scholarly journals Patient Satisfaction with Telehealth in Rural Settings: A Systematic Review

2020 ◽  
Vol 12 (2) ◽  
pp. 53-64
Author(s):  
Loriana C. Harkey ◽  
Sadie M. Jung ◽  
Elizabeth R Newton ◽  
Angela Patterson

Telehealth provides health care services to clients through telecommunications. Rehabilitation services such as occupational therapy, physical therapy, and speech-language therapy can be delivered via telehealth. The aim of this study was to evaluate patients’ reports of their satisfaction with telehealth compared to standard in-person therapy for patients living in rural areas. Four databases were utilized for this systematic review. The following words were searched: telehealth, rural, and patient satisfaction. Abstract searches identified 251 articles, and 55 were read in full text. Four articles met inclusion criteria. There was high satisfaction for patients in all studies regarding the use of telehealth. Findings showed that overall, telehealth supported increased rates of patient satisfaction for OT, PT, and SLP services delivered to rural communities.

2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512520383p1-7512520383p1
Author(s):  
Angela Patterson ◽  
Loriana Harkey ◽  
Sadie Jung ◽  
Elizabeth Newton

Abstract Date Presented 04/21/21 This systematic review analyzes patient satisfaction with telehealth rehabilitation (OT, physical therapy, speech-language pathology) in global rural communities. Telehealth services should be used to deliver therapy to patients in rural settings for greater outreach. Patients report high satisfaction related to ease of travel, quality of care, safety, and reduced costs. This study has implications for telehealth program development within OT practice. Primary Author and Speaker: Angela Patterson Additional Authors and Speakers: Stephanie C. DeLuca, Hoàng Khánh Chi Contributing Authors: Lê Tường Giao Lê Tường, Đang Nguyễn Thị, and Thi Bich Ngoc Nguyen


2016 ◽  
Vol 10s1 ◽  
pp. SART.S34547 ◽  
Author(s):  
Naana Afua Jumah

The nature, impact, and treatment of substance use during pregnancy are well described for women living in urban settings. Less is known about pregnant substance-using women living in rural communities. The objective of this review is to describe the existing evidence for the management of substance use in pregnant women living in rural areas. A systematic review of the literature was conducted using PubMed, Embase, and the Cochrane Database of Systematic Reviews, and the quality of the evidence was assessed using the GRADE system. Twenty-two articles that met the inclusion criteria were identified. Descriptive studies document high rates of smoking, marijuana, and polysubstance use among rural, substance-using pregnant women compared to their urban counterparts. Management of substance use disorders is limited by access to and acceptability of treatment modalities. Several innovative, integrated addiction and prenatal care programs have been developed, which may serve as models for management of substance use during pregnancy in rural settings.


2021 ◽  
Vol 14 (1) ◽  
pp. 336-344
Author(s):  
Rachel Chinyakata ◽  
Nicolette V. Roman ◽  
Fikile B. Msiza

Background: Despite efforts to achieve universal access to health care by various stakeholders globally, most developing countries continue to face serious health delivery challenges, especially in rural areas. Introduction: These inhibit individuals and communities’ ability to obtain health care services when needed and the freedom to use health care. Although issues of access to health care have been widely researched in South Africa, a detailed account on access to health care in particular communities is necessary for developing interventions that are tailored to the specific needs of that community. Understanding the accounts of stakeholders to the perceived barriers to access to health care services can help comprehend the issues that hinder people from accessing health care. Therefore, this study explored the stakeholders’ perspectives on the barriers to accessing health care services in rural settings in South Africa. Methods: A qualitative approach was used to guide the collection and analysis of the data. Data were collected from a sample of stakeholders selected from three rural areas in South Africa and analysed through thematic analysis. According to the stakeholders interviewed, there are some barriers that exist in the community that impede access to health. Reusults: These are limited or lack of health care facilities and personnel, shortages of medicine, distrust in the health care providers, opening hours of health care facilities and financial constraints, which resulted in the perceived poor health status of the people in those rural areas. Conclusion: This study calls for multifaceted health care reforms and strategies to address infrastructure deficiencies, human resources and medicine shortages to ensure equitable provision of high-quality public services. These strategies or measures must be tailored to the specific needs of rural communities.


Challenges ◽  
2021 ◽  
Vol 12 (2) ◽  
pp. 16
Author(s):  
Farshad Amiraslani

The recent COVID-19 pandemic has revealed flaws in rural settings where most people live without the necessary tools, income, and knowledge to tackle such unprecedented global challenges. Here, I argue that despite the research studies conducted on rural areas, these have not solved rising rural issues, notably poverty and illiteracy. I propound a global institute to be formed by governments that provides a platform for empowering rural communities through better training, skills, and competencies. Such global endeavour will ensure the remaining rural communities withstand future pandemics if they occur.


Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 528
Author(s):  
Cristian Lieneck ◽  
Brooke Herzog ◽  
Raven Krips

The delivery of routine health care during the COVID-19 global pandemic continues to be challenged as public health guidelines and other local/regional/state and other policies are enforced to help prevent the spread of the virus. The objective of this systematic review is to identify the facilitators and barriers affecting the delivery of routine health care services during the pandemic to provide a framework for future research. In total, 32 articles were identified for common themes surrounding facilitators of routine care during COVID-19. Identified constructed in the literature include enhanced education initiatives for parents/patients regarding routine vaccinations, an importance of routine vaccinations as compared to the risk of COVID-19 infection, an enhanced use of telehealth resources (including diagnostic imagery) and identified patient throughput/PPE initiatives. Reviewers identified the following barriers to the delivery of routine care: conservation of medical providers and PPE for non-routine (acute) care delivery needs, specific routine care services incongruent the telehealth care delivery methods, and job-loss/food insecurity. Review results can assist healthcare organizations with process-related challenges related to current and/or future delivery of routine care and support future research initiatives as the global pandemic continues.


Social Change ◽  
2008 ◽  
Vol 38 (3) ◽  
pp. 458-477 ◽  
Author(s):  
Pawan Kumar Sharma ◽  
Shaik Iftikhar Ahmed ◽  
Manisha Bhatia

Spectrum ◽  
2018 ◽  
Author(s):  
Josiah Michael Villareal De Los Santos ◽  
Sonya Jakubec

Filipinos experience numerous barriers to mental health care in their country, such as stigmatization ofillness and behaviours, lack of mental health care services, and resource deficits. The Philippine MentalHealth Act of 2017 was formed to resolve these issues and is in its early stages of implementation.Legislation and policy interventions of this nature are but one level of many interventions that can addresshealth care at a population level. The influence of this legislation for different levels of society is analyzed inorder to understand the different barriers and alternatives to its implementation. Solutions suggested in thelegislation, such as addressing lack of accessibility in rural areas, creating liaisons between different levelsof mental health care, and educating the population regarding mental health, are explored for their effects ondifferent spheres, or levels, of influence. The comprehensiveness of the legislation to address the needs ofmental health service users are highlighted, as are barriers to implementation that inhibit the realization ofpractical strategies. This policy case review and analysis informs program development by highlighting thestrengths and weaknesses aligned to the legislative articles’ target sphere of influence and the population.


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