseinemergencycareduringcoronavirusdisease2019asystematicreview
AT haydenemily telehealthuseinemergencycareduringcoronavirusdisease2019asystematicreview
AT uscherpineslori telehealthuseinemergencycareduringcoronavirusdisease2019asystematicreview
AT sousajessica telehealthuseinemergencycareduringcoronavirusdisease2019asystematicreview
AT schwammleeh telehealthuseinemergencycareduringcoronavirusdisease2019asystematicreview
AT mehrotraateev telehealthuseinemergencycareduringcoronavirusdisease2019asystematicreview
AT zachrisonkoris telehealthuseinemergencycareduringcoronavirusdisease2019asystematicreview