scholarly journals The Impact of COVID-19 on Telemedicine Utilization Across Multiple Service Lines

2020 ◽  
Author(s):  
Jose A. Betancourt ◽  
Matthew A. Rosenberg ◽  
Ashley Zevallos ◽  
Jon R. Brown ◽  
Michael Mileski
Keyword(s):  
Care Delivery ◽  
Research Question ◽  
Basic Research ◽  
Treatment Modalities ◽  
Healthcare Industry ◽  
Clinical Practices ◽  
Safety Standards ◽  
General Search ◽  
The Impact ◽  
The U.S

Background – The profound impact of COVID-19 on the U.S. healthcare industry cannot be overstated. Telemedicine utilization exploded virtually overnight as healthcare systems, hospitals, and clinical practices rushed to implement this delivery model to ensure accessibility and continuity of patient care access across myriad service lines and dimensions. Objective – The purpose of this systematic literature review is to examine the measures that were implemented to accommodate community and individual patient needs not only to afford access to critical services, but to also maintain safety standards for affected parties. Methods – Boolean operators were crafted with the expressed intent of identifying articles within multiple database domains germane to our chosen topic. Results – 52,206 articles were captured from a general search query and subsequently distilled to 44 through group consensus based on pertinence to our basic research question. The four health service lines identified encountered similar, surmountable obstacles in their care delivery models, but adapted accordingly to the respective needs of their patient populations. Conclusion – This review showcased the healthcare industry’s ability to rapidly acclimate and change due to the pervasive spread of COVID-19 throughout the U.S. Although imperfect, unique responses were developed within telemedicine platforms to broadly and effectively mitigate disruptions in care and treatment modalities.

scholarly journals The Impact of COVID-19 on Telemedicine Utilization Across Multiple Service Lines in the United States

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 380 ◽  
Author(s):  
Jose A. Betancourt ◽  
Matthew A. Rosenberg ◽  
Ashley Zevallos ◽  
Jon R. Brown ◽  
Michael Mileski
Keyword(s):  
Risk Mitigation ◽  
Healthcare Providers ◽  
The United States ◽  
Rapid Expansion ◽  
Treatment Modalities ◽  
Compliance Cost ◽  
Safety Standards ◽  
Meta Analyses ◽  
The Impact ◽  
The U.S

The impact of COVID-19 on the U.S. healthcare industry cannot be overstated. Telemedicine utilization increased overnight as all healthcare providers rushed to implement this delivery model to ensure accessibility and continuity of patient care. Our research objective was to determine measures that were implemented to accommodate community and individual patient needs to afford access to critical services and to maintain safety standards. We analyzed literature since 2016 from two databases using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). We compared observations, themes, service lines addressed, issues identified, and interventions requiring in-person care. From 44 articles published, we identified ten effectiveness themes overall and drew conclusions on service line successes. COVID-19 has caused rapid expansion in telemedicine. Necessary and required changes in access, risk mitigation, the need for social distancing, compliance, cost, and patient satisfaction are a few of the driving factors. This review showcased the healthcare industry’s ability to rapidly acclimate and change despite the pervasive spread of COVID-19 throughout the U.S. Although imperfect, unique responses were developed within telemedicine platforms to mitigate disruptions broadly and effectively in care and treatment modalities.

Big data and artificial intelligence for health system sustainability: The case of Veneto Region

2021 ◽  
pp. 31-52
Author(s):  
Grazia Dicuonzo ◽  
Francesca Donofrio ◽  
Antonio Fusco ◽  
Vittorio Dell’Atti
Keyword(s):  
Artificial Intelligence ◽  
Big Data ◽  
Healthcare System ◽  
Care Delivery ◽  
Research Question ◽  
Health Agency ◽  
Time Frame ◽  
Structured Interviews ◽  
Case Study Methodology ◽  
The Impact

This paper investigates the digitalization challenges facing the Italian healthcare system. The aim of the paper is to support healthcare organizations as they take advantage of the potential of big data and artificial intelligence (AI) to promote sustainable healthcare systems. Both the development of innovative processes in the management of health care activities and the introduction of healthcare forecasting systems are valuable resources for clinical and care activities and enable a more efficient use of inputs in essential-level care delivery. By examining an innovative project developed by the Regional Social Health Agency (ARSS) of Veneto, this study analyses the impact of big data and AI on the sustainability of a healthcare system. In order to answer the research question, we used a case study methodology. We conducted semi-structured interviews with key members of the organizational group involved in the case. The results show that the implementation of AI algorithms based on big data in healthcare both improves the interpretation and processing of data, and reduces the time frame necessary for clinical processes, having a positive effect on sustainability.

Healthcare in the United States

2018 ◽  
pp. 73-85
Author(s):  
Hillary Knepper
Keyword(s):  
United States ◽  
Healthcare Delivery ◽  
Basic Structure ◽  
The United States ◽  
Healthcare Industry ◽  
Healthcare Delivery System ◽  
Patient Protection ◽  
Public Revenue ◽  
The Impact ◽  
The U.S

Healthcare in the United States is a dynamic mix of public and marketplace solutions to the challenge of achieving the maximum public good for the greatest number of people. Indeed, in the U.S. the healthcare industry generates over $3 trillion in the economy. This creates a uniquely American paradox that is examined here. The basic structure of the U.S. public-private healthcare delivery system is explored. The dynamics of public sector involvement in healthcare delivery is reviewed, with particular emphasis on the impact of the Patient Protection and Affordable Care Act. Economic impact, employment indicators, and recent cost estimates of public revenue investment will be considered. Finally, a discussion about the future implications of healthcare for public administration in the 21st century is presented. Eight tables and figures present a visual and detailed explanation to accompany the narrative.

Healthcare in the United States

2021 ◽  
pp. 480-491
Author(s):  
Hillary Knepper
Keyword(s):  
United States ◽  
Healthcare Delivery ◽  
Basic Structure ◽  
The United States ◽  
Healthcare Industry ◽  
Healthcare Delivery System ◽  
Patient Protection ◽  
Public Revenue ◽  
The Impact ◽  
The U.S

Healthcare in the United States is a dynamic mix of public and marketplace solutions to the challenge of achieving the maximum public good for the greatest number of people. Indeed, in the U.S. the healthcare industry generates over $3 trillion in the economy. This creates a uniquely American paradox that is examined here. The basic structure of the U.S. public-private healthcare delivery system is explored. The dynamics of public sector involvement in healthcare delivery is reviewed, with particular emphasis on the impact of the Patient Protection and Affordable Care Act. Economic impact, employment indicators, and recent cost estimates of public revenue investment will be considered. Finally, a discussion about the future implications of healthcare for public administration in the 21st century is presented. Eight tables and figures present a visual and detailed explanation to accompany the narrative.

Cross-Border Mobility and Critical Cosmopolitanism among South Texas University Students

2018 ◽  
Vol 120 (5) ◽  
pp. 1-54
Author(s):  
Brendan H. O'Connor
Keyword(s):  
University Students ◽  
Online Survey ◽  
Research Question ◽  
South Texas ◽  
Border Crossings ◽  
Cross Border ◽  
Ethnographic Interviews ◽  
International Border ◽  
The Impact ◽  
The U.S

Background/Context A growing body of literature addresses the experiences of transnational students, but relatively little research has focused on students who negotiate international border crossings on a regular basis. This study documents the role of cross-border mobility in the lives of university students in Brownsville, Texas (U.S.)/Matamoros, Tamaulipas (Mex.) and links students’ transnational experiences to their development of critical cosmopolitan identities and perspectives. Purpose/Objective/Research Question/Focus of Study This study explores South Texas university students’ lived experiences of cross-border mobility at a time of sociopolitical upheaval in the U.S.-Mexico borderlands and illuminates how specific forms of mobility can shape students’ educational and social subjectivities. Research Design An insider-outsider researcher and two undergraduate insiders collaborated to design and implement the study. An online survey was used to gather basic information about students’ cross-border mobility and educational experiences; subsequently, 16 focal participants were selected to participate in ethnographic interviews. Interview data were analyzed in NVivo using a two-cycle coding process and triangulated with survey data. Findings/Results Cross-border mobility offered academic and social benefits to the participants, but the benefits of mobility were inextricable from its drawbacks. Participants acknowledged the everyday difficulties associated with cross-border mobility; they also believed that these difficulties made them more responsible and successful. In addition, while participants spoke openly about the impact of violence on the borderlands, having to navigate this reality allowed them to develop a powerful form of insight connected to “knowing two versions” (one from each side of the border) of events. Conclusions/Recommendations The results invite researchers and educators to engage more critically with the cosmopolitan voices of students from areas often regarded as sites of marginality, poverty, and violence, such as the U.S.-Mexico borderlands. Participants’ cross-border experiences simultaneously challenged and benefited them; these experiences gave them opportunities to construct, traverse, and inhabit a wider range of emotional geographies where they could make sense of their relationships to people, events, and places on both sides of the border. On the border, conflict of the heart or of the nation has but one cure: recognition of jointness

scholarly journals Cancer Care in the Wake of a Cyberattack: How to Prepare and What to Expect

2021 ◽  
pp. OP.21.00116
Author(s):  
Steven Ades ◽  
Diego Adrianzen Herrera ◽  
Tim Lahey ◽  
Alissa A. Thomas ◽  
Sakshi Jasra ◽  
...  
Keyword(s):  
Health Care ◽  
Cancer Care ◽  
Health Care Organizations ◽  
Care Delivery ◽  
Diagnostic Testing ◽  
Local Treatment ◽  
Transitions Of Care ◽  
Treatment Modalities ◽  
The University ◽  
The Impact

PURPOSE: Cyberattacks targeting health care organizations are becoming more frequent and affect all aspects of care delivery. Cancer care is particularly susceptible to major disruptions because of the potential of immediate and long-term consequences for patients who often rely on timely diagnostic testing and regular administration of systemic therapy in addition to other local treatment modalities to cure or control their diseases. On October 28, 2020, a cyberattack was launched on the University of Vermont Health Network with wide-ranging consequences for oncology, including loss of access to all network intranet servers, e-mail communications, and the electronic medical record (EMR). METHODS: This review details the immediate challenges faced by hematology and oncology during the cyberattack. The impact and response on inpatient, outpatient, and special patient populations are described. Steps that other academic- and community-based oncology practices can take to lessen the brunt of such an assault are suggested. RESULTS: The two areas of immediate impact after the cyberattack were communications and lack of EMR access. The oncology-specific impact included loss of the individualized EMR chemotherapy plan templates and electronic safeguards built into multistep treatment preparation and delivery. With loss of access to schedules, basic patient information, encrypted communications platforms and radiology, and laboratory and pharmacy services, clinical outpatient care delivery was reduced by 40%. The infusion visit volume dropped by 52% in the first week and new patients could not access necessary services for timely diagnostic evaluation, requiring the creation of command centers to oversee ethical and transparent triage and allocation of systemic therapies and address new patient referrals. This included appropriate transfer of patients to alternate sites to minimize delays. Inpatient care including transitions of care was particularly challenging and addressing patient populations whose survival might be affected by delays in care. CONCLUSION: Oncology health care leaders and providers should be aware of the potential impact of a cyberattack on cancer care delivery and preventively develop processes to mitigate the impact.

scholarly journals Optometry Services in Saudi Arabia

2017 ◽  
Vol 9 (8) ◽  
pp. 91 ◽  
Author(s):  
Abdullah Z. Alotaibi
Keyword(s):  
Saudi Arabia ◽  
Care Delivery ◽  
Quality Of Services ◽  
Clinical Practices ◽  
Chi Square ◽  
Healthcare Facilities ◽  
Number Of Patients ◽  
The Government ◽  
The Impact

The purpose of this research study is to examine the quality of services provided by the Optometrists in the four provinces of Saudi Arabia. Further, recommendations shall be provided for future improvements based on the findings of the study. Two hundred and forty healthcare facilities were examined by conducting a questionnaire-based survey. Among these healthcare facilities, around 210 facilities were administered by private sector. The study hypothesis to be tested is based on evaluating the impact of hospital category on the quality of optometric services provided. The questionnaires were analyzed by the application of Chi-square test and it was observed that the responses of the participants do not vary on the basis of type of hospital, but the quality of services were dependent on the number of visiting patients. This shows that higher number of patients in the government hospitals, as compared to private and military healthcare centers increase the clinical experience of the practitioners and hence could be associated with the quality of care provided. The government and healthcare agencies should collaborate to develop standardized methods for eye-care delivery which are consistent with the guidelines of World Council of Optometry. Moreover, adequate training and awareness should be provided to the healthcare professionals to ensure quality clinical practices.

scholarly journals The societal cost and economic impact of surgical care on patients’ households in rural Uganda; a mixed method study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Obieze Nwanna–Nzewunwa ◽  
Rasheedat Oke ◽  
Esther Agwang ◽  
Mary-Margaret Ajiko ◽  
Christopher Yoon ◽  
...  
Keyword(s):  
Care Delivery ◽  
Qualitative Interviews ◽  
Surgical Care ◽  
Societal Cost ◽  
Medical Expenditure ◽  
Treatment Modalities ◽  
Chi Square ◽  
Middle Income ◽  
Femur Fractures ◽  
The Impact

Abstract Background The epidemiology and cost of surgical care delivery in low-and middle-income countries (LMICs) is poorly understood. This study characterizes the cost of surgical care, rate of catastrophic medical expenditure and medical impoverishment, and impact of surgical hospitalization on patients’ households at Soroti Regional Referral Hospital (SRRH), Uganda. Methods We prospectively collected demographic, clinical, and cost data from all surgical inpatients and caregivers at SRRH between February 2018 and January 2019. We conducted and thematically analyzed qualitative interviews to discern the impact of hospitalization on patients’ households. We employed the chi-square, t-test, ANOVA, and Bonferroni tests and built regression models to identify predictors of societal cost of surgical care. Out of pocket spending (OOPS) and catastrophic expenses were determined. Results We encountered 546 patients, mostly male (62%) peasant farmers (42%), at a median age of 22 years; and 615 caregivers, typically married (87%), female (69%), at a median age of 35 years. Femur fractures (20.4%), soft tissue infections (12.3%), and non-femur fractures (11.9%) were commonest. The total societal cost of surgical care was USD 147,378 with femur fractures (USD 47,879), intestinal obstruction (USD 18,737) and non-femur fractures (USD 10,212) as the leading contributors. Procedures (40%) and supplies (12%) were the largest components of societal cost. About 29% of patients suffered catastrophic expenses and 31% were medically impoverished. Conclusion Despite free care, surgical conditions cause catastrophic expenses and impoverishment in Uganda. Femur fracture is the most expensive surgical condition due to prolonged hospitalization associated with traction immobilization and lack of treatment modalities with shorter hospitalization.

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