The Use of Telehealth for Disability Evaluations in Medicine and Allied Health Proceedings of a Workshop (2022) / Chapter Skim
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5 Telehealth Access
5 Telehealth Access
Pages 33-40
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From page 33... ...
The session's speakers included Ateev Mehrotra, Harvard University; Theresa Cullen, Pima County Public Health; Elizabeth Krupinski, Emory University; and Angela Siefer, National Digital Inclusion Alliance (NDIA)
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. One of the most influential changes was the ability to see out-of-state clinicians, which helped hundreds of thousands of Medicare beneficiaries access primary care, mental health services, and specialty care.
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RURAL ACCESS TO TELEHEALTH: CHALLENGES AND SOLUTIONS Theresa Cullen, Pima County Public Health Theresa Cullen, public health director for Pima County, Arizona, dis cussed the challenges and benefits of telehealth for rural communities and shared illustrative examples of rural telehealth programs. Cullen explained that overall, people living in rural communities have lower socioeconomic status than urban communities, which increases their vulnerability to many health issues and decreases the likelihood that patients will have the tools to access telehealth.
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From page 36... ...
It is also important to integrate telehealth into administrative workflows, staff capabilities, and space constraints to avoid impeding service delivery. She explained that greater health equity can be achieved by applying lessons from successful rural health networks, incorporating universal design considerations, health care team mentoring, and clinician and patient tool kits.
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DIGITAL INCLUSION AND TELEHEALTH EQUITY Angela Siefer, National Digital Inclusion Alliance Angela Siefer is the executive director of the National Digital Inclusion Alliance (NDIA) , a national coalition of organizations to increase awareness of the digital divide and advocate for expanded broadband access, Internetenabled devices, and training and support programs.
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DISCUSSION Participants discussed the role of social determinants of health and interconnected factors in health care and telehealth delivery, opportunities at the community level, and the future of telehealth. Interconnected Factors Speakers discussed the appropriate role of health care entities in providing or supporting services beyond health care, given that many factors influence success in telehealth and health care more broadly.
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From page 39... ...
Krupinski added that helping patients access digital resources is similar to the role of the patient navigator, who helps patients understand financial issues and access needed services. Cullen noted that there is an important distinction between clinical care delivery and public health care models, where there is a responsibility to study and more directly address social determinants of health.
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From page 40... ...
He added that there are times when high-quality video assessment is needed, and people living in historically underresourced areas can face barriers to care in these circumstances. Shore commented that while phone-only telehealth can result in somewhat lower quality care, for patients who face barriers to in-person care and lack the tools to access video telehealth, phone-based care can still be superior to the alternative, which in some cases is no care at all.
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