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13 Concluding Remarks and Discussion
Pages 125-130

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From page 125...
... University of Colorado Denver In the short term, HRSA, particularly through the Office for the Advancement of Telehealth, can begin to task a number of its technical assistance and resource centers with activities such as further synthesis of the available evidence in the literature and assistance with respect to articulating the essential components of best practices. In the longer term, HRSA should convene a full study on telehealth -- there is enough evidence available, and the timing is appropriate.
From page 126...
... While many people are working on their own roles, we need to take a step back and look at the system as a whole. Is there a way to accelerate getting knowledge into practice across the country, especially because technology changes at such a rapid pace?
From page 127...
... Health care has been lagging behind other industries for a long time. A recent article by Atul Gawande in The New Yorker talked about how health care can be made as efficient as The Cheesecake Factory, which reduced waste by benchmarking the activity of their customers (Gawande, 2012)
From page 128...
... The vision of the ONC should help transform the policy thinking of other HHS agencies and help people receive care and interact with the health care system in the virtual space, from direct patient-to-provider consult to mobile applications. In terms of the evidence base, one question is, Are we making this too hard?
From page 129...
... Consumers One participant remarked that the cost of gasoline may push consumers toward telehealth, especially if they have to travel long distances to receive health care services. Another participant added that telehealth technology is necessary to leverage solutions for reaching broader populations.
From page 130...
... She stated that health care providers need to understand what the technology can do, but do not need to operate the technologies, so a trained workforce can be developed to do this. Antoniotti disagreed, stating that in their model, providers were trained in how to use, fix, and maintain their own equipment, as this was much more efficient than calling in others to do it, and prevented abandonment of the technology.


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