Providing Health Literate Virtual Health Services Proceedings of a Workshop—in Brief (2022) / Chapter Skim
Currently Skimming:
Proceedings of a Workshop - in Brief
Proceedings of a Workshop - in Brief
Pages 1-11
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 1... ...
To explore the challenges that virtual or telehealth services may pose to those with low health literacy, as well as the opportunities for increasing access to care, the National Academies of Sciences, Engineering, and Medicine's Roundtable on Health Literacy held a virtual public workshop on September 23, 2021. The workshop examined the experiences that individuals with low health literacy have with using virtual or telehealth services; best practices for ensuring that individuals with low health literacy are able to obtain, process, understand, and act upon health information and services provided virtually or through telehealth; and health system and provider strategies for ensuring the delivery of health literate virtual health services that benefit patients and practitioners alike.
|
From page 2... ...
Serper shared a few key data about the sample of her add-on study: • 673 adults • Approximately half had limited health literacy (as measured by the Newest Vital Sign; Weiss et al., 2006) • Nearly one-third of the study participants were Black • 21.5 percent were Hispanic • 11.3 percent had limited English proficiency • 29.4 percent were living below the poverty level Between December 2020 and March 2021, her study's participants reported they had two to three telehealth visits during the previous 4 months.
|
From page 3... ...
Serper explained that prior to the pandemic, Penn Medicine's telehealth programs were "boutique," in that specialty clinics such as genetics, neurology, and nephrology were the primary users of telehealth. In total, the health system, which serves 6.7 million patients, was conducting fewer than 100 telehealth visits a day using proprietary software on dedicated telemedicine workstations.
|
From page 4... ...
She concluded her presentation by cautioning that the ways that health systems are currently operating telehealth programs may place some patients at risk of experiencing less than optimal telehealth visits, especially patients with low health literacy, low English proficiency, and multiple health issues, as well Black, Indigenous, and people of color (BIPOC) communities, and older individuals.
|
From page 5... ...
, and it is in the patient portal, but I am sure there are ways that we can do this where it is more adapted to reading level and so that it can be translated." She said that the result of adding such health literate practices to services would be to increase efficiency for patients and providers alike. ENSURING ACCESS FOR ALL TO HEALTH LITERATE VIRTUAL HEALTH SERVICES The second moderator of the day, Gem Daus, is a health policy analyst with the Office of Health Equity at the Health Resources and Services Administration (HRSA)
|
From page 6... ...
When it comes to providing accessible telehealth services, Bothwell suggested using a telemedicine platform with the capacity to add a third party, such as an interpreter for someone who is deaf or hard of hearing or a remote care provider for a patient with an intellectual disability. She also suggested that health systems consider modifying their pre-telemedicine appointment practices to allow for additional time needed to provide a patient with a visual or intellectual disability extra assistance with using the video platform technology; some of the programs Bothwell mentioned earlier are able to serve as a resource and provide that training.
|
From page 7... ...
She noted that the U.S. Justice Department has an ADA informational hotline that care professionals and practitioners can contact to receive help for meeting ADA requirements.6 RESOURCES FOR PROVIDING HEALTH LITERATE VIRTUAL SERVICES The final moderator of the workshop was Jay Duhig, director of patient integration and patient safety at AbbVie, Inc.
|
From page 8... ...
The Evidence-Based Telehealth program, which Wiggins oversees, funds research to develop and compare common quality measures used for telehealth services and in-person services. One project this program funded used telehealth networks to increase access to behavioral health care services in rural and frontier communities.7 Evaluation of this program's work will establish an evidence base to assess the effectiveness of telebehavioral health care for patients, providers, and patients.
|
From page 9... ...
Wiggins said that many of HRSA's grantees, across their telehealth-related programs, found that digital navigators, patient coordinators, and community health workers proved to be valuable resources during the pandemic, helping to improve the digital skills of underconnected or unconnected populations in a manner that was culturally competent. A survey by a grantee at the University of Kansas Health Services found that having a digital navigator or coordinator was key to patients' high satisfaction with telehealth services.
|
From page 10... ...
2020. Medicare beneficiary use of telehealth visits: Early data from the start of the COVID-19 pandemic.
|
From page 11... ...
2022. Providing health literate virtual health services: Proceedings of a workshop -- in brief.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.