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Telemed J E Health ; 27(9): 963, 2021 09.
Article in English | MEDLINE | ID: covidwho-1405897
Telemed J E Health ; 28(2): 123-124, 2022 02.
Article in English | MEDLINE | ID: covidwho-1692267

Population Health , Humans
Telemed J E Health ; 27(10): 1085-1086, 2021 10.
Article in English | MEDLINE | ID: covidwho-1475756
Telemed J E Health ; 27(8): 825-826, 2021 08.
Article in English | MEDLINE | ID: covidwho-1369039
Telemed J E Health ; 27(6): 593, 2021 06.
Article in English | MEDLINE | ID: covidwho-1266102
Telemed J E Health ; 28(3): 334-343, 2022 03.
Article in English | MEDLINE | ID: covidwho-1240874


Objective: To investigate the integration of and barriers to the utilization of telehealth technology and its components (telemedicine, e-Health, m-health) in daily otolaryngologic practice before the SARS CoV-2 (COVID-19) pandemic. Methods: This cross-sectional study was conducted at a tertiary academic center. A national survey of members of the American Academy of Otolaryngology-Head and Neck Surgery was administered. Descriptive analyses were performed to determine how telehealth was employed in otolaryngologists' practices. Results: A total of 184 surveys were completed. Telehealth technology was used by 50% of otolaryngologists surveyed. Regions with the largest percentage of physicians using telehealth were the Mid-Atlantic region (84%) and West Coast (67%). Most otolaryngologists indicated that they were familiar with telehealth or any of its components and how it is used in practice (52-83%), they had heard of telehealth or any of its components but were unsure what the terms specifically entailed (17-42%); 53% were satisfied with their current use of telehealth and electronic medical record (EMR); and 72% were comfortable utilizing smart devices for patient care. Most otolaryngologists (65%) indicated reimbursement as the biggest limitation to implementing telehealth, and 67% believed that typing was a hindrance to EMR utility. Conclusion: Half of the surveyed otolaryngologists used some form of telehealth at the time of the survey. The most commonly cited obstacle to physician adoption of telehealth was reimbursement. Although the adoption of telehealth technology was still limited in the field of otolaryngology based on this study, we are now seeing significant change due to the COVID-19 pandemic.

COVID-19 , Otolaryngology , Telemedicine , COVID-19/epidemiology , Cross-Sectional Studies , Humans , Pandemics , United States
Telemed J E Health ; 26(11): 1310-1313, 2020 11.
Article in English | MEDLINE | ID: covidwho-719187


This article reviews the current experience and the flaws encountered in the rush to deploy telemedicine as a substitute for in-person care in response to the raging coronavirus (COVID-19) pandemic; the preceding fault lines in the U.S. health care system that exacerbated the problem; and the importance of emerging from this calamity with a clear vision for necessary health care reforms. It starts with the premise that the precursors of catastrophes of this magnitude provide a valid basis for planning corrective measures, improved preparedness, and ultimately serious health reform. Such reform should include standardized protocols for proper deployment of telemedicine to triage patients to the appropriate level and source of care at the point of need, proper use of relevant technological innovations to deliver precision medicine, and the development of regional networks to coordinate and improve access to care while streamlining the care process. The other essential element is a universal payment system that puts the United States at par with the rest of the industrialized countries, regardless of variation among them. The ultimate goal is creating an efficient, effective, accessible, and equitable system of care. Although timing is uncertain, the pandemic will be brought under control. The path to a better future after the pandemic offers some consolation for the massive loss of life and treasure during this pandemic.

COVID-19/epidemiology , Telemedicine/organization & administration , Triage/organization & administration , Disaster Planning/organization & administration , Humans , Insurance, Health, Reimbursement/standards , Pandemics , SARS-CoV-2 , Telemedicine/standards , Triage/standards , United States/epidemiology
Telemed J E Health ; 26(9): 1106-1109, 2020 09.
Article in English | MEDLINE | ID: covidwho-268255


The new world order caused by COVID-19 virus, associated with severe acute respiratory syndrome, multiple organ failure, and very high mortality, has brought about many changes to our world. Suddenly, the medical community, and those who finance the health care sector, realized that telemedicine and telepresence are applicable, desirable, acceptable, and much sought after by our patients and we can manage just about every disease and condition. Although, by and large, telemedicine has faced challenges and perhaps some resistance, despite its great potential, it has become evident that telemedicine can provide rapid, safe, and high-quality care remotely during this pandemic, the largest one since 1918. Perhaps one benefit of suffering through the COVID-19 pandemic will be the establishment of a new virtual medical world order, and that telemedicine has taken its deserving place in health care: prime time and a center stage.

Coronavirus Infections/epidemiology , Pneumonia, Viral/epidemiology , Telemedicine/organization & administration , Betacoronavirus , COVID-19 , Disaster Planning/organization & administration , Humans , Pandemics , SARS-CoV-2