scholarly journals On the Demand for Telemedicine: Evidence from the Covid-19 Pandemic

2021 ◽  
Author(s):  
Matías Busso ◽  
María P. González ◽  
Carlos Scartascini
Keyword(s):  
Internal Medicine ◽  
Access To Health Care ◽  
Low Cost ◽  
Proof Of Concept ◽  
Older Individuals ◽  
Difference In Differences ◽  
Administrative Records ◽  
Access To Health ◽  
Percent Increase ◽  
Experience Good

Telemedicine can expand access to health care at relatively low cost. Historically, however, demand for telemedicine has remained low. Using administrative records and a difference-in-differences methodology, we estimate the change in demand for telemedicine experienced after the onset of the COVID-19 epidemic and the imposition of mobility restrictions. We find a 233 percent increase in the number of telemedicine calls and a 342 percent increase in calls resulting in a medication being prescribed. The effects were mostly driven by older individuals with pre-existing conditions who used the service for internal medicine consultations. The demand for telemedicine remains high even after mobility restrictions were relaxed, which is consistent with telemedicine being an experience good. These results are a proof of concept for policymakers willing to expand access to healthcare using advances in technology.

scholarly journals Newer Therapies In Management of Neonatal Birth Asphyxia

2021 ◽  
Vol 8 (1) ◽  
pp. 47-52
Author(s):  
Dr. Abhijit Shinde ◽  
Prof. Dr. Sunil Natha Mhaske ◽  
Dr. Sushrut Kumar
Keyword(s):  
Access To Health Care ◽  
Low Cost ◽  
Birth Asphyxia ◽  
Ease Of Use ◽  
Neuroprotective Agents ◽  
Neonatal Brain ◽  
Emerging Therapies ◽  
Improved Outcomes ◽  
Access To Health ◽  
Developed Nations

Asphyxia is an insult to the fetus or newborn due to lack of oxygen or lack of perfusion to various organs.1 National Neonatology Forum of India has defined asphyxia as gasping or ineffective breathing or lack of breathing at 1 min of life.2Birth asphyxia is one of the most important causes of neonatal brain injury whose incidence ranges from 3.7 to 9/1000 deliveries in the west.3 With the advent of therapeutic hypothermia (TH), improved outcomes are being reported in moderate HIE. TH, however, has not demonstrated improvement in outcomes related to severe HIE. . This has led clinicians and researchers to continue evaluating complementary and/or alternative therapies for infants with HIE. In this review, we will discuss current and emerging therapies in the management of HIE, other than hypothermia. With issues of access to health care and the burden of birth asphyxia shifting to developing and least developed nations, there is a need for alternative and supplementary neuroprotective agents. Low cost and easy availability along with ease of use would assist in ensuring that these therapies have global applicability. So global efforts must be taken to increase such studies as birth asphyxia is causing more morbidity & mortality globally.

Racial Disparities in Service Use among Medicaid Beneficiaries after Mandatory Enrollment in Managed Care: A Difference-in-Differences Approach

2001 ◽  
Vol 38 (1) ◽  
pp. 49-59 ◽  
Author(s):  
Ming Tai-Seale ◽  
Deborah Freund ◽  
Anthony LoSasso
Keyword(s):  
Managed Care ◽  
Racial Disparities ◽  
Access To Health Care ◽  
Service Use ◽  
Underserved Populations ◽  
Count Data Models ◽  
Difference In Differences ◽  
Access To Health ◽  
Medicaid Eligibility ◽  
Medicaid Beneficiaries

Managed care may improve access to health care to previously underserved populations when providers need plan enrollees. However, capitation and utilization management often give providers the incentive to withhold care. Managed care organizations have yet to demonstrate that racial disparities in treatment are not exacerbated. Using Medicaid eligibility, claims, and managed care encounter data, we examine racial disparities in service use among Medicaid beneficiaries after mandatory enrollment in managed care. We use count data models adjusted for nonrandom selection within difference-in-differences econometric approaches. The results show that mandatory enrollment has disproportionately reduced the relative use of physician and inpatient services among African-American beneficiaries.

Using Technology to Improve Access to Health Care for Culturally and Linguistically Diverse Populations

2012 ◽  
Vol 19 (3) ◽  
pp. 71-76 ◽  
Author(s):  
Pauline A. Mashima
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Access To Health Care ◽  
Underserved Populations ◽  
Linguistically Diverse ◽  
Care Providers ◽  
Department Of Health ◽  
Use Of Technology ◽  
Access To Health ◽  
Improve Access

Important initiatives in health care include (a) improving access to services for disadvantaged populations, (b) providing equal access for individuals with limited or non-English proficiency, and (c) ensuring cultural competence of health-care providers to facilitate effective services for individuals from diverse racial and ethnic backgrounds (U.S. Department of Health and Human Services, Office of Minority Health, 2001). This article provides a brief overview of the use of technology by speech-language pathologists and audiologists to extend their services to underserved populations who live in remote geographic areas, or when cultural and linguistic differences impact service delivery.

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