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Telehealth for Home Dialysis in COVID-19 and Beyond: A Perspective From the American Society of Nephrology COVID-19 Home Dialysis Subcommittee.
Lew, Susie Q; Wallace, Eric L; Srivatana, Vesh; Warady, Bradley A; Watnick, Suzanne; Hood, Jayson; White, David L; Aggarwal, Vikram; Wilkie, Caroline; Naljayan, Mihran V; Gellens, Mary; Perl, Jeffrey; Schreiber, Martin J.
  • Lew SQ; Department of Medicine, George Washington University, Washington, DC. Electronic address: sqlew@gwu.edu.
  • Wallace EL; Department of Medicine, University of Alabama at Birmingham, Birmingham, AL.
  • Srivatana V; Division of Nephrology and Hypertension, Weill Cornell Medicine, New York, NY; The Rogosin Institute, New York, NY.
  • Warady BA; Division of Nephrology, Children's Mercy Kansas City, Kansas City, MO.
  • Watnick S; Northwest Kidney Centers, Seattle, WA; Department of Medicine, University of Washington, Seattle, WA.
  • Hood J; Northwest Kidney Centers, Seattle, WA.
  • White DL; American Society of Nephrology, Washington, DC.
  • Aggarwal V; Division of Nephrology and Hypertension, Northwestern University-Feinberg School of Medicine, Chicago, IL.
  • Wilkie C; Ms Wilkie is a private citizen.
  • Naljayan MV; Section of Nephrology and Hypertension, Louisiana State University School of Medicine, New Orleans, LA.
  • Gellens M; Baxter Healthcare, Deerfield, IL.
  • Perl J; Division of Nephrology, St. Michael's Hospital and the Keenan Research Center in the Li Ka Shing Knowledge Institute, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
  • Schreiber MJ; Home Modalities, DaVita Kidney Care, Denver, CO.
Am J Kidney Dis ; 77(1): 142-148, 2021 01.
Article in English | MEDLINE | ID: covidwho-799495
ABSTRACT
The coronavirus disease 2019 (COVID-19) pandemic, technological advancements, regulatory waivers, and user acceptance have converged to boost telehealth activities. Due to the state of emergency, regulatory waivers in the United States have made it possible for providers to deliver and bill for services across state lines for new and established patients through Health Insurance Portability and Accountability Act (HIPAA)- and non-HIPAA-compliant platforms with home as the originating site and without geographic restrictions. Platforms have been developed or purchased to perform videoconferencing, and interdisciplinary dialysis teams have adapted to perform virtual visits. Telehealth experiences and challenges encountered by dialysis providers, clinicians, nurses, and patients have exposed health care disparities in areas such as access to care, bandwidth connectivity, availability of devices to perform telehealth, and socioeconomic and language barriers. Future directions in telehealth use, quality measures, and research in telehealth use need to be explored. Telehealth during the public health emergency has changed the practice of health care, with the post-COVID-19 world unlikely to resemble the prior era. The future impact of telehealth in patient care in the United States remains to be seen, especially in the context of the Advancing American Kidney Health Initiative.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Societies, Medical / Hemodialysis, Home / Telemedicine / Advisory Committees / Kidney Failure, Chronic / Nephrology Type of study: Observational study / Qualitative research Topics: Long Covid Limits: Humans Country/Region as subject: North America Language: English Journal: Am J Kidney Dis Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Societies, Medical / Hemodialysis, Home / Telemedicine / Advisory Committees / Kidney Failure, Chronic / Nephrology Type of study: Observational study / Qualitative research Topics: Long Covid Limits: Humans Country/Region as subject: North America Language: English Journal: Am J Kidney Dis Year: 2021 Document Type: Article