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Outpatient Telehealth Implementation in the United States during the COVID-19 Global Pandemic: A Systematic Review

Background and objectives: Ambulatory (outpatient) health care organizations continue to respond to the COVID-19 global pandemic using an array of initiatives to provide a continuity of care and related patient outcomes. Telehealth has quickly become an advantageous tool in assisting outpatient prov...

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Detalles Bibliográficos
Autores principales: Lieneck, Cristian, Weaver, Eric, Maryon, Thomas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8151030/
https://www.ncbi.nlm.nih.gov/pubmed/34065050
http://dx.doi.org/10.3390/medicina57050462
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author Lieneck, Cristian
Weaver, Eric
Maryon, Thomas
author_facet Lieneck, Cristian
Weaver, Eric
Maryon, Thomas
author_sort Lieneck, Cristian
collection PubMed
description Background and objectives: Ambulatory (outpatient) health care organizations continue to respond to the COVID-19 global pandemic using an array of initiatives to provide a continuity of care and related patient outcomes. Telehealth has quickly become an advantageous tool in assisting outpatient providers in this challenge, which has also come with an adaptation of U.S. government policy, procedures, and, as a result, organizational protocols surrounding the delivery of telehealth care. Materials and methods: This systematic review identified three primary facilitators to the implementation and establishment of telehealth services for the outpatient segment of the United States health care industry: patient engagement, operational workflow and organizational readiness, and regulatory changes surrounding reimbursement parity for telehealth care. Results: Researchers identified three barriers impacting the implementation and use of telehealth resources: patient telehealth limitations, lack of clinical care telehealth guidelines, and training, technology, and financial considerations. Conclusions: This systematic review’s identified facilitators and barriers for telehealth implementation initiatives in the United States can assist future outpatient providers as the global pandemic and associated public health initiatives such as physical distancing continue.
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spelling pubmed-81510302021-05-27 Outpatient Telehealth Implementation in the United States during the COVID-19 Global Pandemic: A Systematic Review Lieneck, Cristian Weaver, Eric Maryon, Thomas Medicina (Kaunas) Review Background and objectives: Ambulatory (outpatient) health care organizations continue to respond to the COVID-19 global pandemic using an array of initiatives to provide a continuity of care and related patient outcomes. Telehealth has quickly become an advantageous tool in assisting outpatient providers in this challenge, which has also come with an adaptation of U.S. government policy, procedures, and, as a result, organizational protocols surrounding the delivery of telehealth care. Materials and methods: This systematic review identified three primary facilitators to the implementation and establishment of telehealth services for the outpatient segment of the United States health care industry: patient engagement, operational workflow and organizational readiness, and regulatory changes surrounding reimbursement parity for telehealth care. Results: Researchers identified three barriers impacting the implementation and use of telehealth resources: patient telehealth limitations, lack of clinical care telehealth guidelines, and training, technology, and financial considerations. Conclusions: This systematic review’s identified facilitators and barriers for telehealth implementation initiatives in the United States can assist future outpatient providers as the global pandemic and associated public health initiatives such as physical distancing continue. MDPI 2021-05-09 /pmc/articles/PMC8151030/ /pubmed/34065050 http://dx.doi.org/10.3390/medicina57050462 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Lieneck, Cristian
Weaver, Eric
Maryon, Thomas
Outpatient Telehealth Implementation in the United States during the COVID-19 Global Pandemic: A Systematic Review
title Outpatient Telehealth Implementation in the United States during the COVID-19 Global Pandemic: A Systematic Review
title_full Outpatient Telehealth Implementation in the United States during the COVID-19 Global Pandemic: A Systematic Review
title_fullStr Outpatient Telehealth Implementation in the United States during the COVID-19 Global Pandemic: A Systematic Review
title_full_unstemmed Outpatient Telehealth Implementation in the United States during the COVID-19 Global Pandemic: A Systematic Review
title_short Outpatient Telehealth Implementation in the United States during the COVID-19 Global Pandemic: A Systematic Review
title_sort outpatient telehealth implementation in the united states during the covid-19 global pandemic: a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8151030/
https://www.ncbi.nlm.nih.gov/pubmed/34065050
http://dx.doi.org/10.3390/medicina57050462
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