Optimizing the Potential for Telehealth in Cardiovascular Care (in the Era of COVID-19): Time Will Tell - 31/07/21

Doi : 10.1016/j.amjmed.2021.03.007

Parth Patel, MD ^a, Devinder Dhindsa, MD ^b, Danny J. Eapen, MD ^c, Amit Khera, MD, MSc ^d, Martha Gulati, MD, MS ^e, Neil J. Stone, MD ^f, Clyde W. Yancy, MD ^g, John S. Rumsfeld, MD, PhD ^h,ⁱ, Laurence S. Sperling, MD ^b,^⁎
^a Department of Internal Medicine, Emory University School of Medicine, Atlanta, Ga
^b Emory Clinical Cardiovascular Research Institute, Division of Cardiology, Emory University School of Medicine, Atlanta, Ga
^c Department of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, Ga
^d Division of Cardiology, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas
^e Division of Cardiology, University of Arizona, Phoenix
^f Division of Cardiology, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Ill
^g Division of Cardiology, Department of Medicine, Northwestern University, Chicago, Ill
^h American College of Cardiology, Washington DC
ⁱ University of Colorado School of Medicine, Aurora

^⁎Requests for reprints should be addressed to Laurence Sperling, MD, FACC, FACP, FAHA, FASPC, Katz Professor in Preventive Cardiology, Professor of Global Health, Hubert Department of Global Health, Rollins School of Public Health at Emory University, Executive Park, 1605 Chantilly Drive, NE, Atlanta, GA, 30324.Katz Professor in Preventive Cardiology, Professor of Global Health, Hubert Department of Global Health, Rollins School of Public Health at Emory UniversityExecutive Park, 1605 Chantilly Drive, NEAtlantaGA,30324

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Abstract

Before the coronavirus disease 2019 (COVID-19) pandemic, use of telehealth services had been limited in cardiovascular care. Potential benefits of telehealth include improved access to care, more efficient care management, reduced costs, the ability to assess patients within their homes while involving key caretakers in medical decisions, maintaining social distance, and increased patient satisfaction. Challenges include changes in payment models, issues with data security and privacy, potential depersonalization of the patient-clinician relationship, limitations in the use of digital health technologies, and the potential impact on disparities, including socioeconomic, gender, and age-related issues and access to technology and broadband. Implementation and expansion of telehealth from a policy and reimbursement practice standpoint are filled with difficult decisions, yet addressing these are critical to the future of health care.

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Keywords : Cardiology, Cardiovascular disease, Health Policy, Telehealth, Telemedicine

Esquema

Introduction

Established Platforms and Modalities Before COVID-19

Potential Benefits of Telehealth

Improved Access and Care Benefits

Reduced Costs

Assessment and Monitoring of Patients Within Their Home Environment

Maintain Social Distancing

Patient Satisfaction

Challenges

Payment Models

Data Security and Privacy

Potential Impact on Disparities (Particularly in Low-Socioeconomic and Rural Communities with Limited Access to High-Speed Internet)

Potential Depersonalization

Challenges of Adoption of Digital Technologies

Conclusions and Future Directions

	Funding: None.
	Authorship: All authors had access to the data and a role in writing this manuscript.

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Vol 134 - N° 8

P. 945-951 - août 2021 Regresar al número

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Optimizing the Potential for Telehealth in Cardiovascular Care (in the Era of COVID-19): Time Will Tell - 31/07/21

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