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State of Telehealth

Published on Jul 14, 2016in The New England Journal of Medicine70.67
· DOI :10.1056/NEJMra1601705
E.R. Dorsey47
Estimated H-index: 47
,
Eric J. Topol175
Estimated H-index: 175
Cite
Abstract
With the digital revolution, telehealth is evolving from clinics to the home. In this review, the authors summarize current trends, barriers and limitations, and the potential for telehealth to improve health care delivery.
  • References (48)
  • Citations (116)
Cite
References48
Newest
Published on Mar 1, 2016in JAMA Internal Medicine20.77
Michael K. Ong26
Estimated H-index: 26
(UCLA: University of California, Los Angeles),
Patrick S. Romano57
Estimated H-index: 57
(UC Davis: University of California, Davis)
+ 20 AuthorsBarbara Hanna2
Estimated H-index: 2
(UC Davis: University of California, Davis)
Importance It remains unclear whether telemonitoring approaches provide benefits for patients with heart failure (HF) after hospitalization. Objective To evaluate the effectiveness of a care transition intervention using remote patient monitoring in reducing 180-day all-cause readmissions among a broad population of older adults hospitalized with HF. Design, Setting, and Participants We randomized 1437 patients hospitalized for HF between October 12, 2011, and September 30, 2013, to the interven...
Published on Feb 1, 2016in JAMA Neurology12.32
Ahmed Itrat8
Estimated H-index: 8
(Cleveland Clinic),
Ather Taqui11
Estimated H-index: 11
(Cleveland Clinic)
+ 8 AuthorsMuhammad S Hussain18
Estimated H-index: 18
(Cleveland Clinic)
Importance Mobile stroke treatment units (MSTUs) with on-site treatment teams that include a vascular neurologist can provide thrombolysis in the prehospital setting faster than treatment in the hospital. These units can be made more resource efficient if the need for an on-site neurologist can be eliminated by relying solely on telemedicine for physician presence. Objective To test whether telemedicine is reliable and remote physician presence is adequate for acute stroke treatment using an MST...
Published on Jan 15, 2016in American Family Physician2.58
Miranda Moore6
Estimated H-index: 6
,
Megan Coffman4
Estimated H-index: 4
+ 2 AuthorsAndrew Bazemore25
Estimated H-index: 25
In a 2014 national survey, only 15% of responding family physicians (FPs) reported using telehealth in the previous year, even though most agreed that telehealth could improve access to and continuity of care for their patients. More than one-half of FPs identified lack of training and reimbursement as key barriers to adoption of telehealth, with more than 40% noting the cost of technology and liability issues as additional barriers.
Published on Dec 1, 2015in JAMA Internal Medicine20.77
Kristin N. Ray8
Estimated H-index: 8
(University of Pittsburgh),
Amalavoyal V. Chari6
Estimated H-index: 6
(University of Sussex)
+ 2 AuthorsAteev Mehrotra32
Estimated H-index: 32
(Harvard University)
Published on Nov 17, 2015in Annals of Internal Medicine19.32
David A. Asch63
Estimated H-index: 63
(UPenn: University of Pennsylvania)
Published on Oct 1, 2015in The American Journal of Managed Care1.71
Summerfelt Wt1
Estimated H-index: 1
,
Sulo S1
Estimated H-index: 1
+ 2 AuthorsCatanzano K1
Estimated H-index: 1
To evaluate the safety, feasibility, and efficacy of a substitutive Hospital at Home (HaH) model where physician care was provided via 2-way biometrically enhanced tele-video for a 34-day care episode.Prospective, nonrandomized, quasi-experiment.Using medical record and patient survey data, we compared patients cared for in HaH (n = 50) versus the traditional acute care hospital (n = 52).Patients in HaH had substantial contact with the HaH physician, as well as in-person visits with nurse practi...
Published on Oct 1, 2015in JAMA Psychiatry15.92
Gretchen A. Brenes22
Estimated H-index: 22
(Wake Forest University),
Suzanne C. Danhauer20
Estimated H-index: 20
(Wake Forest University)
+ 2 AuthorsMichael I. Miller99
Estimated H-index: 99
(Wake Forest University)
Importance Generalized anxiety disorder (GAD) is common in older adults; however, access to treatment may be limited, particularly in rural areas. Objective To examine the effects of telephone-delivered cognitive behavioral therapy (CBT) compared with telephone-delivered nondirective supportive therapy (NST) in rural older adults with GAD. Design, Setting, and Participants Randomized clinical trial in the participants’ homes of 141 adults aged 60 years and older with a principal or coprincipal d...
Published on Jul 1, 2015in JAMA Internal Medicine20.77
Katherine Ornstein16
Estimated H-index: 16
(ISMMS: Icahn School of Medicine at Mount Sinai),
Bruce Leff20
Estimated H-index: 20
(Johns Hopkins University)
+ 6 AuthorsSarah L. Szanton24
Estimated H-index: 24
(Johns Hopkins University)
Importance Increasing numbers of older, community-dwelling adults have functional impairments that prevent them from leaving their homes. It is uncertain how many people who live in the United States are homebound. Objectives To develop measures of the frequency of leaving and ability to leave the home and to use these measures to estimate the size of the homebound population in the US population. Design, Setting, and Participants Cross-sectional data from the National Health and Aging Trends St...
Published on Jul 1, 2015in JAMA Internal Medicine20.77
Lori Uscher-Pines19
Estimated H-index: 19
(AN: RAND Corporation),
Andrew W. Mulcahy9
Estimated H-index: 9
(AN: RAND Corporation)
+ 3 AuthorsAteev Mehrotra32
Estimated H-index: 32
(Harvard University)
Published on Apr 23, 2015in The New England Journal of Medicine70.67
Humayun J. Chaudhry4
Estimated H-index: 4
,
Lisa A. Robin1
Estimated H-index: 1
+ 2 AuthorsJ. Daniel Gifford2
Estimated H-index: 2
An Interstate Medical Licensure Compact released last year provides a mechanism for managing the portability of physicians' medical licenses to improve access to care. Many state boards have voted to support it, and related legislation is gaining ground in multiple states.
Cited By116
Newest
Published on Jan 3, 2019in BMC Cancer2.93
Shabbir M.H. Alibhai40
Estimated H-index: 40
,
Daniel Santa Mina11
Estimated H-index: 11
+ 10 AuthorsAndrew Matthew11
Estimated H-index: 11
Existing evidence demonstrates that 1:1 personal training (PT) improves many adverse effects of androgen deprivation therapy (ADT). Whether less resource-intensive exercise delivery models are as effective remains to be established. We determined the feasibility of conducting a multi-center non-inferiority randomized controlled trial comparing PT with supervised group (GROUP) and home-based (HOME) exercise programs, and obtained preliminary efficacy estimates for GROUP and HOME compared to PT on...
Published on Feb 14, 2019in BMC Medical Education1.87
Wendi Cross16
Estimated H-index: 16
(URMC: University of Rochester Medical Center),
Jennifer West5
Estimated H-index: 5
(URMC: University of Rochester Medical Center)
+ 4 AuthorsEric D. Caine66
Estimated H-index: 66
(URMC: University of Rochester Medical Center)
Background Suicide is a national public health crisis and a critical patient safety issue. It is the 10th leading cause of death overall and the second leading cause of death among adolescents and young adults (15–34 years old). Research shows 80% of youth who died by suicide saw their primary care provider within the year of their death. It is imperative that primary care providers develop the knowledge and skills to talk with patients about distress and suicidal thoughts, and to assess and res...
Published on Jul 1, 2019in Osteoarthritis and Cartilage4.88
Tom Appleyard (Keele University), Julie Ashworth8
Estimated H-index: 8
(Keele University)
+ 2 AuthorsGeorge Peat41
Estimated H-index: 41
(Keele University)
Summary Objective To investigate trends in gabapentinoid prescribing in patients with osteoarthritis (OA). Methods Patients aged 40 years and over with a new OA diagnosis recorded between 1995 and 2015 were identified in the Clinical Practice Research Datalink and followed to first prescription of gabapentin or pregabalin, or other censoring event. We estimated the crude and age-standardised annual incidence rates of gabapentinoid prescribing, stratified by patient age, sex, geographical region,...
Published on Sep 4, 2019in Journal of General Internal Medicine4.61
Ryan McBain2
Estimated H-index: 2
(AN: RAND Corporation),
Jessica Sousa (AN: RAND Corporation)+ 5 AuthorsShira H. Fischer8
Estimated H-index: 8
(AN: RAND Corporation)
Background Extension for Community Health care Outcomes (ECHO) and related models of medical tele-education are rapidly expanding; however, their effectiveness remains unclear. This systematic review examines the effectiveness of ECHO and ECHO-like medical tele-education models of healthcare delivery in terms of improved provider- and patient-related outcomes.
Published on 2019in Expert Review of Medical Devices2.21
Marjolein E. Haveman (UMCG: University Medical Center Groningen), Simone Kleiss2
Estimated H-index: 2
(UMCG: University Medical Center Groningen)
+ 6 AuthorsJ. de Vries54
Estimated H-index: 54
(UMCG: University Medical Center Groningen)
Published on 2019in Current Diabetes Reports4.00
Yao Liu6
Estimated H-index: 6
(UW: University of Wisconsin-Madison),
Alejandra Torres Diaz (UW: University of Wisconsin-Madison), Ramsey Benkert (UW: University of Wisconsin-Madison)
Purpose of Review We discuss opportunities to address key barriers to widespread implementation of teleophthalmology programs for diabetic eye screening in the United States (U.S.).
Published on Jan 7, 2019in Supportive Care in Cancer2.75
Linda Read Paul1
Estimated H-index: 1
(AHS: Alberta Health Services),
Charleen Salmon2
Estimated H-index: 2
(U of C: University of Calgary)
+ 1 AuthorsRon Spice1
Estimated H-index: 1
(AHS: Alberta Health Services)
Purpose Providing specialized palliative care support to elderly patients in rural areas can be challenging. The purpose of this study was to gain a preliminary understanding of the experience of using mobile web-based videoconferencing (WBVC) for conducting in-home palliative care consults with elderly rural patients with life-limiting illness.
Published on Mar 13, 2019
Michelle Martinez (MWU: Midwestern University), Jonathan G. Perle4
Estimated H-index: 4
(MWU: Midwestern University)
Latinos collectively rank as the largest ethnic minority population in the USA, with estimates suggesting continued growth into the future. Despite the Latino population being identified as a demographic in need of greater medical and mental health care, a lack of adequate services, as well as underutilization, persists. Specifically, local availability of services, language barriers, transportation issues, health insurance coverage, immigration status, and acculturation levels are among the man...
Published on Jun 13, 2019in Current Dermatology Reports
Mulin Xiong (MSU: Michigan State University), Jacob Pfau (École Polytechnique)+ 1 AuthorsMaria L. Wei (UC: University of California)
Purpose of Review This review summarizes current and prospective applications of artificial intelligence (AI) and smartphone technologies to automated diagnosis and teledermatology.
Published on Sep 1, 2019in Journal of Aging Studies1.35
Stephen M. Golant19
Estimated H-index: 19
(UF: University of Florida)
Abstract Most older persons (age 65 and over) in the United States occupy suburban residential areas. Distinguishing where the older population lives is important because critics argue that the built environments of their suburban communities make it difficult for them to age in place successfully, that is, to have healthy, independent, active, and enjoyable lives. They point to their low population and building densities, long distances separating their residences from services, amenities, and ...
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