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Synchronous Home-Based Telemedicine for Primary Care: A Review.
Lindenfeld, Zoe; Berry, Carolyn; Albert, Stephanie; Massar, Rachel; Shelley, Donna; Kwok, Lorraine; Fennelly, Kayla; Chang, Ji Eun.
  • Lindenfeld Z; New York University School of Global Public Health, New York City, USA.
  • Berry C; NYU Grossman School of Medicine, New York City, USA.
  • Albert S; NYU Grossman School of Medicine, New York City, USA.
  • Massar R; NYU Grossman School of Medicine, New York City, USA.
  • Shelley D; New York University School of Global Public Health, New York City, USA.
  • Kwok L; NYU Grossman School of Medicine, New York City, USA.
  • Fennelly K; NYU Grossman School of Medicine, New York City, USA.
  • Chang JE; New York University School of Global Public Health, New York City, USA.
Med Care Res Rev ; : 10775587221093043, 2022 May 05.
Artigo em Inglês | MEDLINE | ID: covidwho-2232567
ABSTRACT
Synchronous home-based telemedicine for primary care experienced growth during the coronavirus disease 2019 pandemic. A review was conducted on the evidence reporting on the feasibility of synchronous telemedicine implementation within primary care, barriers and facilitators to implementation and use, patient characteristics associated with use or nonuse, and quality and cost/revenue-related outcomes. Initial database searches yielded 1,527 articles, of which 22 studies fulfilled the inclusion criteria. Synchronous telemedicine was considered appropriate for visits not requiring a physical examination. Benefits included decreased travel and wait times, and improved access to care. For certain services, visit quality was comparable to in-person care, and patient and provider satisfaction was high. Facilitators included proper technology, training, and reimbursement policies that created payment parity between telemedicine and in-person care. Barriers included technological issues, such as low technical literacy and poor internet connectivity among certain patient populations, and communication barriers for patients requiring translators or additional resources to communicate.
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Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Idioma: Inglês Revista: Med Care Res Rev Assunto da revista: Pesquisa em Serviços de Saúde Ano de publicação: 2022 Tipo de documento: Artigo País de afiliação: 10775587221093043

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Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Idioma: Inglês Revista: Med Care Res Rev Assunto da revista: Pesquisa em Serviços de Saúde Ano de publicação: 2022 Tipo de documento: Artigo País de afiliação: 10775587221093043