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1

Seto, Emily, Dallas Smith, Matt Jacques, and Plinio Pelegrini Morita. "Opportunities and Challenges of Telehealth in Remote Communities: Case Study of the Yukon Telehealth System." JMIR Medical Informatics 7, no. 4 (2019): e11353. http://dx.doi.org/10.2196/11353.

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Background Telehealth has been shown to improve access to health care and to reduce costs to the patient and health care system, especially for patients living in rural settings. However, unique challenges arise when implementing telehealth in remote communities. Objective The study aimed to explore the current use, challenges, and opportunities of the Yukon Telehealth System. The lessons learned from this study were used to determine important factors to consider when attempting to advance and expand telehealth programs in remote communities. Methods A mixed methods approach was used to evalu
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2

Keogh, Kandice, Paul Clark, Patricia C. Valery, et al. "Use of telehealth to treat and manage chronic viral hepatitis in regional Queensland." Journal of Telemedicine and Telecare 22, no. 8 (2016): 459–64. http://dx.doi.org/10.1177/1357633x16673794.

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For regional and rural Queenslanders, chronic viral hepatitis treatment is a major unmet health need, with restricted access to specialists outside of tertiary, largely metropolitan hospitals. To increase treatment of chronic viral hepatitis in regional Queensland, a team-based telehealth model was expanded. This expansion embedded an initial nursing consultation prior to specialist telehealth consultation. We conducted a retrospective audit of the introduction and expansion of hepatology telehealth services. Activity from July 2014–June 2015 (pre-expansion) was compared with July 2015– June 2
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3

Saharkhiz, Morteza, Tanvi Rao, Sara Parker-Lue, Sara Borelli, Karin Johnson, and Guido Cataife. "Telehealth Expansion and Medicare Beneficiaries’ Care Quality and Access." JAMA Network Open 7, no. 5 (2024): e2411006. http://dx.doi.org/10.1001/jamanetworkopen.2024.11006.

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ImportanceUnderstanding the association of telehealth use with health care outcomes is fundamental to determining whether telehealth waivers implemented during the COVID-19 public health emergency should be made permanent. The current literature has yielded inconclusive findings owing to its focus on select states, practices, or health care systems.ObjectiveTo estimate the association of telehealth use with outcomes for all Medicare fee-for-service (FFS) beneficiaries by comparing hospital service areas (HSAs) with different levels of telehealth use.Design, Setting, and ParticipantsThis US pop
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4

Tilhou, Alyssa Shell, Laura Dague, Preeti Chachlani, and Marguerite Burns. "Can telehealth expansion boost health care utilization specifically for patients with substance use disorders relative to patients with other types of chronic disease?" PLOS ONE 19, no. 4 (2024): e0299397. http://dx.doi.org/10.1371/journal.pone.0299397.

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Objective Patients with substance use disorders (SUDs) exhibit low healthcare utilization despite high risk of poor outcomes. Telehealth expansion may boost utilization, but it is unclear whether telehealth can increase utilization for patients with SUDs beyond that expected for other chronic diseases amenable to remote treatment, like type 2 diabetes. This information is needed by health systems striving to improve SUD outcomes, specifically. This study compared the impact of telehealth expansion during the COVID-19 public health emergency (PHE) on utilization for patients with SUDs and diabe
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5

Hiskey, Olivia, Kimberly McKeirnan, and Cheyenne Frazier. "Ambulatory Care Pharmacists' Perception of Telehealth Services in the Wake of the COVID-19 Pandemic: Identifying Barriers and Best Practices for the Older Patient and Beyond." Senior Care Pharmacist 38, no. 5 (2023): 193–207. http://dx.doi.org/10.4140/tcp.n.2023.193.

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Background Telehealth practice in the ambulatory care pharmacy setting has seen extensive expansion because of the COVID-19 pandemic. Historically, evaluations of pharmacy-driven telehealth services have shown positive patient outcomes and high patient satisfaction, but little was known about pharmacist provider satisfaction. Additionally, barriers to telehealth practice have been highlighted with the widespread expansion of telehealth. With the push to continue high rates of telehealth use postpandemic, evaluation of current ambulatory care pharmacist telehealth practices is needed. Objective
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6

McBain, Ryan K., Megan S. Schuler, Nabeel Qureshi, et al. "Expansion of Telehealth Availability for Mental Health Care After State-Level Policy Changes From 2019 to 2022." JAMA Network Open 6, no. 6 (2023): e2318045. http://dx.doi.org/10.1001/jamanetworkopen.2023.18045.

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ImportanceAlthough telehealth services expanded rapidly during the COVID-19 pandemic, the association between state policies and telehealth availability has been insufficiently characterized.ObjectiveTo investigate the associations between 4 state policies and telehealth availability at outpatient mental health treatment facilities throughout the US.Design, Setting, and ParticipantsThis cohort study measured whether mental health treatment facilities offered telehealth services each quarter from April 2019 through September 2022. The sample comprised facilities with outpatient services that we
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7

Canady, Valerie A. "‘Dear Colleague’ letter urges behavioral telehealth expansion." Mental Health Weekly 30, no. 22 (2020): 5–6. http://dx.doi.org/10.1002/mhw.32387.

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8

Nierengarten, Mary Beth. "Continuous expansion of telehealth in cancer care." Cancer 130, no. 5 (2024): 657–58. http://dx.doi.org/10.1002/cncr.35224.

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9

Madsen, Cathaleen, Ronald Poropatich, and Tracey Pérez Koehlmoos. "Telehealth in the Military Health System: Impact, Obstacles, and Opportunities." Military Medicine 188, Supplement_1 (2023): 15–23. http://dx.doi.org/10.1093/milmed/usac207.

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ABSTRACT Background The U.S. Military Health System (MHS) pioneered the use of telehealth in deployed environments in the early 1990s. However, its use in non-deployed environments historically lagged behind that of the Veterans Health Administration (VHA) and comparable large civilian health systems, due to administrative, policy, and other obstacles that slowed or blocked its expansion in the MHS. A report was prepared in December 2016, which summarized past and then-present telehealth initiatives in the MHS; described the obstacles, opportunities, and policy environment; and provided three
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10

Arockiasamy, Jesu Marcus Immanuvel. "Securing Telehealth with State-of-the -Art Machine Learning: A DevSecOps Framework for Real-Time Phishing Detection." Health Informatics - An International Journal 14, no. 2 (2025): 01–15. https://doi.org/10.5121/hiij.2025.14201.

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Telehealth’s rapid expansion, driven by global health crises, has heightened its susceptibility to phishing, demanding cutting-edge countermeasures. This paper presents a pioneering DevSecOps pipeline tailored for telehealth, integrating state-of-the-art (SOTA) Long Short-Term Memory (LSTM) and Graph Neural Network (GNN) models to achieve 95% accuracy in real-time phishing URL detection. Departing from conventional hybrid ML, our approach harnesses LSTM for sequential URL pattern recognition and GNN for graph-based campaign analysis, validated by the “PhishGuard” browser plugin, which preempti
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11

Cole, Megan B., Eun Kyung Lee, Melissa Davoust, Kathleen Carey, and June-Ho Kim. "Comparison of Visit Rates Before vs After Telehealth Expansion Among Patients With Mental Health Diagnoses Treated at Federally Qualified Health Centers." JAMA Network Open 5, no. 11 (2022): e2242059. http://dx.doi.org/10.1001/jamanetworkopen.2022.42059.

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This cohort study assesses visit rates before and after telehealth expansion to assess whether telehealth availability at federally qualified health centers is associated with visit rates for patients with mental health diagnoses.
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12

Higashi, Robin T., Bella Etingen, Suzanne Cole, et al. "Responses to telehealth expansion for older adults with cancer during the COVID-19 pandemic." Journal of Clinical Oncology 40, no. 16_suppl (2022): 1591. http://dx.doi.org/10.1200/jco.2022.40.16_suppl.1591.

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1591 Background: Synchronous video visits (“telehealth”) were rapidly adopted to facilitate provision of cancer care during the COVID-19 pandemic, with little time to comprehensively assess patient and provider needs. Attitudes toward telehealth use during active treatment (vs. survivorship care) were largely unknown, as were perceptions of, experiences with, and needed support for telehealth use among older adults with cancer. Older adults in particular may face increased vulnerability to inequities in access to care due to limited digital literacy. Methods: We conducted surveys and semi-stru
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13

Freddolino, Paul, Ha Neul Kim, Fei Sun, Megan Bentley, and Catherine Macomber. "PATIENT-FOCUSED TELEHEALTH 101: CONTENT, RESULTS, FEEDBACK, AND PLANS FOR REVISION AND EXPANSION." Innovation in Aging 7, Supplement_1 (2023): 145–46. http://dx.doi.org/10.1093/geroni/igad104.0477.

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Abstract A five-part patient-focused Telehealth 101 mini-course was offered one-to-one as part of a technology literacy program for older adults in a rural Midwest community who received home-delivered meals. Participants had already received content on basic digital skills including safety and security, email, internet browsing, videoconferencing, and photo tools. Topics included an overview of material to be covered, types of telehealth (real time encounters, remote patient monitoring, and patient portals), what to expect from providers, how to prepare for telehealth encounters, and a live s
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14

Tilhou, Alyssa Shell, Arjun Jain, and Thomas DeLeire. "Telehealth Expansion, Internet Speed, and Primary Care Access Before and During COVID-19." JAMA Network Open 7, no. 1 (2024): e2347686. http://dx.doi.org/10.1001/jamanetworkopen.2023.47686.

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ImportancePrimary care (PC) receipt is associated with better health outcomes. How telehealth expansion and internet speed are associated with PC use is unclear.ObjectiveTo examine the association of telehealth and internet speed with PC use across sociodemographic determinants of health.Design, Setting, and ParticipantsThis cohort study performed difference-in-differences regression of the change in in-person and telehealth PC visits between pre–COVID-19 public health emergency (PHE) (June 1, 2019, to February 29, 2020) and an initial (March 1, 2020, to May 31, 2020) and prolonged (March 1, 2
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15

Hirschi, Melissa, Anna L. Hunter, Susan L. Neely-Barnes, Cherry C. Malone, Julie Meiman, and Elena Delavega. "COVID-19 and the Rapid Expansion of Telehealth in Social and Behavioral Health Services." Advances in Social Work 22, no. 1 (2022): 91–109. http://dx.doi.org/10.18060/25088.

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The spread of COVID-19 changed the landscape of how social service agencies operate. Essential services providers have had to adapt and innovate in order to carry out their mission. As a result, technology has become an integral part of their service model, with an increased emphasis on telehealth services. For many agencies, the abrupt transition to remote services has brought about important conversations around access, use, policy, effectiveness, and efficiency. A qualitative, narrative study was conducted with CEOs or social work directors of 37 social service agencies in the Mid-South reg
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16

Sleight, Alix G., Caroline M. Klein, Alexandra E. Feldman, and Leah I. Stein Duker. "Telehealth Utilization Among Occupational Therapists in Oncology: Results From a National Survey." OTJR: Occupational Therapy Journal of Research 43, no. 3 (2023): 523–30. http://dx.doi.org/10.1177/15394492221148985.

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While the COVID-19 pandemic introduced wide expansion of telehealth access in health care, evidence concerning telehealth use in occupational therapy (OT) for cancer survivors remains limited. The objective of this study was to identify the prevalence and perceptions of telehealth services among occupational therapy practitioners (OTPs) in oncology. Descriptive statistics and qualitative content analysis were used to analyze data from a pre-pandemic national survey of OTPs ( n = 126) focusing on telehealth. Most OTPs in oncology settings support telehealth use, despite a dearth of access prior
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17

Patel, Pious D., Jared Cobb, Deidre Wright, et al. "Rapid development of telehealth capabilities within pediatric patient portal infrastructure for COVID-19 care: barriers, solutions, results." Journal of the American Medical Informatics Association 27, no. 7 (2020): 1116–20. http://dx.doi.org/10.1093/jamia/ocaa065.

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Abstract The COVID-19 national emergency has led to surging care demand and the need for unprecedented telehealth expansion. Rapid telehealth expansion can be especially complex for pediatric patients. From the experience of a large academic medical center, this report describes a pathway for efficiently increasing capacity of remote pediatric enrollment for telehealth while fulfilling privacy, security, and convenience concerns. The design and implementation of the process took 2 days. Five process requirements were identified: efficient enrollment, remote ability to establish parentage, mini
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18

Bagchi, Ann D. "Expansion of Telehealth Across the Rural–Urban Continuum." State and Local Government Review 51, no. 4 (2019): 250–58. http://dx.doi.org/10.1177/0160323x20929053.

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19

van Galen, L. S., C. J. Wang, P. W. B. Nanayakkara, K. Paranjape, M. H. H. Kramer, and J. Car. "Telehealth requires expansion of physicians’ communication competencies training." Medical Teacher 41, no. 6 (2018): 714–15. http://dx.doi.org/10.1080/0142159x.2018.1481284.

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20

Higashi, Robin T., Bella Etingen, Suzanne Cole, John Mansour, Jessica L. Lee, and Timothy Hogan. "Provider and Older Patient Responses to Rapid Expansion of Telehealth in an Urban Cancer Center: Mixed Methods Critical Incident Evaluation." Iproceedings 9 (January 20, 2023): e39289. http://dx.doi.org/10.2196/39289.

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Background Synchronous video visits (“telehealth”) were rapidly adopted by many cancer centers across the nation to facilitate provision of care during the COVID-19 pandemic; however, in many cases, there was little time to comprehensively assess patient and provider needs related to this rollout. In addition, attitudes toward telehealth use among older patients with cancer, who may face increased vulnerability to inequities in access to care due to limited digital literacy, were largely unknown at that time. Objective The objectives of this concurrent mixed methods study were to (1) assess st
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21

Dietzen, Anton, William Ide, and Larissa Pavone. "Telehealth in pediatric rehabilitation medicine: A survey of clinician reported utilization and experience." Journal of Pediatric Rehabilitation Medicine 13, no. 3 (2020): 281–88. http://dx.doi.org/10.3233/prm-200762.

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PURPOSE: Telehealth services have been touted to improve access to specialty pediatric care. COVID-19 accelerated the adoption of telehealth across many medical specialties. The purpose of this study was to examine telehealth utilization and satisfaction among pediatric physiatrists. METHODS: Using Google Forms, a voluntary survey was created and administered to pediatric physiatrists. The survey collected information on practice setting, telehealth utilization, provider satisfaction, perceived satisfaction of patients and families, and the anticipated role of telehealth in pediatric rehabilit
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22

Lieneck, Cristian, Joseph Garvey, Courtney Collins, Danielle Graham, Corein Loving, and Raven Pearson. "Rapid Telehealth Implementation during the COVID-19 Global Pandemic: A Rapid Review." Healthcare 8, no. 4 (2020): 517. http://dx.doi.org/10.3390/healthcare8040517.

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The implementation and continued expansion of telehealth services assists a variety of health care organizations in the delivery of care during the current COVID-19 global pandemic. However, limited research has been conducted on recent, rapid telehealth implementation and expansion initiatives regarding facilitators and barriers surrounding the provision of quality patient care. Our rapid review evaluated the literature specific to rapid telehealth implementation during the current COVID-19 pandemic from three research databases between January 2020 and May 2020 and reported using preferred r
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23

Coates, Martha, Katelyn Moore, Zachary Hathaway, Gloria Gonzalez-Kruger, Kymberlee Montgomery, and Rose Ann DiMaria-Ghalili. "Experiences of Interdisciplinary Providers Deploying Telehealth During the COVID-19 Pandemic." Innovation in Aging 5, Supplement_1 (2021): 584. http://dx.doi.org/10.1093/geroni/igab046.2239.

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Abstract The expansion of telehealth services during COVID-19 is critical for healthcare delivery. This study describes the facilitators and barriers experienced by providers integrating telehealth during COVID-19. The sample consisted of 441 interdisciplinary providers (RNs, APNs, PAs, DPTs, RDs, mental health counselors) who were faculty or alumni of a college of nursing and health professions and completed the online telehealth provider survey. 53% of respondents were nurses/APNs, 59% implemented telehealth within the first week of federal legislation, and 48% received telehealth training o
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24

Handley, Nathan R., Arianna Heyer, Rachel E. Granberg, et al. "COVID-19 Pandemic Influence on Medical Oncology Provider Perceptions of Telehealth Video Visits." JCO Oncology Practice 18, no. 4 (2022): e610-e619. http://dx.doi.org/10.1200/op.21.00473.

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PURPOSE: The COVID-19 pandemic necessitated a rapid expansion of telehealth use in oncology, a specialty in which prior utilization was low in part because of barriers perceived by providers. Understanding the changing perceptions of medical oncology providers during the pandemic is critical for continued expansion and improvement of telehealth in cancer care. This study was designed to identify medical oncology providers' perceptions of telehealth video visits as influenced by the COVID-19 pandemic. METHODS: We conducted semi-structured interviews with medical oncology providers from November
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25

Fealy, Shanna, Suzanne McLaren, Claire Ellen Seaman, et al. "Exploring the Sociodemographic and Health-Related Determinants of Telehealth Use Among a Cohort of Older Australians During the COVID-19 Pandemic: Repeated Cross-Sectional Study." JMIR Aging 7 (August 23, 2024): e58594. http://dx.doi.org/10.2196/58594.

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Background During the COVID-19 pandemic, there was a rapid adoption of telehealth care services as a public health strategy to maintain access to essential health care. In Australia, there has been increasing optimism for the expansion of telehealth services. However, little is known about the patterns and determinants of telehealth adoption among older adults, with concerns that an expansion of telehealth services may only be of benefit to those who already have better access to health care. Objective Leveraging data collected by The Sax Institute’s 45 and Up COVID Insights study between Nove
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26

Sharrief, Anjail Z., Amy K. Guzik, Erica Jones, et al. "Telehealth Trials to Address Health Equity in Stroke Survivors." Stroke 54, no. 2 (2023): 396–406. http://dx.doi.org/10.1161/strokeaha.122.039566.

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Telehealth has seen rapid expansion into chronic care management in the past 3 years because of the COVID-19 pandemic. Telehealth for acute care management has expanded access to equitable stroke care to many patients over the past two decades, but there is limited evidence for its benefit for addressing disparities in the chronic care of patients living with stroke. In this review, we discuss advantages and disadvantages of telehealth use for the outpatient management of stroke survivors. Further, we explore opportunities and potential barriers for telehealth in addressing disparities in stro
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27

Yadav, Vivek. "Economic Impact of Telehealth Expansion: Analyse the Cost - Effectiveness and Long - Term Economic Implications of The Widespread Adoption of Telehealth Services Post Pandemic." International Journal of Science and Research (IJSR) 12, no. 6 (2023): 2997–3001. http://dx.doi.org/10.21275/sr24731183012.

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28

Manaswi, Chigurupati. "Overcoming Barriers to Telehealth Adoption in Underserved Communities: A Global and U.S. Perspective." International Journal of Leading Research Publication 4, no. 9 (2023): 1–6. https://doi.org/10.5281/zenodo.14866709.

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The COVID-19 pandemic accelerated telehealth adoption, showcasing its potential to mitigate healthcare disparities in the U.S. and globally, especially in underserved communities. However, barriers such as digital literacy deficits, inadequate infrastructure, cultural insensitivity, and socioeconomic challenges persist worldwide. This manuscript synthesizes insights from international and U.S.-based studies to comprehensively understand the barriers to telehealth adoption, pandemic-driven innovations, and evidence-based strategies for achieving equitable and sustainable telehealth expansion. T
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29

Sanchez, Denisse, Jennifer F. Reiner, Rachel Sadlon, Olga Acosta Price, and Michael W. Long. "Systematic Review of School Telehealth Evaluations." Journal of School Nursing 35, no. 1 (2018): 61–76. http://dx.doi.org/10.1177/1059840518817870.

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School telehealth is an alternative delivery model to increase student health-care access with minimal evaluation to aid decision makers in the adoption or expansion of programs. This systematic review assesses school-based telehealth programs using a dissemination and implementation (D&I) framework to inform practitioners and decision makers of the value of school telehealth. We assessed findings from 20 studies on telehealth published between January 2006 and June 2018 and summarized program evaluation on a range of D&I constructs. The sample population included children in school- o
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30

Wamsley, Christine E., Alan Kramer, Jeffrey M. Kenkel, and Bardia Amirlak. "Trends and Challenges of Telehealth in an Academic Institution: The Unforeseen Benefits of the COVID-19 Global Pandemic." Aesthetic Surgery Journal 41, no. 1 (2020): 109–18. http://dx.doi.org/10.1093/asj/sjaa212.

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Abstract The COVID-19 pandemic has necessitated a reorganization of healthcare delivery, shedding light on the many unrealized advantages telehealth has to offer. In addition to facilitating social distancing, minimizing the risk of pathogen exposure, and preserving healthcare resources, there are many benefits of utilizing this platform that can extend beyond the current pandemic, which will change the way healthcare is delivered for generations to come. With the rapid expansion of telehealth, we present data from our high-volume academic institution’s telehealth efforts, with a more focused
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Katyal, Nakul, Naureen Narula, Raghav Govindarajan, and Pradeep Sahota. "Setting Up a Teleneurology Clinic during COVID-19 Pandemic: Experience from an Academic Practice." International Journal of Telemedicine and Applications 2022 (January 18, 2022): 1–7. http://dx.doi.org/10.1155/2022/4776328.

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The declaration of the COVID-19 pandemic necessitated rapid implementation of telehealth across all neurological subspecialties. Transitioning to telehealth technology can be challenging for physicians and health care facilities with no prior experience. Here, we describe our experience at the Neurology and Sleep Disorders Clinic at the University of Missouri-Columbia of successful transition of all in-person clinic visits to telehealth visits within a span of 2 weeks with a collaborative effort of clinic staff and the leadership. Within a month of launch, 18 clinic providers with no prior tel
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32

Callaghan, Timothy, Carly McCord, David Washburn, et al. "The Changing Nature of Telehealth Use by Primary Care Physicians in the United States." Journal of Primary Care & Community Health 13 (January 2022): 215013192211104. http://dx.doi.org/10.1177/21501319221110418.

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Introduction: Prior to the COVID-19 pandemic, telehealth utilization was growing slowly and steadily, although differentially across medical specialties in the United States. The pandemic dramatically expanded physician use of telehealth, but our understanding of how much telehealth use has changed in primary care in the United States, the correlates of physician telehealth uptake, and the frequency with which primary care physicians intend to use telehealth after the pandemic are unknown. This paper is designed to assess these important questions. Methods: Using data from an original national
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33

Knopf, Alison. "NY funds expansion of transportation to treatment and telehealth." Alcoholism & Drug Abuse Weekly 34, no. 24 (2022): 3–5. http://dx.doi.org/10.1002/adaw.33467.

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34

Demeke, Hanna B., and Erica Umeakunne. "Telehealth Expansion During the COVID-19 Pandemic and Beyond." AJN, American Journal of Nursing 122, no. 7 (2022): 23–25. http://dx.doi.org/10.1097/01.naj.0000842236.77499.36.

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35

Spaulding, Erin M., Michael Fang, Yvonne Commodore-Mensah, Cheryl R. Himmelfarb, Seth S. Martin, and Josef Coresh. "Prevalence and Disparities in Telehealth Use Among US Adults Following the COVID-19 Pandemic: National Cross-Sectional Survey." Journal of Medical Internet Research 26 (May 10, 2024): e52124. http://dx.doi.org/10.2196/52124.

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Background Telemedicine expanded during the COVID-19 pandemic, though use differed by age, sex, race or ethnicity, educational attainment, income, and location. It is unclear if high telehealth use or inequities persisted late into the pandemic. Objective This study aims to evaluate the prevalence of, inequities in, and primary reasons for telehealth visits a year after telemedicine expansion. Methods We used cross-sectional data from the 2022 Health Information National Trends Survey (HINTS 6), the first cycle with data on telemedicine. In total, 4830 English- and Spanish-speaking US adults (
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36

Champagne-Langabeer, Tiffany, Michael Swank, Shruthi Manas, Yuqi Si, and Kirk Roberts. "Dramatic Increases in Telehealth-Related Tweets during the Early COVID-19 Pandemic: A Sentiment Analysis." Healthcare 9, no. 6 (2021): 634. http://dx.doi.org/10.3390/healthcare9060634.

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The COVID-19 pandemic resulted in a large expansion of telehealth, but little is known about user sentiment. Tweets containing the terms “telehealth” and “telemedicine” were extracted (n = 192,430) from the official Twitter API between November 2019 and April 2020. A random subset of 2000 tweets was annotated by trained readers to classify tweets according to their content, including telehealth, sentiment, user type, and relation to COVID-19. A state-of-the-art NLP model (Bidirectional Encoder Representations from Transformers, BERT) was used to categorize the remaining tweets. Following a low
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Bange, Erin M., Robert M. Daly, Allison Lipitz-Snyderman, et al. "Transforming patient-centered cancer care using telehealth: the MATCHES Center." JNCI Monographs 2024, no. 64 (2024): 76–82. http://dx.doi.org/10.1093/jncimonographs/lgae004.

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Abstract Modern cancer care is costly and logistically burdensome for patients and their families despite an expansion of technology and medical advances that create the opportunity for novel approaches to care. Therefore, there is a growing appreciation for the need to leverage these innovations to make cancer care more patient centered and convenient. The Memorial Sloan Kettering Making Telehealth Delivery of Cancer Care at Home Efficient and Safe Telehealth Research Center is a National Cancer Institute–designated and funded Telehealth Research Center of Excellence poised to generate the ev
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Olayiwola, J. Nwando, Candy Magaña, Ashley Harmon, et al. "Telehealth as a Bright Spot of the COVID-19 Pandemic: Recommendations From the Virtual Frontlines ("Frontweb")." JMIR Public Health and Surveillance 6, no. 2 (2020): e19045. http://dx.doi.org/10.2196/19045.

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The coronavirus disease (COVID-19) pandemic has accelerated the telehealth tipping point in the practice of family medicine and primary care in the United States, making telehealth not just a novel approach to care but also a necessary one for public health safety. Social distancing requirements and stay-at-home orders have shifted patient care from face-to-face consultations in primary care offices to virtual care from clinicians’ homes or offices, moving to a new frontline, which we call the “frontweb.” Our telehealth workgroup employed the Clinical Transformation in Technology implementatio
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deMayo, Richelle, Yungui Huang, En-Ju D. Lin, et al. "Associations of Telehealth Care Delivery with Pediatric Health Care Provider Well-Being." Applied Clinical Informatics 13, no. 01 (2022): 230–41. http://dx.doi.org/10.1055/s-0042-1742627.

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Abstract Background The rapid, large-scale deployment of new health technologies can introduce challenges to clinicians who are already under stress. The novel coronavirus disease 19 (COVID-19) pandemic transformed health care in the United States to include a telehealth model of care delivery. Clarifying paths through which telehealth technology use is associated with change in provider well-being and interest in sustaining virtual care delivery can inform planning and optimization efforts. Objective This study aimed to characterize provider-reported changes in well-being and daily work assoc
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Baidwan, Navneet Kaur, Ganisher Davlyatov, and Tapan Mehta. "Telehealth Use among Community Health Centers and Cardio-Metabolic Health Outcomes." Healthcare 8, no. 2 (2020): 165. http://dx.doi.org/10.3390/healthcare8020165.

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Public health interventions to manage the cardio-metabolic syndrome (CMS) have had modest success, necessitating the expansion of telehealth services to where people live. This effort analyzes the association between telehealth provision and the management of CMS-related quality measures (hypertension, diabetes, weight assessment and related counseling, lipid therapy for coronary artery disease, and antiplatelet therapy for ischemic vascular disease) using the Uniform Data System administrative database during the period 2016–2018. A total of 523, 600, and 586 community health centers (CHCs) w
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Lopez, Ana Maria. "Telehealth in Cancer Care." Cancer Journal 30, no. 1 (2024): 2–7. http://dx.doi.org/10.1097/ppo.0000000000000694.

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Abstract Telecommunications technology began to be integrated into health care delivery by the mid-1900s, with the goal of increasing access to care including access to cancer care. There have been at least 3 significant telehealth expansion periods, with the most recent related to the COVID-19 pandemic. Technology uptake increased in the 1990s as quality improved, costs came down, and usability factors were addressed. As telehealth practice transitioned to use of personal devices, the COVID-19 pandemic arose, and necessity compelled widespread telehealth uptake. Most patients and clinicians e
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Weber, Ellerie, Sarah J. Miller, Varuna Astha, Teresa Janevic, and Emma Benn. "Characteristics of telehealth users in NYC for COVID-related care during the coronavirus pandemic." Journal of the American Medical Informatics Association 27, no. 12 (2020): 1949–54. http://dx.doi.org/10.1093/jamia/ocaa216.

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Abstract Objective To explore whether racial/ethnic differences in telehealth use existed during the peak pandemic period among NYC patients seeking care for COVID-19 related symptoms. Materials and Methods This study used data from a large health system in NYC – the epicenter of the US crisis – to describe characteristics of patients seeking COVID-related care via telehealth, ER, or office encounters during the peak pandemic period. Using multinomial logistic regression, we estimated the magnitude of the relationship between patient characteristics and the odds of having a first encounter via
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43

Gros, Daniel F., Cynthia Luethcke Lancaster, Cristina M. López, and Ron Acierno. "Treatment satisfaction of home-based telehealth versus in-person delivery of prolonged exposure for combat-related PTSD in veterans." Journal of Telemedicine and Telecare 24, no. 1 (2016): 51–55. http://dx.doi.org/10.1177/1357633x16671096.

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Introduction Although there is growing support that evidence-based psychotherapies (EBPs) delivered in-person and through telehealth are equivalent in terms of symptom reduction for posttraumatic stress disorder (PTSD), there has been far less investigation comparing these treatment modalities in terms of patient satisfaction. The present study investigated participant satisfaction and perception of the quality of service delivery within a clinical trial comparing the delivery of an EBP, Prolonged Exposure (PE) for PTSD, through home-based telehealth and in-person services. Methods Veterans (
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Eichmeyer, Jennifer N., Dan Sayam Zuckerman, Thomas M. Beck, et al. "Telehealth for oncology genetic counseling: An Idaho experience." Journal of Clinical Oncology 30, no. 34_suppl (2012): 288. http://dx.doi.org/10.1200/jco.2012.30.34_suppl.288.

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288 Background: Access to qualified genetics specialists continues to be a barrier for patients in rural settings. Our institution aimed to develop a proof-of-concept telehealth program that supports the vision of transforming the way healthcare is delivered specific to Idaho. Methods: Based on a needs assessment with 40 direct caregivers the program was designed to eliminate inconsistency and variation through the system and expand the specialty care footprint from the tertiary care hospital. To gain traction, specific areas (genetic counseling and nutritional counseling) were identified that
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Cuellar, Alison, J. Mary Louise Pomeroy, Sriteja Burla, and Anupam B. Jena. "Outpatient Care Among Users and Nonusers of Direct-to-Patient Telehealth: Observational Study." Journal of Medical Internet Research 24, no. 6 (2022): e37574. http://dx.doi.org/10.2196/37574.

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Background Expansion of telehealth insurance coverage is hampered by concerns that such coverage may encourage excessive use and spending. Objective The aim of this paper is to examine whether users of telehealth services rely more on other forms of outpatient care than nonusers, and to estimate the differences in payment rates. Methods We examined claims data from a large national insurer in 2017. We limited our analysis to patients with visits for 3 common diagnoses (N=660,546). We calculated the total number of visits per patient, overall, and by setting, and adjusted for patient- and count
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Cuellar, Alison, J. Mary Louise Pomeroy, Sriteja Burla, and Anupam B. Jena. "Outpatient Care Among Users and Nonusers of Direct-to-Patient Telehealth: Observational Study." Journal of Medical Internet Research 24, no. 6 (2022): e37574. http://dx.doi.org/10.2196/37574.

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Background Expansion of telehealth insurance coverage is hampered by concerns that such coverage may encourage excessive use and spending. Objective The aim of this paper is to examine whether users of telehealth services rely more on other forms of outpatient care than nonusers, and to estimate the differences in payment rates. Methods We examined claims data from a large national insurer in 2017. We limited our analysis to patients with visits for 3 common diagnoses (N=660,546). We calculated the total number of visits per patient, overall, and by setting, and adjusted for patient- and count
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Tabibzadeh, Maryam, and Huy Tran. "Improving Quality of Care and Patient Safety in Virtual Visits: Investigating Barriers of Telehealth Implementation." Proceedings of the Human Factors and Ergonomics Society Annual Meeting 66, no. 1 (2022): 1564–68. http://dx.doi.org/10.1177/1071181322661110.

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The COVID-19 pandemic has caused a dramatic shift to telehealth in the U.S. This rapid expansion has educated both patients and providers to the convenience and capabilities of virtual care and, as a result, it has become deeply embedded into the fabric of mainstream care delivery. Patient safety and overall, quality of care is a top a priority for healthcare delivery systems. However, addressing this aim is not yet commensurate with the rapid growth of telehealth. In this study, we investigate the impact of telehealth on patient safety and quality of care, as highlighted in the COVID-19 outbr
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Grome, Luke, Faryan Jalalabadi, C. Fordis, Norman Sussman, and Edward Reece. "Bootstrapping Your Telehealth Program." Seminars in Plastic Surgery 32, no. 04 (2018): 162–65. http://dx.doi.org/10.1055/s-0038-1672133.

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AbstractTelehealth is a proven modality to better patient care, reduce health care cost, and increase provider efficiency. This article outlines the necessary steps for starting a telehealth program at a medical center or practice. A review of the current literature and health care-related laws was undertaken to identify the necessary steps and considerations for starting a telehealth program. Bootstrapping a telehealth program starts with the creation of concept and identification of need. Generation of a hotbed of support, from providers and patients, is key in gaining executive interest and
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Emfield Rowett, Kimberlee, and Deborah Christensen. "Oncology Nurse Navigation: Expansion of the Navigator Role Through Telehealth." Clinical Journal of Oncology Nursing 24, no. 3 (2020): 24–31. http://dx.doi.org/10.1188/20.cjon.s1.24-31.

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Mey Mey, Tan, and Katsuhiko Ogasawara. "Telehealth Consultation for Malaysian Citizens’ Willingness to Pay Assessed by the Double-Bounded Dichotomous Choice Method." Malaysian Journal of Medical Sciences 31, no. 1 (2024): 91–102. http://dx.doi.org/10.21315/mjms2024.31.1.8.

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Background: Re-envisioning healthcare in technology tools includes robust utilisation of telehealth, improvement in access, quality, care efficiencies and cost-effectiveness of healthcare services. In reality, the technology’s potential to transform healthcare may be limited by the ability to pay for it. This study aims to estimate Malaysian citizens’ willingness to pay (WTP) for telehealth consultations and determine the factors contributing to it. This is vital to inform decision-making about expansion, preferences and deployment of a pricing strategy for telehealth services. Methods: A rand
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