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Article ; Online: COVID-19 and telehealth: Issues facing healthcare in a pandemic.

Fant, Catherine / Adelman, Deborah S / Summer, Georgianne A

2021 Volume 46, Issue 3, Page(s) 16–19

Abstract: Abstract: Providing safe nonemergent care during the coronavirus disease 2019 (COVID-19) pandemic ... changes due to COVID-19 will also be addressed. ... has been challenging for NPs. This article, the first of a three-part series, will overview telehealth ...

Abstract	Abstract: Providing safe nonemergent care during the coronavirus disease 2019 (COVID-19) pandemic has been challenging for NPs. This article, the first of a three-part series, will overview telehealth and telemedicine and provide a brief history of the two. The benefits, challenges, and temporary changes due to COVID-19 will also be addressed.
MeSH term(s)	COVID-19/prevention & control ; COVID-19/transmission ; Equipment Design/trends ; Humans ; Pandemics/prevention & control ; Pandemics/statistics & numerical data ; Patient Acceptance of Health Care/statistics & numerical data ; Telemedicine/methods ; Telemedicine/standards ; Telemedicine/statistics & numerical data
Language	English
Publishing date	2021-02-13
Publishing country	United States
Document type	Journal Article
ZDB-ID	604085-8
ISSN	1538-8662 ; 0361-1817
ISSN (online)	1538-8662
ISSN	0361-1817
DOI	10.1097/01.NPR.0000733704.26875.7c
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Article ; Online: Primary Care Providers' Experiences Treating Opioid Use Disorder Using Telehealth in the Height of the COVID-19 Pandemic.

Marshall, Sarah Alexandra / Siebenmorgen, Lachan E / Youngen, Katherine / Borders, Tyrone / Zaller, Nickolas

Journal of primary care & community health

2024 Volume 15, Page(s) 21501319241246359

Abstract: Background: The COVID-19 pandemic catalyzed a rapid shift in healthcare delivery ... with some facing technology issues, while others found it efficient. Telehealth proved valuable ... significantly impacted healthcare delivery. While telehealth was integrated for behavioral health counseling ...

Abstract	Background: The COVID-19 pandemic catalyzed a rapid shift in healthcare delivery towards telehealth services, impacting patient care, including opioid use disorder (OUD) treatment. Regulatory changes eliminated the in-person evaluation requirement for buprenorphine treatment, encouraging adoption of telehealth. This study focused on understanding experiences of primary care providers in predominantly rural areas who used telehealth for OUD treatment during the pandemic. Methods: Semi-structured interviews were conducted with 22 primary care providers. Participants practiced in 13 rural and 9 urban counties in Kentucky and Arkansas. Data were analyzed using conventional content analysis. Results: The pandemic significantly impacted healthcare delivery. While telehealth was integrated for behavioral health counseling, in-person visits remained crucial, especially for urine drug screenings. Telehealth experiences varied, with some facing technology issues, while others found it efficient. Telehealth proved valuable for behavioral health counseling and sustaining relationships with established patients. Patients with OUD faced unique challenges, including housing, internet, transportation, and counseling needs. Stigma surrounding OUD affected clinical relationships. Building strong patient-provider relationships emerged as a central theme, emphasizing the value of face-to-face interactions. Regarding buprenorphine training, most found waiver training helpful but lacked formal education. Conclusion: This research offers vital guidance for improving OUD treatment services, especially in rural areas during crises like the COVID-19 pandemic. It highlights telehealth's value as a tool while acknowledging its limitations. The study underscores the significance of strong patient-provider relationships, the importance of reducing stigma, and the potential for training programs to elevate quality of care in OUD treatment.
MeSH term(s)	Humans ; COVID-19 ; Pandemics ; Opioid-Related Disorders/drug therapy ; Buprenorphine/therapeutic use ; Telemedicine ; Primary Health Care
Chemical Substances	Buprenorphine (40D3SCR4GZ)
Language	English
Publishing date	2024-04-24
Publishing country	United States
Document type	Journal Article
ZDB-ID	2550221-9
ISSN	2150-1327 ; 2150-1319
ISSN (online)	2150-1327
ISSN	2150-1319
DOI	10.1177/21501319241246359
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Article ; Online: Telehealth interventions during COVID-19 pandemic

Mowafa Househ / Muhammad Tukur / Ghassan Saad / Fahad M AlShagathrh / Marco Agus

BMJ Health & Care Informatics, Vol 30, Iss

a scoping review of applications, challenges, privacy and security issues

2023 Volume 1

Abstract: ... to the COVID-19 fight to control the pandemic.Motivation Numerous telehealth applications have been proposed ... challenges, issues and limitations.Results A collection of 27 studies were analysed. The reported telehealth ... tracing, and observation; 28 telehealth intervention challenges/issues have been reported and categorised ...

Abstract	Background The COVID-19, caused by the SARS-CoV-2 virus, proliferated worldwide, leading to a pandemic. Many governmental and non-governmental organisations and research institutes are contributing to the COVID-19 fight to control the pandemic.Motivation Numerous telehealth applications have been proposed and adopted during the pandemic to combat the spread of the disease. To this end, powerful tools such as artificial intelligence (AI)/robotic technologies, tracking, monitoring, consultation apps and other telehealth interventions have been extensively used. However, there are several issues and challenges that are currently facing this technology.Objective The purpose of this scoping review is to analyse the primary goal of these techniques; document their contribution to tackling COVID-19; identify and categorise their main challenges and future direction in fighting against the COVID-19 or future pandemic outbreaks.Methods Four digital libraries (ACM, IEEE, Scopus and Google Scholar) were searched to identify relevant sources. Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) was used as a guideline procedure to develop a comprehensive scoping review. General telehealth features were extracted from the studies reviewed and analysed in the context of the intervention type, technology used, contributions, challenges, issues and limitations.Results A collection of 27 studies were analysed. The reported telehealth interventions were classified into two main categories: AI-based and non-AI-based interventions; their main contributions to tackling COVID-19 are in the aspects of disease detection and diagnosis, pathogenesis and virology, vaccine and drug development, transmission and epidemic predictions, online patient consultation, tracing, and observation; 28 telehealth intervention challenges/issues have been reported and categorised into technical (14), non-technical (10), and privacy, and policy issues (4). The most critical technical challenges are: ...
Keywords	Computer applications to medicine. Medical informatics ; R858-859.7
Language	English
Publishing date	2023-12-01T00:00:00Z
Publisher	BMJ Publishing Group
Document type	Article ; Online
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Article ; Online: Telehealth interventions during COVID-19 pandemic: a scoping review of applications, challenges, privacy and security issues.

Tukur, Muhammad / Saad, Ghassan / AlShagathrh, Fahad M / Househ, Mowafa / Agus, Marco

BMJ health & care informatics

2023 Volume 30, Issue 1

Abstract: ... to the COVID-19 fight to control the pandemic.: Motivation: Numerous telehealth applications have been ... consultation, tracing, and observation; 28 telehealth intervention challenges/issues have been reported and ... and future direction in fighting against the COVID-19 or future pandemic outbreaks.: Methods: Four ...

Abstract	Background: The COVID-19, caused by the SARS-CoV-2 virus, proliferated worldwide, leading to a pandemic. Many governmental and non-governmental organisations and research institutes are contributing to the COVID-19 fight to control the pandemic. Motivation: Numerous telehealth applications have been proposed and adopted during the pandemic to combat the spread of the disease. To this end, powerful tools such as artificial intelligence (AI)/robotic technologies, tracking, monitoring, consultation apps and other telehealth interventions have been extensively used. However, there are several issues and challenges that are currently facing this technology. Objective: The purpose of this scoping review is to analyse the primary goal of these techniques; document their contribution to tackling COVID-19; identify and categorise their main challenges and future direction in fighting against the COVID-19 or future pandemic outbreaks. Methods: Four digital libraries (ACM, IEEE, Scopus and Google Scholar) were searched to identify relevant sources. Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) was used as a guideline procedure to develop a comprehensive scoping review. General telehealth features were extracted from the studies reviewed and analysed in the context of the intervention type, technology used, contributions, challenges, issues and limitations. Results: A collection of 27 studies were analysed. The reported telehealth interventions were classified into two main categories: AI-based and non-AI-based interventions; their main contributions to tackling COVID-19 are in the aspects of disease detection and diagnosis, pathogenesis and virology, vaccine and drug development, transmission and epidemic predictions, online patient consultation, tracing, and observation; 28 telehealth intervention challenges/issues have been reported and categorised into technical (14), non-technical (10), and privacy, and policy issues (4). The most critical technical challenges are: network issues, system reliability issues, performance, accuracy and compatibility issues. Moreover, the most critical non-technical issues are: the skills required, hardware/software cost, inability to entirely replace physical treatment and people's uncertainty about using the technology. Stringent laws/regulations, ethical issues are some of the policy and privacy issues affecting the development of the telehealth interventions reported in the literature. Conclusion: This study provides medical and scientific scholars with a comprehensive overview of telehealth technologies' current and future applications in the fight against COVID-19 to motivate researchers to continue to maximise the benefits of these techniques in the fight against pandemics. Lastly, we recommend that the identified challenges, privacy, and security issues and solutions be considered when designing and developing future telehealth applications.
MeSH term(s)	Humans ; Artificial Intelligence ; COVID-19/epidemiology ; Pandemics/prevention & control ; Privacy ; Reproducibility of Results ; SARS-CoV-2 ; Telemedicine/methods
Language	English
Publishing date	2023-08-03
Publishing country	England
Document type	Journal Article ; Review
ISSN	2632-1009
ISSN (online)	2632-1009
DOI	10.1136/bmjhci-2022-100676
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Article ; Online: COVID-19 and geriatric medicine in Australia and New Zealand.

Ischia, Liesl / Naganathan, Vasi / Waite, Louise M / Le Couteur, David G / Thillainadesan, Janani

Australasian journal on ageing

2021 Volume 41, Issue 2, Page(s) 301–308

Abstract: Objective: To investigate geriatricians' views about issues facing geriatric medicine, and ... to manage acute, post-acute and rehabilitative care of older patients with COVID-19. Non-inpatient services ... the preparedness of the health-care system during the COVID-19 pandemic.: Methods: An online survey of heads ...

Abstract	Objective: To investigate geriatricians' views about issues facing geriatric medicine, and the preparedness of the health-care system during the COVID-19 pandemic. Methods: An online survey of heads of geriatric medicine departments in hospitals in Australia and New Zealand undertaken in May 2020. Results: The majority of hospitals had admitted one or more patients with suspected COVID-19. Most geriatricians believed their hospital was 'adequately' or 'well prepared' for the pandemic. Inpatient capacity increased to manage acute, post-acute and rehabilitative care of older patients with COVID-19. Non-inpatient services for older people were reduced and telehealth-instituted widely. Increases in work hours, on-call and staffing levels were reported. Geriatricians voiced major concerns about the preparedness of residential aged care facilities to manage the pandemic. Conclusions: The COVID-19 pandemic impacted on geriatricians and the provision of geriatric medicine services. Many issues that subsequently affected older people were predicted in advance.
MeSH term(s)	Aged ; COVID-19/epidemiology ; COVID-19/therapy ; Geriatricians ; Geriatrics ; Humans ; New Zealand/epidemiology ; Pandemics
Language	English
Publishing date	2021-12-13
Publishing country	Australia
Document type	Journal Article
ZDB-ID	1457406-8
ISSN	1741-6612 ; 0726-4240 ; 1440-6381
ISSN (online)	1741-6612
ISSN	0726-4240 ; 1440-6381
DOI	10.1111/ajag.13027
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Article ; Online: Women, negative work-home interaction and stress: Impact of the second wave of the COVID-19 pandemic on spanish general and healthcare workers.

Rodríguez-Domínguez, Carmen / Domínguez-Salas, Sara / Allande-Cussó, Regina / Romero-Martín, Macarena / Gómez-Salgado, Juan / Ruiz-Frutos, Carlos

Science progress

2022 Volume 105, Issue 3, Page(s) 368504221112751

Abstract: The COVID-19 pandemic has come to stay, at least for a while. The initial bewilderment and ... in the second wave of contagions and deaths caused by the COVID-19 pandemic in Spain (October-December 2020 ... cross-sectional study sought to analyze stress levels in a sample of 263 general and healthcare workers (from 24 to 67 ...

Abstract	The COVID-19 pandemic has come to stay, at least for a while. The initial bewilderment and restrictive measures have given way to the population's mental decay and increased stress on workers facing work and family demands in a difficult-to-manage situation. For this reason, this descriptive cross-sectional study sought to analyze stress levels in a sample of 263 general and healthcare workers (from 24 to 67 years of age) and their relationship with negative work-home interaction (WHI) and with gender in the second wave of contagions and deaths caused by the COVID-19 pandemic in Spain (October-December 2020). The results showed that having a higher level of WHI, the presence of work overload, health concerns, economic concerns, and lower-income were predictors of stress among these workers. Age and health-related occupations were contributing factors to work overload and health-related concerns. In addition, the relationship between being a woman and suffering from higher stress levels was mediated by income level, economic concern, and the WHI. Other variables such as having children or dependents, marital status, concern for the health of others, and teleworking were not associated with the stress levels detected in the sample. This research pays attention to the health state of workers beyond the initial stage of the pandemic, where most studies on this issue have concentrated. Thus, this study provides evidence of the uneven impact this crisis has on women and men, contributing to clarifying the relationship between gender, the WHI, and stress.
MeSH term(s)	COVID-19/epidemiology ; Child ; Cross-Sectional Studies ; Female ; Health Personnel ; Humans ; Male ; Pandemics ; Spain/epidemiology
Language	English
Publishing date	2022-10-27
Publishing country	England
Document type	Journal Article
ZDB-ID	128412-5
ISSN	2047-7163 ; 0036-8504 ; 0302-1785
ISSN (online)	2047-7163
ISSN	0036-8504 ; 0302-1785
DOI	10.1177/00368504221112751
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Article ; Online: Tele-health and cancer care in the era of COVID-19: New opportunities in low and middle income countries (LMICs).

Grewal, Udhayvir Singh / Shankar, Abhishek / Saini, Deepak / Seth, Tulika / Roy, Shubham / Aden, Durre / Bhandari, Dhiraj / Singh, Pritanjali

Cancer treatment and research communications

2021 Volume 27, Page(s) 100313

Abstract: ... to healthcare settings. In light of the on-going pandemic, it has been recommended that in-patient visits ... In the current era of COVID-19 pandemic where at least some degree of social distancing is the norm ... of information technology. Albeit the challenges that we are facing are diverse and therefore cannot have a singular full ...

Abstract	In the current era of COVID-19 pandemic where at least some degree of social distancing is the norm and hospitals have emerged as hotspots for acquiring the infection, it has become important for oncologists to devise methods of providing care to cancer patients while minimizing patients' exposure to healthcare settings. In light of the on-going pandemic, it has been recommended that in-patient visits for cancer patients should be substituted by virtual visits and patients should be advised to proceed directly for infusion treatment. Telemedicine and tele-health based interventions have emerged as reasonably practical solutions to these impediments in the delivery of care to cancer patients. Technological advancements have resolved the issue of connectivity for telemedicine even to the remotest places. Teleconsultation is becoming an acceptable alternative for patients and health care providers in this era of information technology. Albeit the challenges that we are facing are diverse and therefore cannot have a singular full proof answer, telemedicine and tele-health based interventions seem to offer promise in effectively complementing our efforts in that direction. Telemedicine is beneficial for both patients and doctors in term to provide quality care without shifting to physical location.
MeSH term(s)	COVID-19/epidemiology ; COVID-19/prevention & control ; COVID-19/virology ; Delivery of Health Care/methods ; Delivery of Health Care/trends ; Developing Countries ; Humans ; Medical Oncology/methods ; Medical Oncology/trends ; Neoplasms/diagnosis ; Neoplasms/therapy ; Pandemics ; SARS-CoV-2/isolation & purification ; SARS-CoV-2/physiology ; Telemedicine/methods ; Telemedicine/trends
Language	English
Publishing date	2021-01-15
Publishing country	England
Document type	Journal Article
ISSN	2468-2942
ISSN (online)	2468-2942
DOI	10.1016/j.ctarc.2021.100313
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Article ; Online: Working in the era of COVID-19: An organization model for maxillofacial surgery based on telemedicine and video consultation.

Robiony, Massimo / Bocin, Elena / Sembronio, Salvatore / Costa, Fabio / Arboit, Lorenzo / Tel, Alessandro

Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery

2021 Volume 49, Issue 4, Page(s) 323–328

Abstract: ... concept of clinical examination. Moreover, the need for security for both patients and healthcare ... for oral and maxillofacial surgery in order to help cope with the latest COVID-19 resurgence. Using ... The worldwide pandemic caused by the COVID-19 outbreak has led to an unprecedented burden ...

Abstract	The worldwide pandemic caused by the COVID-19 outbreak has led to an unprecedented burden on hospital structures, posing new challenges in terms of reshaping healthcare services. At the same time, the so-called 'lockdown' restrictions have decreased overall mobility, thereby challenging the traditional concept of clinical examination. Moreover, the need for security for both patients and healthcare personnel has posed a further limitation to face-to-face meeting. Telemedicine has provided a valuable solution for such issues, allowing the evaluation of oral and maxillofacial surgery patients through technological interfaces, restricting physical consultations to cases with high clinical priority, intercepting suspects, and maintaining contact with discharged patients. Thanks to the experience gained during the previous wave of infections, the purpose of this study was to present a reorganization of clinical services for oral and maxillofacial surgery in order to help cope with the latest COVID-19 resurgence. Using commonly available software for telecommunications and online meetings, the Oral and Maxillofacial Surgery Department of the University Hospital of Udine has reshaped the organization of healthcare services, with telemedicine central to the continuity of assistance, while at the same time minimizing the risk of exposure for both patients and operators. Additionally, the high number of patients evaluated through telemedicine improved our ability to define signs and symptoms of diseases using informatic tools, thus allowing the introduction of the concept of 'telesemiology'. During our previous lockdown experience, between March and April 2020, 78 patients were evaluated using teleconsultation. All outpatient examinations were rescheduled and translated into a virtual platform, allowing each patient to undergo evaluation in the most appropriate setting. Special attention was paid to the follow-up of oncological patients. The rehabilitation team represented a crucial element in maintaining contact with more complex patients in this crucial time. This study was based on our previous lockdown experience - a situation that many will be facing again over the coming months. Our hope is that the organizational structure that our department applied during the previous wave of infections may offer other colleagues a solution to facing the current COVID-19 recrudescence.
MeSH term(s)	COVID-19 ; Communicable Disease Control ; Humans ; SARS-CoV-2 ; Surgery, Oral ; Telemedicine
Language	English
Publishing date	2021-02-05
Publishing country	Scotland
Document type	Journal Article
ZDB-ID	91267-0
ISSN	1878-4119 ; 1010-5182 ; 0301-0503
ISSN (online)	1878-4119
ISSN	1010-5182 ; 0301-0503
DOI	10.1016/j.jcms.2021.01.027
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Article ; Online: EMDR in Telemental Health Counseling for Healthcare Workers Caring for COVID-19 Patients: A Pilot Study.

Tarquinio, Cyril / Brennstuhl, Marie-Jo / Rydberg, Jenny Ann / Bassan, Fanny / Peter, Lydia / Tarquinio, Camille Louise / Auxéméry, Yann / Rotonda, Christine / Tarquinio, Pascale

Issues in mental health nursing

2020 Volume 42, Issue 1, Page(s) 3–14

Abstract: ... of healthcare providers caring for COVID-19 patients allows for an improvement in the emotional state and a decrease ... Healthcare workers, on the front lines of the epidemic, are facing major and potentially traumatic ... Background: The COVID-19 pandemic is putting a strain on health systems around the world ...

Abstract	Background: The COVID-19 pandemic is putting a strain on health systems around the world. Healthcare workers, on the front lines of the epidemic, are facing major and potentially traumatic stressful events, overwhelming their ability to cope and their resources. Objective: The objective of this article will be to show how the use of the URG-EMDR protocol in a telemental health setting has proven to be feasible and effective in the treatment of a group of healthcare professionals working in nursing homes or hospital services that were highly mobilized during the acute phase of COVID-19. Method: 17 participants, registered nurses (N = 7) and licensed practical nurses (N = 10), were remotely treated using the URG-EMDR protocol in a single session. The assessment focused on anxiety and depressive symptoms (HAD scale) and the level of perceived disturbance (SUD). An additional evaluation of the satisfaction with the remote psychotherapy intervention was conducted. Results: As the URG-EMDR protocol has already proven itself during emergency interventions, it is interesting to note that its remote use in the treatment of healthcare providers caring for COVID-19 patients allows for an improvement in the emotional state and a decrease in perceived disturbance, in a single session. This result is maintained 1 week after the intervention, despite the continued professional activities of the participants and the continuity of the event. Moreover, the remote therapy setting was judged satisfactory by the patients, even if it required adjustments and certain recommendations for practice. Discussion: The remote use of the URG-EMDR protocol opens up innovative perspectives for early interventions and the prevention of the development of psychological disorders in the long term following a situation of acute stress.
MeSH term(s)	Adult ; Anxiety/diagnosis ; Anxiety/etiology ; Anxiety/prevention & control ; COVID-19/psychology ; COVID-19/therapy ; Depression/diagnosis ; Depression/etiology ; Depression/prevention & control ; Distance Counseling/methods ; Eye Movement Desensitization Reprocessing/methods ; Female ; Health Personnel/psychology ; Humans ; Occupational Stress/diagnosis ; Occupational Stress/etiology ; Occupational Stress/therapy ; Pilot Projects
Keywords	covid19
Language	English
Publishing date	2020-10-14
Publishing country	England
Document type	Clinical Trial ; Journal Article
ZDB-ID	603180-8
ISSN	1096-4673 ; 0161-2840
ISSN (online)	1096-4673
ISSN	0161-2840
DOI	10.1080/01612840.2020.1818014
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Article ; Online: EMDR in Telemental Health Counseling for Healthcare Workers Caring for COVID-19 Patients

Tarquinio, Cyril / Brennstuhl, Marie-Jo / Rydberg, Jenny / Bassan, Fanny / Peter, Lydia / Tarquinio, Camille Louise / Auxéméry, Yann / Rotonda, Christine / Tarquinio, Pascale

ISSN: 0161-2840 ; EISSN: 1096-4673 ; Issues in Mental Health Nursing ; https://hal.univ-lorraine.fr/hal-02971521 ; Issues in Mental Health Nursing, Informa Healthcare, In press, pp.1-12. ⟨10.1080/01612840.2020.1818014⟩

A Pilot Study

2020

Abstract: ... of healthcare providers caring for COVID-19 patients allows for an improvement in the emotional state and a decrease ... around the world. Healthcare workers, on the front lines of the epidemic, are facing major and potentially ... International audience ...

Abstract	International audience Background: The COVID-19 pandemic is putting a strain on health systems around the world. Healthcare workers, on the front lines of the epidemic, are facing major and potentially traumatic stressful events, overwhelming their ability to cope and their resources.Objective: The objective of this article will be to show how the use of the URG-EMDR protocol in a telemental health setting has proven to be feasible and effective in the treatment of a group of healthcare professionals working in nursing homes or hospital services that were highly mobilized during the acute phase of COVID-19.Method: 17 participants, registered nurses (N = 7) and licensed practical nurses (N = 10), were remotely treated using the URG-EMDR protocol in a single session. The assessment focused on anxiety and depressive symptoms (HAD scale) and the level of perceived disturbance (SUD). An additional evaluation of the satisfaction with the remote psychotherapy intervention was conducted.Results: As the URG-EMDR protocol has already proven itself during emergency interventions, it is interesting to note that its remote use in the treatment of healthcare providers caring for COVID-19 patients allows for an improvement in the emotional state and a decrease in perceived disturbance, in a single session. This result is maintained 1 week after the intervention, despite the continued professional activities of the participants and the continuity of the event. Moreover, the remote therapy setting was judged satisfactory by the patients, even if it required adjustments and certain recommendations for practice.Discussion: The remote use of the URG-EMDR protocol opens up innovative perspectives for early interventions and the prevention of the development of psychological disorders in the long term following a situation of acute stress.
Keywords	[SCCO.PSYC]Cognitive science/Psychology ; covid19
Subject code	360
Language	English
Publishing date	2020-10-14
Publisher	HAL CCSD
Publishing country	fr
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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