Remote Monitoring for Seniors: Ensuring Safety and Independence

Remote Monitoring for Seniors: Ensuring Safety and Independence

by Ree AI Health Tech Med Tech

As our population ages, ensuring the safety and well-being of seniors living independently has never been greater. A study by AARP shows that 77% of older adults want to age in place, making remote monitoring technologies more relevant than ever. Remote monitoring for seniors is a powerful tool that can help older adults age in place safely, and give their families and caregivers peace of mind. 

In this article, we’ll discuss the benefits and available technologies for remote monitoring for seniors, and how to implement these systems effectively.

Contents

Understanding Remote Monitoring for Seniors

Remote monitoring for seniors refers to the use of technology to track an older adult’s health, safety, and well-being from a distance. These systems allow caregivers and healthcare providers to keep an eye on seniors without being physically present, enabling quick responses to emergencies and early detection of potential health issues.

Monitoring dashboard on a desk

What are the types of remote monitoring systems?

There are several types of remote monitoring systems available for seniors:

  • Wearable devices
  • Smart home sensors

  • Video monitoring systems

  • Health tracking devices

  • Personal emergency response systems (PERS)

Each type of system serves different purposes and can be tailored to meet the specific needs of individual seniors.

Key components of an effective remote monitoring setup

An effective remote monitoring setup typically includes:

  1. Sensors or devices to collect data

  2. A central hub or gateway to process and transmit information

  3. A user interface for caregivers to access and interpret data

  4. Alert systems for emergencies or anomalies

  5. Secure data storage and transmission protocols

These components work together to create a comprehensive monitoring solution that can adapt to various care scenarios.

Benefits of Remote Senior Monitoring

Remote monitoring offers numerous advantages for both seniors and their caregivers. Let’s examine some of the key benefits.

Enhanced safety and quick emergency response

ER and urgent care entrance

One of the primary benefits of remote monitoring is improved safety for seniors. These systems can detect falls, unusual inactivity, or other emergencies and automatically alert caregivers or emergency services. 

Researchers in the UAE and the U.K. ran a study where they created a system to detect falls, and to monitor seniors and people with disabilities. The non-intrusive system uses Wi-Fi signals and AI to analyze movement patterns without cameras or wearable devices. Overall, this technology offers a promising way to improve safety and care for vulnerable populations using everyday Wi-Fi signals and smart AI analysis (Al Rajab et al., 2023).

Increased independence for seniors

Remote monitoring allows seniors to maintain their independence while still receiving necessary support. By providing a safety net, these systems give older adults the confidence to continue living in their own homes.

Reduced caregiver stress 

Older man talking to doctor on tablet - Tima Miroshnichenko
Source: Tima Miroshnichenko

For family caregivers, remote monitoring, including mobile health apps, can significantly reduce stress and anxiety (Fuller-Tyszkiewicz et al., 2020). Knowing that they can check on their loved one’s well-being at any time provides invaluable peace of mind

Cost-effectiveness compared to in-person care

Remote monitoring can be a cost-effective alternative to full-time in-person care or assisted living facilities. While initial setup costs may be significant, the long-term savings can be substantial. 

According to a report by Grand View Research, the global remote patient monitoring market is expected to reach $117.1 billion by 2025, driven in part by its cost-effectiveness. It’s expected to register a compound annual growth rate (CAGR) of 18.6% from 2024 to 2030.

Top Remote Monitoring Technologies for Seniors

Let’s explore some of the most popular and effective remote monitoring technologies available for seniors.

Wearable devices and personal emergency response systems (PERS)

Monitor attached to back of a woman's left shoulder

Wearable devices, such as smartwatches or pendants, can track vital signs, detect falls, and allow seniors to call for help with the push of a button. These devices are often waterproof and can be worn 24/7 for continuous protection.

Example: The Apple Watch Series includes fall detection and an ECG app, making it a popular choice for tech-savvy seniors.

Smart home sensors and environmental monitoring

Home video monitoring app

Smart home sensors can be placed throughout a senior’s living space to monitor movement, temperature, and other environmental factors. These sensors can detect unusual patterns that may indicate a problem.

Example: Caregiver Smart Solutions offers a system of small sensors that can be placed around the home to track daily habits and alert caregivers to changes in routine.

Video monitoring and two-way communication systems

Video monitoring systems allow caregivers to visually check in on seniors and communicate with them face-to-face. These systems are especially important for seniors with mobility issues or those who live far from family members.

Example: The GrandCare Systems platform includes video chat capabilities along with other monitoring features.

Health tracking devices and telemedicine integration

Health tracking devices can monitor vital signs, medication adherence, and other health metrics. Many of these devices integrate with telemedicine platforms, allowing healthcare providers to remotely assess a senior’s condition.

Example: The Livongo (by Teladoc Health) remote monitoring system includes a blood glucose meter and blood pressure monitor that automatically shares data with healthcare providers.

Health tracking for seniors in nursing homes

Doctor shows table to senior in blue shirt

A study published in Fusion introduced a new way to predict personal health for older people in nursing care using a model to estimate health conditions without needing special sensors. The method looks at actions in each area and combines information from different sources to make better predictions. It also uses machine learning and other smart techniques to process and combine data. 

This model works better than existing systems for tracking health without extra sensors. It could be used with wearable devices in the future to improve health monitoring for seniors (Mahmood et al., 2023).

Implementing Remote Monitoring: A Step-by-Step Guide

If you’re considering implementing a remote monitoring system for a senior loved one, follow these steps:

  1. Assess individual needs and preferences.

  2. Choose the right technology for your situation.

  3. Set up the system and ensure proper connectivity.

  4. Train seniors and caregivers on system use.

Assess individual needs and preferences

Gentleman taking his blood pressure in white shirt

Start by evaluating the senior’s specific health concerns, living situation, and personal preferences. Consider factors such as:

  • Mobility level

  • Cognitive function

  • Existing health conditions

  • Technology comfort level

  • Privacy concerns

Choose the right technology for your situation

Based on your assessment, research and select the most appropriate monitoring technology. Consider factors like:

  • Ease of use

  • Cost and ongoing fees

  • Integration with existing devices or systems

  • Customer support and reliability

Set up the system and check for proper connectivity

Blueprint and video monitoring equipment

Once you’ve chosen a system, follow these steps for setup:

  1. Install any necessary hardware or sensors.

  2. Set up the central hub or gateway.

  3. Test connectivity and ensure all components are communicating properly.

  4. Configure alert settings and user preferences.

Train seniors and caregivers 

Proper training is crucial for the success of any remote monitoring system. Be sure to:

  • Provide clear, step-by-step instructions for both seniors and caregivers.

  • Offer hands-on practice with the devices or interface.

  • Address any concerns or questions about the system.

  • Schedule follow-up training sessions as needed.

Addressing Privacy and Ethical Concerns

While remote monitoring offers many benefits, it’s essential to address privacy and ethical concerns.

security guard - credit card - shield

Balance safety with personal privacy

Striking the right balance between safety and privacy is crucial. Consider these tips:

  • Involve the senior in decisions about monitoring.

  • Use the least invasive monitoring methods that meet safety needs.

  • Establish clear boundaries for when and how monitoring will be used.

Ensure data security and protection

Protecting sensitive health data is paramount. Look for systems that offer:

  • End-to-end encryption

  • Secure cloud storage

  • Regular security updates

  • Compliance with healthcare privacy regulations (like HIPAA)

Always obtain informed consent from the senior before implementing any monitoring system:

  • Explain the purpose and functionality of the system

  • Discuss potential benefits and risks

  • Address any concerns or questions

  • Respect the senior’s right to refuse or limit monitoring

The field of remote senior monitoring is rapidly evolving. 

AI and predictive analytics

AI-powered systems can analyze data from multiple sources to predict potential health issues before they become serious. For example, researchers at the University of Missouri developed a system that uses AI to detect early signs of illness in seniors based on changes in their daily routines.

Integration with smart home ecosystems

Smart home app on tablet red gold

As smart home technology becomes more prevalent, remote monitoring systems are getting easier to integrate with these ecosystems. This allows more comprehensive monitoring and easier control of the home environment.

Advancements in non-invasive health monitoring

New technologies allow us to monitor health metrics without the need for wearable devices or invasive procedures. For instance, researchers at MIT developed a wireless device that can monitor sleep patterns and detect abnormalities without any physical contact.

Conclusion

Remote monitoring for seniors is a rapidly growing field that offers significant benefits for both older adults and their caregivers. By enhancing safety, promoting independence, and providing peace of mind, these technologies are helping seniors age in place with dignity and confidence. 

Before you choose a remote monitoring system, remember to carefully assess individual needs, involve your senior family members in the decision-making process, choose appropriate technology, and address privacy concerns. 

With the right approach, remote monitoring can be a valuable tool to support our elderly loved ones with the care they need while respecting their autonomy. 

References

Al-Rajab, M., Al Zraiqat, S., John, K., El Ayoubi, M. B., & Qassem, M. O. (2023). A Contactless Smart WiFi-Based Application Presence or Fall Detection System: Analyzing Channel State Information (CSI) Signals. International Journal of Emerging Multidisciplinaries: Computer Science & Artificial Intelligence; 2(1). doi.org/10.54938/ijemdcsai.2023.02.1.230

Binette, J. & Fanni, F. (2021). 2021 Home and Community Preference Survey: A National Survey of Adults Age 18-Plus. Washington, DC: AARP Research. doi.org/10.26419/res.00479.001

Diabetes made easier at no cost to you. (n.d.). Livongo. Retrieved from https://www.livongo.com/diabetes

Fuller-Tyszkiewicz, M., Richardson, B., Little, K., Teague, S., Hartley-Clark, L., Capic, T., Khor, S., Cummins, R. A., Olsson, C. A., & Hutchinson, D. (2020). Efficacy of a Smartphone App Intervention for Reducing Caregiver Stress: Randomized Controlled Trial. Journal of Medical Internet Research Mental Health; 7(7). doi.org/10.2196/17541

Grand View Research. (2024). Remote Patient Monitoring Market Size, Share & Trends Analysis Report By Product (Vital Sign Monitor, Specialized Monitor), By End-use (Hospital Based Patient, Ambulatory Patient), By Application, By Region, And Segment Forecasts, 2024 – 2030. Retrieved from https://www.grandviewresearch.com/industry-analysis/remote-patient-monitoring-devices-market

Ham, B. (2020). Wireless device captures sleep data without using cameras or body sensors. MIT News. Retrieved from https://news.mit.edu/2020/monitoring-sleep-sensors-0911

Herd, R. (2024). Technology Tips for Caregivers: How to Use Monitoring Systems for Peace of Mind. Caregiver Smart Solutions. Retrieved from https://www.caregiversmartsolutions.com/post/technology-tips-for-caregivers-how-to-use-monitoring-systems-for-peace-of-mind

How GrandCare Works. (n.d.). GrandCare Systems. Retrieved from https://www.grandcare.com/how-it-works/

Ianzito, C. (2020). Remote Monitoring Systems Can Give Caregivers Peace of Mind. AARP. Retrieved from https://www.aarp.org/caregiving/home-care/info-2020/ces-caregiving-products.html

Mahmood, H., Faleh, H., Khalid, R., & Al-Kikani, S. (2023). Physical Activity Monitoring for Older Adults through IoT and Wearable Devices: Leveraging Data Fusion Techniques. Fusion: Practice and Applications; 11(2), pp. 48-61. doi.org/10.54216/FPA.110204

Rice, S. (2016). Sensor Systems Identify Senior Citizens at Risk of Falling Within Three Weeks. University of Missouri. Retrieved from https://www.eldertech.missouri.edu/sensor-systems-identify-senior-citizens-at-risk-of-falling-within-three-weeks/

Remote Patient Monitoring: Improving Chronic Disease Management 

Remote Patient Monitoring: Improving Chronic Disease Management 

by Ree AI Health Tech Med Tech

Chronic diseases affect millions worldwide, placing a significant burden on healthcare systems. The World Health Organization reports that chronic diseases account for 74% of all deaths globally. One of the most promising methods of chronic disease management is remote patient monitoring (RPM). Let’s explore how RPM helps people with chronic disease have a better quality of life.

Contents

What is Remote Patient Monitoring?

RPM is a healthcare delivery method that uses technology to collect patient data outside of traditional healthcare settings. But what exactly does this mean for patients and healthcare providers?

Definition of remote patient monitoring

RPM involves using digital technologies to gather and transmit health data from patients to healthcare providers. This allows for continuous monitoring of a patient’s health status without the need for frequent in-person visits.

Key components of RPM systems

ECG monitor closeup on stomach

A typical RPM system consists of several essential components:

  1. Sensing devices: These collect patient data such as blood pressure, heart rate, or blood glucose levels.

  2. Data transmission: The collected data is sent securely to healthcare providers.

  3. Data analysis: Healthcare professionals review and interpret the data.

  4. Patient interface: Patients can view their data and receive feedback through apps or web portals.

  5. Alert systems: Automated alerts notify healthcare providers of any concerning changes in a patient’s condition (Peyroteo et al., 2021).

Types of data collected through RPM

RPM systems can collect various kinds of health data, including:

This comprehensive data collection allows healthcare providers to gain a more complete picture of a patient’s health over time.

Common Chronic Diseases Managed with RPM

RPM is effective in managing many kinds of chronic conditions. Let’s look at some of the most common diseases that benefit from RPM.

Heart disease, CHF, and hypertension

RPM plays a crucial role in cardiovascular disease management, including heart disease, chronic heart failure (CHF), and hypertension (Zhang, et al., 2023). 

Patients can regularly monitor their blood pressure, heart rate, and other vital signs at home. This continuous monitoring helps healthcare providers to adjust medications and interventions as needed, which may prevent heart attacks and strokes.

Diabetes

Woman sticking herself with insulin needle

For patients with diabetes, RPM can be a game-changer. Continuous glucose monitoring systems allow for real-time tracking of blood sugar levels, helping patients and healthcare providers make informed decisions about insulin dosing and lifestyle changes. Studies have shown that RPM can lead to significant improvements in HbA1c levels, a key indicator of long-term blood sugar control.

Chronic kidney disease (CKD)

Woman on dialysis machine

RPM is becoming increasingly important in kidney care by using technology to support patients who need renal replacement therapy (RRT). 

RPM can improve patient outcomes, reduce hospital stays, and enhance treatment adherence. It also saves time and money for both patients and healthcare providers. A care plan for chronic kidney disease that includes RPM can help with patient education, CKD self-management, and home dialysis care. They can increase patient independence and improve their quality of life (Mata-Lima, 2024).

Asthma

Boy in bed using inhaler

For asthma patients, RPM can help track symptoms, medication use, and lung function. This information allows healthcare providers to adjust treatment plans and identify triggers, leading to better asthma control. A review of RPM interventions for asthma found improvements in quality of life and reductions in emergency department visits.

Chronic obstructive pulmonary disease (COPD)

COPD patients can benefit greatly from RPM. When health providers monitor oxygen levels, lung function, and symptoms, they can detect exacerbations early and intervene before hospitalization becomes necessary.

 

Anemia

Anemia, a condition characterized by a deficiency of red blood cells or hemoglobin, affects millions worldwide. It can lead to fatigue, weakness, and other health complications. RPM can helps manage anemia in many ways:

  • Early Detection: RPM can help detect anemia-related complications early by collecting data on patients’ blood oxygen levels and other indicators. This allows for timely interventions, reducing the risk of severe health issues.

Now let’s look at specific benefits of using RPM to manage chronic conditions.

Benefits of RPM for Chronic Disease Management

Implementing RPM in chronic disease management has several advantages for both patients and healthcare systems. 

Early detection of health issues

One of the most significant advantages of RPM is its ability to detect potential health issues early. By continuously monitoring patient data, healthcare providers can identify concerning trends or sudden changes before they become serious problems. This proactive approach can lead to timely interventions and prevent complications (Peyroteo et al., 2021).

Improved medication adherence

Medication adherence is crucial for managing chronic diseases effectively. RPM systems often include medication reminders and tracking features, which can significantly improve adherence rates. A review of multiple studies found that RPM interventions increased medication adherence by an average of 22%.

Better patient engagement and self-management

Man taking pulse oximeter reading

RPM empowers patients to take an active role in managing their health. A real-world use study reported RPM helps better adherence to CHF treatment regimens (Patrick et al., 2023). And RPM adherence is associated with better patient outcomes (Sabatier et al., 2022).

By providing real-time feedback and educational resources, these systems help patients better understand their conditions and make informed decisions about their care. This increased engagement can lead to improved health outcomes and quality of life for those living with chronic diseases (Peyroteo et al., 2021).

Reduced hospital readmissions

ER and urgent care entrance

RPM has shown promising results in reducing hospital readmissions for patients with chronic conditions. 

A study published in the Journal of Medical Internet Research found that RPM reduced 30-day hospital readmissions by 76% for patients with heart failure (Bashi et al., 2017). And another study showed a reduction in hospitalizations in chronic obstructive pulmonary disease (COPD) patients using RPM (Polsky et al., 2023).

Fewer trips back to the hospital improves patient outcomes and helps reduce healthcare costs.

Cost savings and effectiveness

Noninvasive RPM can be cost-effective compared to traditional methods for managing chronic disease (De Guzman et al., 2022).

RPM requires an initial investment in equipment and training. But over the long run, it can reduce healthcare costs long-term by preventing expensive health events like hospital readmissions, although those savings may take time to manifest. Technology advances may lower costs over time.

The level of cost-effectiveness also varies by disease and context. Studies on hypertension, COPD, and heart failure show the highest benefits for hypertension. Effectiveness depends on patient targeting and integration into existing healthcare systems. Local factors and clinical settings influence RPM’s cost-effectiveness, which emphasizes the need for tailored implementation plans.

RPM Technologies and Devices

The success of remote patient monitoring relies heavily on the technologies and devices used to collect and transmit patient data. Let’s explore some of the key tools in the RPM arsenal.

Wearable devices and sensors

Black woman smiling at phone with glucose meter on arm

Wearable technology has come a long way in recent years. These devices can now track a wide range of health metrics, including:

Many of these devices are designed to be comfortable and discreet, allowing for continuous monitoring without disrupting daily life.

Mobile health apps

Mobile health apps serve as the interface between patients and their health data. These apps often provide:

  • Data visualization and trends

  • Medication reminders

  • Educational resources

  • Communication tools for connecting with healthcare providers

The user-friendly nature of these apps makes it easier for patients to stay engaged with their health management.

Home-based monitoring equipment

Black man using his blood pressure monitor at home

For more specialized monitoring, home-based equipment can provide detailed health information. This may include:

These devices are designed to be easy to use, allowing patients to take accurate measurements at home.

Data transmission and analysis platforms

The backbone of any RPM system is the platform that receives, stores, and analyzes patient data. These platforms use secure cloud-based systems to:

  • Aggregate data from multiple sources

  • Apply algorithms to detect patterns and anomalies

  • Generate alerts for healthcare providers

  • Provide detailed reports for clinical decision-making

How to Implement RPM in a Healthcare Setting

While the benefits of RPM are clear, implementing these systems in healthcare settings can be challenging. Here are some key considerations for successful RPM implementation.

Choose the right RPM solution

Selecting an appropriate RPM solution is crucial for success. Healthcare providers should consider:

  • The specific needs of their patient population

  • Integration capabilities with existing electronic health record systems

  • User-friendliness for both patients and healthcare staff

  • Scalability to accommodate future growth

It’s important to evaluate multiple options and pilot test solutions before full implementation.

Train healthcare providers and patients

Nurse going over a chart with patient

Proper training is essential for both healthcare providers and patients to ensure effective use of RPM systems. This may include:

  • Hands-on training sessions for healthcare staff

  • Patient education materials and support resources

  • Ongoing technical support for troubleshooting issues

Investing in comprehensive training can significantly improve adoption rates and overall success of RPM programs.

Integrate RPM with existing health IT systems

Seamless integration with existing health information technology systems is crucial for success with RPM, which allows for:

  • Automatic data transfer to electronic health records

  • Streamlined workflow for healthcare providers

  • Comprehensive patient health profiles

A smooth integration takes a collaborative effort between IT teams, RPM vendors, and healthcare staff.

Address privacy and security concerns

As with any system handling sensitive health information, privacy and security are paramount in RPM. Healthcare organizations must:

  • Implement robust data encryption measures

  • Ensure compliance with HIPAA and other relevant regulations

  • Regularly audit and update security protocols

  • Educate patients on best practices for protecting their health data

Overcoming Challenges in RPM Adoption

While RPM offers numerous benefits, there are several challenges that healthcare organizations must address for successful adoption.

Man holding Medicare card

Reimbursement and insurance coverage

One of the primary barriers to RPM adoption has been uncertainty around reimbursement. However, recent changes in healthcare policies have improved the situation:

  • Medicare now provides reimbursement for certain RPM services

  • Many private insurers are following suit because they understand the cost-saving potential of RPM

Healthcare providers should stay informed about evolving reimbursement policies and advocate for expanded coverage.

Patient compliance and technology acceptance

Glucose meter on hand with a blood drop

For RPM to be effective, patients must consistently use the provided monitoring devices and follow recommended protocols. Strategies to improve compliance include:

  • Selecting user-friendly devices and apps

  • Providing ongoing patient education and support

  • Using motivational techniques, such as gamification or reward programs

  • Tailoring RPM programs to individual patient needs and preferences

Data management and interpretation

The large volume of data generated by RPM systems can be overwhelming for healthcare providers. To address this challenge:

  • Implement robust data analytics tools to identify meaningful trends and anomalies

  • Provide training for healthcare staff on data interpretation

  • Develop clear protocols for responding to alerts and abnormal readings

  • Consider incorporating artificial intelligence to assist with data analysis

As RPM technology evolves, regulatory frameworks are struggling to keep pace. Healthcare organizations must navigate:

  • Evolving FDA regulations for medical devices and software

  • State-specific telemedicine laws and licensing requirements

  • International considerations for cross-border remote care

Staying informed about regulatory changes and working with legal experts can help organizations navigate these complex issues.

The Future of RPM in Chronic Disease Management

As technology continues to advance, the future of RPM in chronic disease management looks promising. Here are some exciting developments on the horizon.

Artificial intelligence and machine learning integration

AI and machine learning take RPM to the next level as they can:

Expansion of RPM to new disease areas

While RPM has proven effective for common chronic conditions, we’re likely to see its application expand to other areas, such as:

  • Mental health monitoring

  • Neurological conditions like Parkinson’s disease

  • Post-surgical recovery and rehabilitation

  • Rare diseases that require specialized monitoring

Potential for population health management

People around a globe

RPM data, when aggregated and analyzed at a population level, can provide valuable insights for public health initiatives. This could lead to:

  • More targeted health interventions

  • Improved resource allocation in healthcare systems

  • Better understanding of disease trends and risk factors

  • Enhanced ability to respond to public health crises

Evolving healthcare policies and regulations

As RPM becomes more widespread, we can expect to see:

  • Continued expansion of reimbursement policies

  • Development of standardized guidelines for RPM implementation

  • Increased focus on interoperability standards for health data exchange

  • Greater emphasis on patient data ownership and privacy rights

Conclusion 

RPM offers a proactive approach to chronic disease management that benefits both patients and providers. By enabling continuous, real-time health tracking and timely interventions, RPM can significantly improve patient outcomes, reduce healthcare costs, and enhance the quality of life for those living with chronic conditions.

As technology continues to advance and healthcare systems adapt, the role of RPM in chronic disease management will likely expand, paving the way for more personalized and efficient healthcare delivery. Embracing this innovative approach can lead to a healthier future for millions of people worldwide.

References

Bashi, N., Karunanithi, M., Fatehi, F., Ding, H., & Walters, D. (2017). Remote Monitoring of Patients With Heart Failure: An Overview of Systematic Reviews. Journal of Medical Internet Research; 19(1). doi.org/10.2196/jmir.6571

Centellas-Pérez, F. J., Ortega-Cerrato, A., et al. (2023). Impact of Remote Monitoring on Standardized Outcomes in Nephrology-Peritoneal Dialysis. Clinical Research; 9(2),266-276. doi.org/10.1016/j.ekir.2023.10.034

De Guzman, K. R., Snoswell, C. L., Taylor, M. L., Gray, L. C., & Caffery, L. J. (2022). Economic Evaluations of Remote Patient Monitoring for Chronic Disease: A Systematic Review. Value in Health; 25(6), 897-913. doi.org/10.1016/j.jval.2021.12.001

Fakunle, A. (2022). The Future of Healthcare: How Remote Patient Monitoring Transforms Healthcare. Cleverdev Software. Retrieved from https://www.cleverdevsoftware.com/blog/the-future-of-healthcare

Mata-Lima, A., Paquete, A. R., & Serrano-Olmedo, J. J. (2024). Remote patient monitoring and management in nephrology: A systematic review. Nefrología. doi.org/10.1016/j.nefro.2024.01.005

Noncommunicable diseases. (2023). World Health Orgination (WHO). Retrieved from https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases

Patrick, J., Picard, F., Girerd, N., et al. (2023). Security and performance of remote patient monitoring for chronic heart failure with Satelia® Cardio: first results from real-world use. Journal of Cardiology and Cardiovascular Medicine; 8:042–50. doi:10.29328/journal.jccm.1001152

Peyroteo, M., Ferreira, I. A., Elvas, L. B., Ferreira, J. C., & Lapão, L. V. (2021). Remote Monitoring Systems for Patients With Chronic Diseases in Primary Health Care: Systematic Review. JMIR MHealth and UHealth; 9(12). doi.org/10.2196/28285

Polsky, M., Moraveji, N., Hendricks, A., Teresi, R. K., Murray, R., & Maselli D. J. (2023). Use of Remote Cardiorespiratory Monitoring is Associated with a Reduction in Hospitalizations for Subjects with COPD. International Journal of Chronic Obstructive Pulmonary Disease; 18:219-229. doi.org/10.2147/COPD.S388049

Sabatier, R., Legallois, D., Jodar, M., et al. (2022). Impact of patient engagement in a French telemonitoring programme for heart failure on hospitalization and mortality. ESC Heart Failure; 9(5):2886–2898. doi:10.1002/ehf2.13978

Telehealth Interventions to Improve Chronic Disease. (2024). Centers for Disease Control and Prevention (CDC). Retrieved from https://www.cdc.gov/cardiovascular-resources/php/data-research/telehealth.html

Zhang, Y., Peña, M. T., Fletcher, L. M., Lal, L., Swint, J. M., & Reneker, J. C. (2023). Economic evaluation and costs of remote patient monitoring for cardiovascular disease in the United States: a systematic review. International Journal of Technology Assessment in Health Care;39(1):e25. doi:10.1017/S0266462323000156

5G and Telehealth: Enhancing Healthcare Services and Patient Care

5G and Telehealth: Enhancing Healthcare Services and Patient Care

by Ree AI Health Tech Med Tech

As we move into a new era of connectivity, 5G technology is set to make telehealth even better. According to a study by Accenture, over 80% of healthcare executives believe 5G and telehealth will significantly impact the entire healthcare industry within the next three years. 

This article discusses the transformative effects of 5G on telehealth, exploring how this lightning-fast network is improving patient care, expanding access to medical services, and changing the future of healthcare delivery.

Contents

The Basics of 5G and Telehealth

What is 5G technology?

5G, the fifth generation of mobile networks, is a cutting-edge technology designed to enhance wireless communication. It offers significantly faster data speeds, reduced latency, and greater capacity compared to previous versions like 4G. This means that 5G can support a larger number of devices simultaneously, making it ideal for the Internet of Things (IoT) and other data-intensive applications. 

In healthcare, 5G enables seamless connectivity, which is crucial for telehealth services that rely on real-time data transmission and communication.

Overview of telehealth and its current limitations

Telehealth refers to the delivery of healthcare services through digital communication technologies, allowing patients to consult with healthcare providers remotely. 

While telehealth has grown significantly, it still faces several limitations like issues with video and audio quality, limited access in rural areas, and challenges with performing comprehensive physical examinations remotely (Gajarawala & Pelkowski, 2021). The current telehealth infrastructure often struggles with data transmission delays and connectivity issues, which can hinder effective patient care.

How 5G addresses existing telehealth challenges

5G technology addresses many of these challenges by providing faster and more reliable connections. Its low latency ensures that data is transmitted almost instantaneously, which is critical for real-time consultations and remote monitoring. 

With 5G, telehealth services can offer high-definition video and audio quality, making virtual visits more effective and closer to in-person visits. Additionally, 5G’s ability to connect numerous devices simultaneously supports the growing demand for telehealth services and the integration of advanced technologies like AI and IoT in healthcare (Georgiou et al., 2021). 

Enhanced Real-time Communication

Improved video quality for virtual doctor visits

One of the most essential benefits of 5G in telehealth is the improvement in video quality for virtual visits. High-definition video is essential for healthcare providers to accurately assess patients’ conditions remotely. 

With 5G’s enhanced bandwidth, video calls are clearer and more stable, reducing the likelihood of disruptions during virtual visits. This improvement improves the patient experience and allows healthcare providers to make more accurate diagnoses and treatment recommendations.

Low latency for seamless interactions

Latency, or the delay before data transfer begins following an instruction, is a critical factor in telehealth. High latency can lead to frustrating delays and miscommunications during virtual doctor visits. 

5G significantly reduces latency, enabling seamless interactions between patients and healthcare providers. This is particularly important in scenarios where immediate feedback is necessary, such as during remote surgeries or emergency telehealth visits.

Clearer audio for accurate diagnoses

Clear audio is crucial for healthcare providers to understand patients’ symptoms and concerns accurately. 5G enhances audio clarity by providing a more stable and reliable connection. 

This improvement ensures that both patients and providers can communicate effectively, minimizing the risk of misdiagnosis due to poor audio quality. Enhanced audio clarity is especially beneficial in fields like mental health, where verbal communication is a key component of treatment (Georgiou et al., 2021).

Remote Patient Monitoring Advancements

Beyond improving communication, 5G improves the ways doctors keep track of their patients’ health remotely.

Real-time data transmission from wearable devices

Wearable devices have become an integral part of remote patient monitoring (RPM), allowing continuous tracking of vital signs and other health metrics. 

5G technology enhances the capabilities of these devices by enabling real-time data transmission. This means healthcare providers can receive up-to-the-minute information about a patient’s condition, allowing for timely interventions and adjustments to treatment plans.

Continuous monitoring of chronic conditions

Woman on couch with Blood pressure monitor at home

For patients with chronic conditions, continuous monitoring is essential for managing their health effectively. 5G supports the continuous transmission of data from wearable devices, ensuring that healthcare providers have access to comprehensive and accurate information (Devi et al., 2023). 

This capability allows for better management of conditions such as diabetes, heart disease, and hypertension, ultimately improving patient outcomes and reducing hospital admissions.

Early detection and prevention of health issues

The ability to monitor patients in real-time also facilitates the early detection of potential health issues. By analyzing data from wearable devices, healthcare providers can identify patterns or anomalies that may indicate a developing problem. 

Early detection allows time for preventive measures, reducing the risk of complications and improving overall patient health. 5G’s high-speed connectivity ensures that this data is transmitted quickly and reliably, enabling proactive healthcare management.

Enabling Advanced Telehealth Applications

The power of 5G opens up new possibilities for complex medical procedures and training.

Remote surgeries and robotic procedures

Robot reviewing scans on screen

5G technology is paving the way for advanced telehealth applications, including remote surgeries and robotic procedures. With its low latency and high reliability, 5G enables surgeons to perform operations remotely using robotic systems. 

This capability is particularly important in emergencies or areas lacking specialized surgical expertise. Remote surgeries are made possible by 5G’s ability to transmit high-definition video and tactile feedback in real-time to ensure precision and safety (Georgiou et al., 2021).

Augmented and virtual reality in medical training

Augmented reality (AR) and virtual reality (VR) are transforming medical training by providing immersive and interactive learning experiences. 5G supports these technologies by delivering the high-speed and low-latency connections required for seamless AR and VR applications. 

Medical students and professionals can use AR and VR to practice complex procedures, visualize anatomy in 3D, and simulate real-life scenarios, enhancing their skills and knowledge without the need for physical resources.

AI-powered diagnostics and treatment planning

Anantomy scan with goggles stethoscope and notebook

Artificial intelligence (AI) is becoming increasingly important in healthcare for diagnostics and treatment planning. 5G enables the integration of AI technologies into telehealth platforms by providing the necessary bandwidth and speed for processing large datasets. 

AI-powered tools can analyze patient data to identify patterns, predict outcomes, and suggest personalized treatment plans. This integration enhances the accuracy and efficiency of telehealth services, leading to better patient care (Georgiou et al., 2021).

Expanding Access to Healthcare

One of the most important impacts of 5G on telehealth is how it can bring quality healthcare to more people.

Bridges the urban-rural healthcare divide

WiFi signal over city buildings

A significant impact of 5G in telehealth is its potential to bridge the healthcare gap between urban and rural areas. Rural communities often face challenges in accessing quality healthcare due to distance and limited resources. 

5G enables telehealth services to reach these underserved areas by providing reliable and high-speed connectivity (Devi et al., 2023). Patients in rural areas can access virtual doctor visits, remote monitoring, and specialist care without the need to travel long distances.

Improves emergency response times

In emergencies, every second counts. 5G technology can improve emergency response times by enabling connected ambulances and real-time communication between paramedics and hospital staff. 

With 5G, ambulances can transmit patient data (teleambulance services), such as vital signs and medical history, to the hospital en route, allowing for better preparation and faster treatment upon arrival. This capability can greatly improve patient outcomes in critical situations.

Facilitates specialist visits in underserved areas

Mother with sick child on couch and red laptop - pediatric telehealth

Access to specialist care is often limited in underserved areas, leading to delays in diagnosis and treatment. 5G facilitates virtual visits with specialists, allowing patients to receive expert advice and care without the need for travel. 

This capability is particularly beneficial for patients with rare or complex conditions that require specialized knowledge. By enabling virtual visits, 5G helps ensure that all patients have access to the care they need, regardless of their location.

5G Challenges and Considerations

While the benefits of 5G in telehealth are significant, there are also important challenges to consider.

Infrastructure requirements for 5G implementation

While 5G offers numerous benefits for telehealth, its implementation requires hefty infrastructure development. Building the necessary network infrastructure, such as towers and data centers, can be costly and time-consuming (Agrawal et al., 2023). 

Additionally, healthcare facilities need to invest in compatible devices and technologies to fully leverage 5G’s capabilities. These infrastructure requirements can pose challenges, particularly for smaller healthcare providers or those in remote areas (Georgiou et al., 2021).

Data security and privacy concerns

With the increased use of digital technologies in healthcare, data security and privacy have become major concerns. 5G networks must ensure that patient data is transmitted securely and protected from unauthorized access. 

Healthcare providers need to implement robust security measures, such as encryption and authentication protocols, to safeguard sensitive information. Addressing these concerns is crucial for maintaining patient trust and compliance with regulations (Gajarawala & Pelkowski, 2021).

Equitable access to 5G-enabled telehealth services

Ensuring equitable access to 5G-enabled telehealth services is essential for maximizing their benefits. While 5G can improve healthcare access in underserved areas, disparities in technology adoption and infrastructure still exist. 

Efforts must be made to ensure that all communities, regardless of socioeconomic status or location, can access and benefit from 5G telehealth services. This includes addressing affordability, digital literacy, and infrastructure gaps.

Conclusion

From enhancing the quality of virtual doctor visits to enabling groundbreaking remote procedures, 5G with telehealth is a combo that’s set to improve patient outcomes and expand access to vital medical services. 

To make the most of 5G and telehealth, and address the challenges related to telehealth implementation, security, and equity, healthcare providers, patients, and policymakers must work together. The future of healthcare is powered by 5G.

References

Agrawal, V., Agrawal, S., Bomanwar, A., Dubey, T., & Jaiswal, A. (2023). Exploring the Risks, Benefits, Advances, and Challenges in Internet Integration in Medicine With the Advent of 5G Technology: A Comprehensive Review. Cureus; i(11). doi.org/10.7759/cureus.48767

Baldwin, P. (2021). How 5G can transform telemedicine to tackle today’s toughest challenges. Qualcomm. Retrieved from  https://www.qualcomm.com/news/onq/2021/01/how-5g-can-transform-telemedicine-tackle-todays-toughest-challenges

Crews, J. 5G: Bridging or Amplifying the Rural-Urban Divide? Heartland Forward. Retrieved from https://heartlandforward.org/case-study/5g-bridging-or-amplifying-the-rural-urban-divide/

Devi, D. H., Duraisamy, K., Armghan, A., Alsharari, M., Aliqab, K., Sorathiya, V., Das, S., & Rashid, N. (2023). 5G Technology in Healthcare and Wearable Devices: A Review. Sensors (Basel, Switzerland); 23(5). doi.org/10.3390/s23052519

Everything you need to know about 5G. (n.d.). Qualcomm. Retrieved from  https://www.qualcomm.com/5g/what-is-5g

Foo, M. 8 Ways That 5G Benefits Healthcare (n.d.). ABI Research. Retrieved from  https://www.abiresearch.com/blogs/2023/01/03/5G-in-healthcare/

Gajarawala, S. N., & Pelkowski, J. N. (2021). Telehealth Benefits and Barriers. The Journal for Nurse Practitioners; 17(2), 218-221. doi.org/10.1016/j.nurpra.2020.09.013

Georgiou, K. E., Georgiou, E, Satava, R. M. (2021). 5G Use in Healthcare: The Future is Present. Journal of the Society of Laparoscopic & Robotic Surgeons; 25(4):e2021.00064. doi: 10.4293/JSLS.2021.00064

Gillis, M. (2022). More Than 80% of Healthcare Executives Expect the Metaverse Will Have a Positive Impact on Their Organizations, According to a New Accenture Report. Accenture. Retrieved from https://newsroom.accenture.com/news/2022/more-than-80-percent-of-healthcare-executives-expect-the-metaverse-will-have-a-positive-impact-on-their-organizations-according-to-a-new-accenture-report

Lensing, M. (2019). 5G can help deliver better insights into patient health. AT&T Business. Retrieved from https://www.business.att.com/learn/top-voices/5g-can-help-deliver-better-insights-into-patient-health.html

Maheu, M. (2024). See How 5G Technology Can Improve Your Healthcare Service. Telehealth.org. Retrieved from https://telehealth.org/see-how-5g-technology-can-improve-your-healthcare-service/

Seitz, S. (2024). The Impact of 5G on Connected Devices. Sequenex. Retrieved from https://sequenex.com/the-impact-of-5g-on-connected-devices/

Udell, C. (2023). 5G Security Concerns & Privacy Risks. MRL Consulting Group. Retrieved from https://www.mrlcg.com/resources/blog/5g-security-concerns—privacy-risks/

Pediatric Telehealth: Bringing Expert Care to Kids at Home

Pediatric Telehealth: Bringing Expert Care to Kids at Home

by Ree AI Health Tech

Pediatric telehealth, the practice of providing medical care to kids remotely, is becoming more popular each year. A survey by Amwell and Nemours Children’s Health found that 61% of parents were willing to use online pediatric services. 

This article discusses the benefits, challenges, and ways telehealth for children can improve pediatric care.

Contents

What is Pediatric Telehealth?

Pediatric telehealth uses digital technology to deliver healthcare services to children. Healthcare providers can use video calls, secure messaging, and mobile health apps to offer medical consultations, diagnoses, and treatments remotely (Tully et al., 2021). 

Pediatric telehealth includes various services like virtual doctor visits, e-prescriptions, and remote monitoring. It aims to make healthcare more accessible and convenient for children and their families, especially those living in rural or underserved areas (Hall et al., 2015).

Pediatric telehealth service types 

Doctor talking to parent and child on laptop

Pediatric telehealth offers various services, such as:

  • Virtual doctor visits: These include urgent care, routine check-ups, follow-up appointments, and consultations for minor illnesses or injuries.

  • Mental health services: Telehealth provides access to pediatric psychology and behavioral health support, which is crucial to address mental health issues in children.

  • Chronic condition management: With telehealth, conditions like asthma, diabetes, and gastrointestinal issues can be monitored and managed remotely.

  • Specialty care: Pediatric specialties such as endocrinology, dermatology, and neurology can be accessed through telehealth, allowing families to consult specialists without traveling long distances.

Primary care pediatricians report using telehealth for sick visits (91%), mental health visits (85%), and chronic disease visits (71%). Over 80% of pediatricians reported telehealth was very effective or moderately effective for mental health and chronic disease visits.

Technologies used for pediatric telehealth

The technologies that enable pediatric telehealth include:

  • Video conferencing tools: Platforms like Zoom or Skype facilitate face-to-face interactions between healthcare providers and patients.

  • Secure messaging: This allows for confidential communication between families and healthcare providers.

  • Remote monitoring devices: Wearable devices and home monitoring tools help track vital signs and other health metrics.

  • Mobile health apps: These apps provide educational resources, appointment scheduling, and medication reminders.

Benefits of Telehealth for Kids and Families

Woman and baby looking at tablet

Pediatric telehealth offers numerous advantages for children and their families, making healthcare more accessible and efficient.

Convenience and accessibility

Telehealth provides the convenience of accessing healthcare services from home, eliminating the need for travel. This is particularly beneficial for families with busy schedules or those living in remote areas. It also reduces the time spent in waiting rooms, minimizing exposure to illnesses.

Access to specialists

Telehealth can bridge the gap between families and pediatric specialists, regardless of their geographic location. This is crucial for children requiring specialized care, such as pediatric oncology or neurology, where specialists may not be available in their area (Casey Family Programs, 2024).

Cost-effectiveness and time savings

By reducing travel expenses and time off work or school, telehealth can be more cost-effective for families. It also alleviates the burden of transportation, which can be a huge barrier for some families.

Common Pediatric Conditions Treated via Telehealth

Telehealth is effective for managing a variety of pediatric conditions, offering a practical solution for acute and chronic health issues. Some pediatric services are better for telehealth than others:

  • Virtual Visits: Best for mental health, behavioral and developmental concerns, headaches, and skin conditions.

  • In-Person Visits: Best for newborn and well-child checkups, immunizations, and asthma. Also important for illnesses that require a test or an exam for an official diagnosis. 

Let’s go over the ideal conditions for pediatric virtual visits.

Minor illnesses and injuries

A child with a scraped knee closeup

Telehealth can address common childhood ailments such as fevers, rashes, respiratory infections, and minor injuries like cuts and bruises. Virtual doctor visits allow healthcare providers to assess symptoms and recommend treatment without an in-person visit.

Mental health and behavioral issues

About 16.5% of people under age 18 have experienced at least one mental health condition, with depression, anxiety, and conduct problems being among the most prevalent. The rates of depression and anxiety among teens have shown an upward trend over time, amplified by the pandemic (Vanderwood et al., 2023). 

Telehealth has become an essential tool for delivering mental health services to children. It provides a platform for therapy sessions and behavioral assessments, which are crucial for managing conditions like anxiety and depression.

Collaborative care and telehealth

Collaborative care is when primary care doctors work closely with mental health experts to help patients. One study by JG Research & Evaluation and Concert Health looked at how well collaborative care delivered via telehealth works for treating depression and anxiety in teenagers. They found that over half of the teens in this study saw their symptoms improve.

More frequent check-ins with the teens led to better results, especially for those with anxiety. Researchers also noticed that older teens tended to do better with this treatment, possibly because they can engage more easily with phone-based (audio-only) care and learn coping skills better.

One notable finding was that Medicaid patients were less likely to see big improvements in their depression symptoms compared to those with private insurance. This suggests that Medicaid patients may need extra support.

Chronic disease management

Mother with sick child on couch and red laptop - pediatric telehealth

Children with chronic conditions like asthma, epilepsy, or diabetes can benefit from telehealth through regular monitoring and consultations. This ensures continuous care and timely adjustments to treatment plans.

Follow-up appointments and medication reviews

Telehealth simplifies follow-up care by allowing healthcare providers to review medications and treatment progress remotely. This is especially useful for children requiring ongoing medical supervision.

Challenges and Limitations of Pediatric Telehealth

Despite its benefits, pediatric telehealth faces several challenges that must be addressed to ensure that providers can implement it effectively.

Technology barriers and digital divide

Man at laptop with head in hands

Access to reliable internet and digital devices is essential for telehealth, but not all families have this available to them (Curfman et al., 2022). The digital divide can hinder the effectiveness of telehealth services, particularly in rural or low-income areas.

Difficulty performing physical examinations

Telehealth limits the ability to conduct thorough physical exams, which are sometimes necessary for accurate diagnosis. This is a big drawback for certain medical conditions (Tully et al., 2021).

Privacy and security concerns

Ensuring the privacy and security of patient data is crucial in telehealth. If you have concerns about the confidentiality of your health information when using digital platforms, check that your provider’s telehealth platform is HIPAA-compliant.

Insurance coverage and reimbursement complexities

Understanding insurance coverage for telehealth services can be difficult and complex, with varying policies on reimbursement. This can affect how affordable and accessible telehealth is for some families (Tully et al., 2021).

How to Prepare for a Pediatric Telehealth Visit

Families should get ready for their child’s telehealth appointment with the following steps.

A girl and her mom using red laptop

Setting up the tech

Ensure that the necessary technology, such as a computer or smartphone with a camera and microphone, is set up and functioning properly. Test the internet connection to avoid disruptions during the appointment.

Gather medical information

Prepare any relevant medical records, such as previous diagnoses, medication lists, and recent test results, to share with the healthcare provider during the consultation.

Create the ideal environment

Choose a quiet, private, and well-lit area for the telehealth visit to facilitate clear communication and minimize distractions.

Tips to keep children engaged

Engage children by explaining the purpose of the telehealth visit and involving them in the process. Having a favorite toy or book nearby can help keep them calm and focused during the appointment.

The Future of Telehealth in Pediatric Care

The future of pediatric telehealth looks promising, with advancements in technology and increased integration into healthcare systems.

Up-and-coming technologies

Innovations such as artificial intelligence (AI), virtual reality (VR), and advanced wearable devices are expected to enhance telehealth services, making them more interactive and effective.

Integration with school health services

School nurse treating a girl

Telehealth can be integrated into school health programs, providing students with access to medical care without leaving the school premises. This can improve health outcomes and reduce absenteeism (Curfman et al., 2022).

Potential for improving healthcare equity

Telehealth has the potential to improve healthcare equity by providing underserved populations with access to quality care. This is particularly important for children in rural or low-income areas.

Ongoing research and development

Continuous research and development in telehealth will likely lead to new applications and improvements in service delivery, ensuring that pediatric telehealth remains a vital component of children’s healthcare.

Conclusion

Pediatric telehealth is more than just a convenient option—it’s a powerful tool that’s expanding access to quality healthcare for children everywhere. While challenges remain, the benefits of virtual care for kids are clear: increased access to specialists, reduced healthcare costs, and improved convenience for families. 

For parents and healthcare providers alike, embracing digital solutions like telehealth can mean healthier, happier kids and more empowered families. 

The future of children’s healthcare is here, and it’s just a screen away.

References

AAP Research. (2023). AAP study shows telehealth use common in pediatric care. American Academy of Pediatrics (AAP). Retrieved from https://publications.aap.org/aapnews/news/23772/AAP-study-shows-telehealth-use-common-in-pediatric

Hall, R. W., TELEHEALTH CARE, S. O., Dehnel, P. J., Alexander, J. J., Bell, D. M., Bunik, M., & Kile, J. R. (2015). Technical Report: Telemedicine: Pediatric Applications. Pediatrics; 136(1), e293. doi.org/10.1542/peds.2015-1517

How can child protection agencies use telehealth to increase service access for children and families? (2024). Casey Family Programs. Retrieved from https://www.casey.org/telehealth-child-welfare/

LaMarco, N. (2024). What Conditions Can a Pediatrician Treat with Telehealth? Healthgrades. Retrieved from https://www.healthgrades.com/right-care/childrens-health/10-childrens-conditions-that-can-be-treated-in-a-telehealth-visit

Minimizing Telehealth Technology Barriers in Rural and Underserved Communities. (n.d.). American Academy of Pediatrics (AAP). Retrieved from https://www.aap.org/en/practice-management/care-delivery-approaches/telehealth/minimizing-telehealth-technology-barriers-in-rural-and-underserved-communities/

Telehealth: Opportunities to Improve Access, Quality, and Cost in Pediatric Care. (2022). American Academy of Pediatrics (AAP). Retrieved from  https://publications.aap.org/pediatrics/article/149/3/e2021056035/184902/Telehealth-Opportunities-to-Improve-Access-Quality

Telehealth appointment or in-person primary care? How to choose the best option for you. (n.d.). HealthPartners. Retrieved from https://www.healthpartners.com/blog/when-to-use-telemedicine

Telehealth Virtual Care Services Bring Future of Health Care to Every Child Pediatrics. (n.d.). Every Child Pediatrics. Retrieved from https://everychildpediatrics.org/telehealth-virtual-care-services-bring-future-of-health-care-to-every-child-pediatrics/

Survey Finds Majority of Parents Willing to Engage in Telehealth Post-COVID. (2021). Nemours Children’s Health. Retrieved from https://nemours.mediaroom.com/2021-07-28-Survey-Finds-Majority-of-Parents-Willing-to-Engage-in-Telehealth-Post-COVID

Tully, L., Case, L., Arthurs, N., Sorensen, J., & Marcin, J. P. (2021). Barriers and Facilitators for Implementing Pediatric Telemedicine: Rapid Review of User Perspectives. Frontiers in Pediatrics; 9. doi.org/10.3389/fped.2021.630365

Vanderwood, K., Joyner, J., & Little, V. (2023). The effectiveness of collaborative care delivered via telehealth in a pediatric primary care population. Frontiers in Psychiatry; 14, 1240902. doi.org/10.3389/fpsyt.2023.1240902

Amwell Telehealth Review: Is It Right for Your Healthcare Needs?

Amwell Telehealth Review: Is It Right for Your Healthcare Needs?

by Ree AI Health Tech Med Tech

In an era where digital healthcare is becoming increasingly prevalent, Amwell is a prominent player in the telehealth arena. But how does Amwell stack up against its competitors?

This in-depth Amwell telehealth review will explore the ins and outs of Amwell’s telehealth services, to help you decide if it’s the right choice for your healthcare needs.

Contents

What is Amwell and How Does It Work?

Amwell is a leading telehealth platform that connects patients with healthcare providers digitally. 

You can access their services from virtually anywhere with internet access or their mobile app. From urgent care to behavioral health, Amwell’s platform is designed to cater to various healthcare needs. 

Available medical services 

Screenshots from Amwell app in Apple's app store
Source: Apple App Store

Amwell offers a broad spectrum of medical services, including:

  • Primary Care: General health consultations.

  • Urgent Care: Immediate care for non-emergency conditions.

  • Behavioral Health: Therapy and counseling services.

  • Specialist Appointments: Access to dermatologists, dietitians, and more.

  • Prescriptions: Medication management and prescription refills.

How to schedule and start a virtual doctor visit 

Scheduling an appointment with Amwell is straightforward:

  1. Enroll: Create an account on the Amwell platform.
  2. Choose: Select a doctor based on their experience and ratings.
  3. Visit: Start your video call using secure, high-quality streaming video.

Most doctor visits last about 10 minutes, but you can extend the time if needed. These doctors can review your medical history, diagnose conditions, and prescribe medications if necessary.

Technical requirements

Older man talking to doctor on tablet - Tima Miroshnichenko
Source: Tima Miroshnichenko (Pexels)

To use Amwell, you need:

  • A computer or mobile device.

  • A stable internet connection.

  • The Amwell app or access to the web-based platform.

If you’re unable to use video, you can call for an audio-only (phone) visit as well. However, you may not be able to obtain a new prescription with an audio-only visit, depending on the state where you live.

Amwell’s Features and Benefits

Next, let’s review Amwell’s valuable features and benefits.

24/7 availability for urgent care

One of the standout features of Amwell is its 24/7 availability. You can access urgent care services anytime, even in the middle of the night or on a holiday. 

Range of specialists available

Doctor talking to patient on laptop by Tima Miroshnichenko
Source: Tima Miroshnichenko (Pexels)

You can choose from a variety of specialists at Amwell, including therapists, neurologists, dermatologists, and dietitians. This broad range of services ensures that you can find the right expert for your specific healthcare needs. 

Some examples of conditions Amwell’s urgent care doctors treat include:

  • Acute Bronchitis

                                      
  • Headache

                                   
  • Fever & Flu

                                    
  • Back pain

     
  • UTI   

                                                         
  • Respiratory Infection 

               
  • Sprains and strains   

                                                 
  • Diarrhea    

                                    
  • Exacerbations of chronic disease (asthma, diabetes)


103,000 providers conducted visits via Amwell in 2023.

Prescription services and management

Amwell doctors can prescribe medications and send them directly to your preferred pharmacy. This is particularly helpful to manage ongoing treatments and chronic conditions, and get your necessary medications fast. 

Note: A video visit is required by most states (not an audio-only visit) before Amwell can prescribe medication.

Integration with health insurance plans

Amwell works with several health insurance providers, making it easier for patients to get covered services. They also offer options for uninsured patients. Let’s dig into that a bit more, shall we?

Cost and Insurance Coverage

Understanding costs and insurance coverage is crucial when considering a telehealth service. This section discusses Amwell’s pricing.

Health insurance on paper

Amwell pricing 

The costs you pay for Amwell visits vary by visit type and insurance coverage:

  • Urgent Care: The cost starts at $69, unless your insurance co-pay is lower. 
  • Mental Health: Therapy sessions range from $99 to $110, depending on the therapist’s qualifications. 
  • Psychiatry: The initial visit for a psychiatric consultation is more expensive at $279. Follow-up visits with the same provider are $109 per visit.

Amwell works with many insurance companies, which can lower your costs. Before booking an appointment, check with your insurance provider. If you don’t have insurance, Amwell still offers competitive pricing.

Comparison with traditional in-person visits

Telehealth visits on Amwell are often more affordable than traditional in-person visits. The convenience of not having to travel and the ability to access care at any time makes it even more cost-effective.

Insurance plans accepted by Amwell

Amwell partners with various insurance companies, including Aetna, Blue Cross Blue Shield, UnitedHealthcare, and Anthem. Many insurance plans cover urgent care and mental health (behavioral health) services to reduce out-of-pocket costs. 

Over 100 million members have Amwell as a covered benefit. To confirm insurance coverage and pricing, check with your insurance provider before making an appointment.

For those without insurance, Amwell offers competitive pricing for its services. The platform ensures that everyone can access quality healthcare, regardless of their insurance status.

A user-friendly platform is essential for effective telehealth services. Let’s examine Amwell’s interface next.

User Experience and Interface

An easy-to-use interface* is essential for a telehealth platform, and Amwell fits the bill.

Black woman smiling at phone with glucose meter on arm

Easy account creation and setup

Creating an account on Amwell is quick and straightforward. The platform guides you through the process, and securely stores your information for future visits.

Navigation of the Amwell app and website

Both the Amwell app and website are designed with user experience (UX) in mind. The intuitive layout makes it easy to find doctors, schedule appointments, and access medical records.

Quality of video consultations

Amwell uses high-quality streaming video for consultations, ensuring clear communication between patients and doctors. This feature is crucial for accurate diagnoses and effective treatment plans.

Patient support and resources

Amwell offers robust patient support, including FAQs, live chat, and phone support. These resources help users navigate the platform and resolve any issues they may encounter.

Is it safe to use Amwell services over the internet? How does Amwell ensure patient data is protected? We answer these questions next. 

Privacy and Security Measures

Privacy and security are paramount in telehealth services. Here’s how Amwell addresses privacy and security concerns.

Doctor showing a patient an app in green

HIPAA compliance and data protection

Amwell is fully compliant with the Health Insurance Portability and Accountability Act (HIPAA), which ensures patient information is securely handled and protected.

Secure messaging and file sharing

The platform uses encrypted messaging and secure file-sharing protocols to protect patient data during communication and consultations.

Patient data storage and access policies

Amwell stores patient data securely, and you can access your medical records anytime. This transparency helps build trust and ensures you have control over your health information.

To provide a balanced view, let’s consider the advantages and potential drawbacks of using Amwell.

Pros and Cons of Using Amwell

Understanding patient feedback can provide valuable insights into the effectiveness of a telehealth service. And like any service, Amwell has its advantages and potential drawbacks. 

Amwell has mixed reviews from users. Amwell offers competitive pricing and a wide range of services compared to other telehealth providers. 

While many praise the convenience and quality of care, others expressed dissatisfaction with customer service, appointment scheduling, and reliability. 

Here’s what people who’ve used Amwell had to say about their experience.

Amwell’s advantages

Amwell’s platform includes all the benefits of a telehealth platform: 

  • Convenience: Access healthcare from anywhere at any time from a user-friendly interface.

  • Range of Services: From urgent care to specialist consultations.

  • Cost-Effective: Often cheaper than in-person visits.

  • Insurance Integration: Works with many insurance providers.

J.D. Power has recognized Amwell for its high customer satisfaction for several years. Amwell ranked No. 1 in the J.D. Power 2020 U.S. Telehealth Satisfaction Study, and only dropped to third place in 2023 behind CVS (1st) and MDLive (2nd).

Potential drawbacks

Based on reviews from those who’ve used Amwell, there are a few issues you may encounter, such as:

Conclusion

Doctor showing something in hands to patient on laptop
Source: Tima Miroshnichenko (Pexels)

Amwell’s telehealth platform provides convenient, accessible, and cost-effective healthcare services. With its wide range of services, 24/7 availability, and integration with many insurance plans, it’s a solid option for those seeking virtual healthcare. However, like any telehealth service, there are areas for improvement. 

Whether you’re looking for urgent care, specialist consultations, or mental health services, Amwell provides a comprehensive solution that could meet your various healthcare needs. Consider your specific healthcare needs, the types of services you require, and your comfort level with virtual consultations when deciding if Amwell is right for you. 

* I offer UX copywriting and content design services.

More of the Best Telehealth Apps

References

Amwell. (n.d.). Trustpilot. Retrieved from https://www.trustpilot.com/review/amwell.com

Amwell for patients: How it works. (n.d.). Amwell. Retrieved from https://patients.amwell.com/how-it-works

Amwell for patients: Online doctor visits, 24/7. (n.d.). Amwell. Retrieved from https://patients.amwell.com

Amwell Ranked No. 1 in the J.D. Power 2020 U.S. Telehealth Satisfaction Survey. (2020). Amwell. Retrieved from 

https://business.amwell.com/about-us/news/press-releases/2020/amwell-ranked-no-1-in-the-j-d-power-2020-u-s-telehealth-satisfaction-study

Enabling hybrid care at scale. (n.d.). Amwell. Retrieved from https://business.amwell.com/

Mixed reviews for Amwell: Long Wait Times, Appointment Cancellations, and Billing Concerns. (n.d.). Kimola. Retrieved from https://kimola.com/reports/unlock-insights-with-amwell-customer-feedback-analysis-trustpilot-en-us-148604

Telehealth Mobile Apps: Preferred Channel for Virtual Care Delivery but Generational Difference Persits, J.D. Power Finds. (2023). J.D. Power. Retrieved from https://japan.jdpower.com/en/press-releases/2023_US_Telehealth_Satisfaction_Study

Telehealth for Rural Areas: Bridging the Healthcare Gap

Telehealth for Rural Areas: Bridging the Healthcare Gap

by Ree AI Health Tech

In the vast expanses of rural America, access to quality healthcare has long been a challenge. But telehealth can be a digital lifeline for these communities. According to the American Hospital Association, 76% of U.S. hospitals connect with patients through video and other technology. This underscores the growing importance of telehealth for rural areas where medical facilities are often few and far between. 

Let’s explore how this technology is making waves in rural healthcare, its benefits, challenges, and what the future holds.

Contents

Benefits of Telehealth for Rural Residents

Telehealth is changing healthcare delivery, particularly in rural areas where access to medical services can be limited. 

A man hitchhiking from a farm

In a survey of 202 adults living in a rural area, 88% of them were open to telehealth. When asked about barriers to show up for doctor appointments or receiving adequate healthcare, they cited several reasons (Kolluri et al., 2022):

  • The wait to see the doctor is too long – 32.7%

  • Too expensive – 24.8%

  • Lack of transportation – 22.8%

  • Schedule conflicts – 22.8%

  • Not sick – 15.8%

  • Distrust the quality of healthcare – 13.9%

  • Other – 4.5% (“My insurance isn’t accepted for at least 100 miles.”)

With this data, we can clearly see how telehealth can positively impact rural patients. Here are some specific benefits.

Better access to doctors with reduced travel

For many rural residents, visiting a doctor means traveling long distances, which can be costly and time-consuming. Finding a specialist is also challenging due to limited availability. 

Telehealth bridges this gap by connecting patients with specialists through video visits and online consultations, which eliminates the need for long travel (Butzner & Cuffee, 2021). Patients who receive care from the comfort of their homes save on transportation costs and reduce the need to take time off from work.

Faster access to care in emergencies

Tele-emergency services provide real-time access to emergency medicine physicians, allowing rural healthcare providers to manage emergencies more effectively (Rural Health Information Hub, 2024). This quick access can be crucial in life-threatening situations.

Increased continuity of care for chronic conditions

Black woman gold top showing phone with glucose meter on arm

Chronic disease management is vital for improving patient outcomes. Telehealth enables continuous monitoring and follow-up care, ensuring that patients with chronic conditions receive consistent and timely interventions.

Improved patient engagement and health outcomes

Telehealth encourages patients to take an active role in their healthcare. With tools like remote monitoring and mobile health apps, patients can track their health metrics and communicate with healthcare providers more frequently, leading to better health outcomes.

These benefits highlight how telehealth is making healthcare more accessible and effective for rural patients. However, implementing telehealth in these areas comes with its own set of challenges.

Success Stories: Rural Telehealth in Action

Many rural communities have successfully implemented telehealth programs with success stories to celebrate. Here are a few.

Effective telehealth programs 

Project ECHO®

Programs like Project ECHO® have connected rural healthcare providers with specialists, allowing for better management of complex cases (Rural Health Information Hub, 2024). These kinds of programs show the potential of telehealth to improve healthcare delivery in rural communities.

Hybrid healthcare in the South

Woman getting a shot in her arm

East Carolina University (ECU) developed a hybrid healthcare program to improve health outcomes for rural residents in that area. A nurse visits patients at home and connects them virtually with providers at health centers. 

This program allows patients to access various healthcare services, including consultations with pharmacists, while the nurse assesses their needs. The program has proven beneficial, as illustrated by a bed-bound diabetes patient who, after joining, received comprehensive care and reduced hospital visits. 

This hybrid approach combines telehealth with in-person visits to address barriers faced by rural patients, such as long travel distances to healthcare facilities. It also allows the clinical team to collaborative and address patients’ health issues, making them more discoverable and actionable. 

Mobile clinic for substance abuse in the Mid-Atlantic

Wide top white van driving down street

The University of Maryland (UMD) launched a telehealth program to address the shortage of healthcare providers for opioid use disorder (OUD) in rural areas, particularly after a care center in western Maryland lost its OUD provider. They partnered with health departments and secured funding from the Health Resources and Services Administration (HRSA) to set up mobile clinics equipped with vans and computers. 

These clinics, staffed by a counselor, nurse, and peer recovery specialist, park in central locations to provide care. Telehealth plays a crucial role in expanding access to OUD treatment. This initiative has successfully served hundreds of people, reaching individuals who otherwise might not have access to treatment.

Emergency care access in rural hospitals in the Midwest

Two ambulances in front of Emergency entrance to hospital

In rural areas, residents face higher risks of death from accidents and strokes. Telehealth allows specially trained providers to assist rural hospital staff in delivering prompt emergency care, which is crucial for improving outcomes. 

One such case study comes from Sanford Health, which uses telehealth to improve emergency care access in rural hospitals across South Dakota, North Dakota, and Minnesota. Their program connects 32 rural emergency service locations to specialists through a virtual care hub. This hub allows rural staff to quickly consult with specialists on treating strokes, burns, and other traumas. 

The program’s success relies on technology, including two large monitors that allow specialists to access patient information from multiple sources simultaneously. 

Impact on local healthcare providers and clinics 

Telehealth allows rural clinics to offer a broader range of services, reducing the need for patient transfers and hospital bypasses. There can be caveats to this, but telehealth can improve the viability of rural healthcare facilities and helped retain healthcare providers in these areas. 

Economic benefits for rural communities 

Implementing telehealth can lead to economic benefits such as reduced patient transportation costs, increased local pharmacy revenues, and decreased hospital staffing costs.

These success stories illustrate the transformative impact telehealth can have on rural healthcare, providing a model for future initiatives.

While telehealth often leads to positive outcomes, its implementation in rural areas is not without obstacles.

Challenges in Implementing Rural Telehealth

Despite its advantages, telehealth implementation in rural areas faces several hurdles. Understanding these challenges is crucial for developing effective solutions.

Telehealth access for people experiencing homelessness

Man in homeless shelter

Federally Qualified Health Centers (FQHCs) serve vulnerable, unhoused, and underinsured people in the U.S. 

During the COVID-19 pandemic, FQHCs set up telehealth in shelters and community organizations, used vans for mobile telehealth services, and gave smartphones and tablets to shelters to connect unhoused patients with primary care doctors and specialists. 

However, challenges remain, like unreliable phone and internet service. Post-pandemic, many unhoused patients still rely on phone visits instead of video visits (Azar et al, 2024).

Limited broadband internet access

Reliable internet is essential for telehealth services. Unfortunately, many rural areas lack the necessary broadband infrastructure, which can hinder the delivery of telehealth services.

Technology literacy and adoption among older populations

Older adults may struggle with using new technologies, which can limit their ability to benefit from telehealth services. Providing education and support is necessary to increase technology adoption among this demographic (Gurupur & Miao, 2022).

Regulatory and licensing inconsistencies

Telehealth often involves providing services across state lines, since technology allows for worldwide connections. This can lead to regulatory and licensing challenges. The requirements vary by state, which complicates the process for healthcare providers (Gurupur & Miao, 2022).

Reimbursement and insurance coverage complexities

Doctor on the phone

Insurance coverage for telehealth also varies, as some providers don’t reimburse certain types of care. For example, each state has different rules and regulations about the types of services that can be reimbursed by Medicaid. This inconsistency discourages some healthcare providers from offering telehealth services.

Privacy and security concerns in digital health platforms 

Protecting patient data is a top priority in telehealth. Ensuring that digital health platforms comply with privacy regulations like HIPAA is essential to maintain patient trust.

Language barriers

In a study by UC Davis in Sacramento with The University of Queensland in Brisbane, providers had mixed experiences with interpreter services during telehealth visits. Some found it challenging to use interpreters effectively through their clinic’s telehealth platform. In some cases, non-English speaking patients were asked to come to the clinic in person instead of using telehealth. One provider mentioned relying on family members for translation, but this wasn’t always possible (Azar et al, 2024). 

On the other hand, many providers said they could meet the needs of non-English speaking patients using available interpreter services. Some clinics had smooth workflows for integrating interpreters into telehealth visits, while others were still working on finding good solutions to this issue (Azar et al, 2024).

Addressing these challenges requires collaboration between policymakers, healthcare providers, and technology companies. By overcoming these obstacles, telehealth can become a more integral part of rural healthcare.

The Future of Telehealth in Rural Healthcare

Lin et al (2018) found that health centers located in rural areas were associated with a 10-percentage-point increase in the probability of telehealth use, and 12.2 percentage points more likely to use telehealth for mental health care, compared to those in urban areas. 

Several years later, technology continues to improve, and telehealth plays an even more important role in providing healthcare to people in rural communities. Here are some trends and developments to watch.

Emerging technologies enhancing telehealth capabilities 

Innovations like wearable devices and artificial intelligence (AI) are expanding the possibilities of telehealth. These technologies provide more comprehensive monitoring and personalized care.

Policy changes and initiatives regarding rural telehealth 

Governments and organizations recognize the importance of telehealth in rural areas. However, telehealth in those communities can negatively impact their local healthcare access, and several federal waivers are set to expire soon. 

Rural vs. urban healthcare systems

Empty winding road

A study by the University of Tennesee at Knoxville found that rural hospitals often lose patients to urban hospitals offering telehealth services. This shift results in financial strain for rural hospitals, affecting their investment choices and capital structure. As a result, some rural hospitals may have to cut back on staff, including doctors and nurses, or even close down intensive care units. And in extreme cases, this can lead to bankruptcy. 

These financial challenges arise because rural hospitals lose revenue when patients opt for telehealth services from urban providers. This situation is worsened because rural hospitals typically face higher financial risks. 

Policymakers and patients should consider these long-term financial impacts when using telehealth services, as they can have unintended negative consequences for rural healthcare providers. Initiatives aimed at expanding broadband access and simplifying regulatory processes are crucial for the continued growth of telehealth.

Federal waiver expirations

At the end of 2024, six federal waivers and provisions will end  unless the U.S. government takes further action:

  • Site Waivers: Temporary Medicare changes, including geographic and site flexibilities, are set to expire, which affects FQHCs and Rural Health Clinics (RHCs).

  • In-Person Follow-Ups for Mental Telehealth: A waiver that removes the need for an in-person visit within six months of an initial telemental health visit is expiring.
  • HSA Safe Harbor: Laws that allow high-deductible health plans to cover telehealth services without affecting health savings accounts is ending.
  • Controlled Substance Prescribing: The temporary Drug Enforcement Administration (DEA) guidelines that allow telehealth providers to prescribe controlled substances without an in-person visit are set to expire.
  • Provider Privacy: Medicare telehealth providers currently have privacy regarding their location on claim forms, but this may change.
  • Acute Hospital Care at Home: A waiver that allows remote patient monitoring by eliminating the need for 24/7 on-site nursing is expiring.

Integration with other healthcare services and systems

Telehealth is becoming more integrated with traditional healthcare services, offering a seamless experience for patients. This integration can improve care coordination and ensure that telehealth complements in-person care effectively.

Potential for addressing healthcare disparities

Asian woman looking at phone in disgust

Telehealth has the potential to reduce healthcare disparities by providing equitable access to care for underserved populations. By making healthcare more accessible, telehealth can help address some of the systemic issues contributing to health disparities.

Conclusion

Quality healthcare should be equitable and available for everyone, regardless of their zip code. Telehealth can be a powerful tool to address the healthcare needs of rural communities. By breaking down geographical barriers, it’s bringing quality care to those who need it most. 

As technology advances and policies adapt, there are many opportunities for telehealth to further improve rural healthcare. By continuing to innovate and address existing challenges, telehealth can become a cornerstone of rural healthcare delivery.

Whether you’re a patient, provider, or policymaker, embracing telehealth could be the key to ensuring that everyone, regardless of location, has access to the care they deserve. The future of rural healthcare is here, and it’s digital. Are you ready to connect?

References

Azar, R., Chan, R., Sarkisian, M., Burns, R. D., Marcin, J. P. , Gotthardt, C. De Guzman, K. R., Rosenthal, J. L., & Haynes, S. C. (2024). Adapting telehealth to address health equity: Perspectives of primary care providers across the United States. Journal of Telemedicine and Telecare; 1-7. doi:10.1177/1357633X241238780

Butzner, M., & Cuffee, Y. (2021). Telehealth Interventions and Outcomes Across Rural Communities in the United States: Narrative Review. Journal of Medical Internet Research; 23(8). doi.org/10.2196/29575

Expanding access to emergency care in rural hospitals. (2024). Health Resources and Services Administration (HRSA). Retrieved from https://telehealth.hhs.gov/community-stories/expanding-access-emergency-care-rural-hospitals

Gurupur, V. P., & Miao, Z. (2022). A brief analysis of challenges in implementing telehealth in a rural setting. MHealth; 8. doi.org/10.21037/mhealth-21-38

Home-based, hybrid health care in rural communities. (2024). Health Resources and Services Administration (HRSA). Retrieved from https://telehealth.hhs.gov/community-stories/home-based-hybrid-health-care-rural-communities

Kolluri, S., Stead, T. S., Mangal, R. K., Littell, J., & Ganti, L. (2022). Telehealth in Response to the Rural Health Disparity. Health Psychology Research; 10(3). doi.org/10.52965/001c.37445

Lin, C. C., Dievler, A. , Robbins, C., Sripipatana, A., Quinn, M. & Nair, S. (2018). Telehealth in Health Centers: Key Adoption Factors, Barriers, and Opportunities. Retrieved from 

https://www.healthaffairs.org/doi/10.1377/hlthaff.2018.05125

Mobile clinics for substance use disorder. (2024). Health Resources and Services Administration (HRSA). Retrieved from https://telehealth.hhs.gov/community-stories/mobile-clinics-substance-use-disorder

Stewart, H. (2024). Telehealth trends in 2024: Converging challenges on the virtual care frontier. CHG Healthcare. Retrieved from https://chghealthcare.com/blog/telehealth-trends

Telehealth and Health Information Technology in Rural Healthcare. (2024). Rural Health Information Hub. Retrieved from https://www.ruralhealthinfo.org/topics/telehealth-health-it

Telemedicine usage can have unexpected impact on rural communities’ access to local care. (2024). News Medical. Retrieved from https://www.news-medical.net/news/20240801/Telemedicine-usage-can-have-unexpected-impact-on-rural-communities-access-to-local-care.aspx

The Key Benefits of Telehealth in Rural Areas. (n.d.). Health Recovery Solutions. Retrieved from https://www.healthrecoverysolutions.com/blog/the-key-benefits-of-telehealth-in-rural-areas

Telehealth in Primary Care: Its Benefits and Limitations

Telehealth in Primary Care: Its Benefits and Limitations

by Ree Health Tech

Telehealth has dramatically changed how primary care is delivered, especially since the COVID-19 pandemic. Analyses of commercial claims in 2022 show that telehealth services were mostly rendered by primary care, psychiatry and psychology clinicians, as well as social workers. This shift expands healthcare access. It’s also introduced new challenges and opportunities for providers and patients that use telehealth in primary care. 

In this article, we’ll explore the various facets of telehealth in primary care, its benefits, challenges, and best practices for implementation.

Contents

Benefits of Telehealth in Primary Care

Let’s look at some advantages of using telehealth in a primary care practice.

Cost-effectiveness

Telehealth can be cost-effective for both healthcare providers and patients. It reduces overhead costs for healthcare facilities and lowers patient expenses related to transportation and time off work.

  • Reduced Overhead: Healthcare providers can save on costs related to office space, utilities, and administrative staff.
  • Lower Patient Costs: Patients save money on travel expenses and can avoid taking unpaid time off work for appointments.
  • Efficient Resource Use: Telehealth can help optimize the use of healthcare resources by reducing the need for in-person visits for minor issues.

Increased access to care

Elderly woman on Zoom with health provider

Telehealth has made healthcare more accessible, especially for those in remote or underserved areas. Patients no longer need to travel long distances to see a doctor. This is particularly beneficial for people with mobility issues or those without reliable transportation.

  • Remote Access: Telehealth allows patients in rural areas to access specialists and primary care providers without the need for travel.

  • Convenience: Patients can schedule appointments at times that work best for them, reducing the need to take time off work or arrange childcare.

  • Reduced Costs: Telehealth can save patients money on travel expenses and lost wages from taking time off work.

Improved patient engagement

Telehealth makes it easier for patients to stay in touch with their healthcare providers. This can lead to better patient adherence to treatment plans, and improved health outcomes (Hatef et al., 2024). A few specific telehealth offerings that help improve patient engagement are:

  • Continuous Monitoring: Telehealth allows for continuous monitoring of chronic conditions, allowing for prompt interventions.

  • Follow-Ups: Virtual follow-up appointments can ensure that patients are following their treatment plans and making necessary lifestyle changes.

  • Patient Education: Telehealth platforms can provide educational resources to help patients understand their conditions and treatments better.

Telehealth case management (TCM)

Black man using his blood pressure monitor at home

In a Canadian study, health providers noted that TCM helped them to effectively coordinate care and support patients’ self-management, including remote monitoring, which improves patient engagement between visits.  

TCM is well-suited for activities like check-ins, refills, reminders, and care coordination, but in-person appointments are often required for complex needs and initial assessments. Providers noted that video visits can help bridge the gap between in-person and phone visits, but the lack of face-to-face interaction can obscure visual health cues (Delahunty-Pike et al., 2023).

Phone visit attendance vs. video visits

A study published in the Journal of General Internal Medicine compared non-attendance rates for telehealth and in-person primary care visits at a large urban healthcare system (Chen et al., 2022). The researchers found that telephone visits had similar or lower non-attendance rates compared to in-person visits, but video visits had higher non-attendance rates. This suggests that phone visits may be easier for patients than video visits.

They also identified certain demographic groups that had consistently higher or lower non-attendance rates across visit modalities. Patients who were White, male, and had public insurance or no insurance, and generally had higher non-attendance rates. In contrast, patients who were Asian or had more comorbidities had lower non-attendance rates.

These findings highlight the importance of considering patient preferences, digital access, and demographic factors when implementing telehealth services. 

Telehealth Challenges and Limitations

While telehealth has many advantages in healthcare, it also presents several challenges that healthcare providers and patients must navigate.

Frustrated woman with hand up and laptop

Technical barriers

The technical barrier is one of the biggest challenges people face when using telehealth. Some patients don’t have access to the necessary technology or the digital literacy to use telehealth platforms effectively.

  • Internet Connectivity: Reliable internet access is essential for telehealth, but not all patients have access to high-speed internet.
  • Access to Devices: Some patients may not have access to smartphones, tablets, or computers needed for telehealth visits.
  • Digital Literacy: Patients and providers need to be comfortable using telehealth technology.

Health insurance squeeze heart

Telehealth regulations and reimbursement policies vary widely, which can create challenges for healthcare providers (Mechanic et al., 2022).

  • Variable Regulations: Telehealth regulations differ by region, making it challenging for providers to navigate the legal landscape.

  • Reimbursement Challenges: Obtaining reimbursement for telehealth services can be difficult, as insurance policies and government programs may not always cover these services.

  • Licensing Issues: Providers may need to be licensed in the state where the patient is located, which can complicate the delivery of telehealth services.

Quality of care concerns

Some healthcare providers and patients are concerned about the quality of care delivered via telehealth. While telehealth can be effective for many types of care, it may not be suitable for all situations.

  • Physical Examinations: Certain conditions require a physical examination, which can be difficult to perform remotely.

Best Practices to Implement Telehealth in Primary Care

To successfully implement telehealth in a primary care practice, there are several best practices healthcare providers should consider.

Technology and infrastructure

Implementing telehealth successfully requires investment in reliable technology and infrastructure.

  • Reliable Platforms: Healthcare providers should invest in robust telehealth platforms that offer high-quality video and audio capabilities.

  • Cybersecurity: Protecting patient data is crucial. Providers should implement strong cybersecurity measures to ensure patient privacy.

  • Technical Support: Offering technical support to both patients and providers can help overcome some of the technical barriers to telehealth.

Training and support

Workplace presentation

Proper training and support are essential for both healthcare providers and patients to use telehealth effectively.

  • Provider Training: Healthcare providers should receive comprehensive training on how to use telehealth platforms and deliver care virtually.

  • Patient Support: Providing patients with resources and support can help them navigate telehealth platforms and feel more comfortable with virtual visits.

  • Ongoing Education: Continuous education for providers and patients can help keep them updated on best practices and new developments in telehealth.

Patient-centered approaches

patient lying on couch in therapist office

Health providers should customize telehealth options to meet the individual needs of their patients and ensure the best possible outcomes. Some ideas:

  • Personalized Care: Telehealth services should be customized to address the specific needs and preferences of each patient (Cannedy et al., 2023).

  • Managing Cost Expectations: It’s important to manage patient expectations around insurance coverage and reimbursement for telehealth, as uncertainty can deter long-term investment (Khairat et al., 2023).

  • Patient Education: Patients, especially older adults, may struggle to remember information from telehealth visits and miss printed summaries. Sending visit summaries via a patient portal and referencing educational videos can mitigate these issues (Khairat et al., 2023).
  • Feedback Mechanisms: Incorporating patient feedback can help improve telehealth services and ensure they meet patient needs.

  • Accessibility: Ensuring that telehealth platforms are accessible to all patients, including those with disabilities, is essential for providing equitable care.

Work-life balance improvement

Telehealth in primary care has shown mixed effects on healthcare providers (Cannedy et al., 2023). 

In a report for the Veterans Health Administration (VA), some primary care team members reported that telehealth increased their job flexibility and reduced burnout, with shorter patient visits. 

However, others experience anxiety and reduced job satisfaction due to challenges in remote patient management, workflow changes, and technology issues. 

To improve telehealth adoption and satisfaction among healthcare professionals, effective education, quality technology, and better workflow integration are crucial. Overall, the impact of telehealth on provider well-being and job satisfaction remains complex and varied.

Future of Telehealth in Primary Care

As telehealth continues to change and improve, we must explore its potential developments and trends.

Integration with traditional care

The future of telehealth in primary care will likely involve a hybrid model that combines in-person and virtual visits.

  • Hybrid Models: Combining telehealth with traditional in-person visits can provide a more comprehensive approach to care.

  • Preventive Care: Telehealth can also be used for preventive care, such as routine screenings and health education.

  • Chronic Disease Management: Telehealth can be particularly effective for managing chronic conditions, allowing for regular monitoring and timely interventions.


    A study of patients with chronic conditions found that physical exams make up a small percentage of in-person chronic condition management consultations. Discussions are critical for clinicians when they update treatment plans, as history-taking is more important than physical exams for diagnoses (Ward et al., 2023).

Advancements in Telehealth Technology

Emerging technologies are likely to play a significant role in the future of telehealth.

Policy and Regulation Evolution

As telehealth continues to grow, policies and regulations will need to evolve to support its use.

  • Policy Changes: Post-pandemic changes to telehealth policies may make it easier for providers to offer telehealth services.

  • Standardization: Efforts to standardize telehealth practices and reimbursement policies can help ensure consistent and equitable access to telehealth services.

  • Licensing Reforms: Reforms to licensing requirements can make it easier for providers to offer telehealth services across state lines.

Conclusion

Telehealth in primary care is here to stay. Its suitability depends on several factors like patient preferences, digital access, health conditions, and provider needs. While it offers flexibility, disparities in internet access and workflow disruptions can undermine its advantages.

To improve access and engagement in care, health providers must address barriers and design telehealth services that better meet the needs of diverse patient populations (i.e., in demographics, technical skill, and access).

The integration of telehealth with traditional care models will likely continue to evolve, making healthcare more accessible and efficient. By adopting best practices and leveraging technological advancements, healthcare providers can improve the telehealth experience for their patients, and increase engagement. 

Explore the possibilities of telehealth in your practice today and join the movement towards a more connected and patient-centered healthcare system.

References

Cannedy, S., Leung, L., Wyte-Lake, T., Balut, M. D. Dobalian, A., Heyworth, L. Paige, N. M. & Der-Martirosian, C. (2023). Primary Care Team Perspectives on the Suitability of Telehealth Modality (Phone vs Video) at the Veterans Health Administration. Journal of Primary Care & Community Health. 14(1-8). doi:10.1177/21501319231172897

Chen, K., Zhang, C., Gurley, A., Akkem, S., & Jackson, H. (2023). Appointment Non-attendance for Telehealth Versus In-Person Primary Care Visits at a Large Public Healthcare System. Journal of General Internal Medicine; 38, 922–928. doi.org/10.1007/s11606-022-07814-9

Delahunty-Pike, A., Lambert, M., Schwarz, C., Howse, D., Bisson, M., Aubrey-Bassler, K. Burge, F., Chouinard, M., Doucet, S., Luke, A., Macdonald, M., Zed, J., Taylor, J, & Hudon, C. (2023). Stakeholders’ perceptions of a nurse-led telehealth case management intervention in primary care for patients with complex care needs: a qualitative descriptive study. BMJ Open; 13:e073679. doi:10.1136/bmjopen-2023-073679

Hatef, E., Wilson, R. F., Zhang, A., Hannum, S. M., Kharrazi, H., Davis, S. A., Foroughmand, I., Weiner, J. P., & Robinson, K. A. (2024). Effectiveness of telehealth versus in-person care during the COVID-19 pandemic: A systematic review. Npj Digital Medicine, 7(1), 1-10. doi.org/10.1038/s41746-024-01152-2

Khairat, S., Chourasia, P., Muellers, K. A., Andreadis, K., Lin, J. J., & Ancker, J. S. (2023). Patient and Provider Recommendations for Improved Telemedicine User Experience in Primary Care: A Multi-Center Qualitative Study. Telemedicine Reports, 4(1), 21-29. doi.org/10.1089/tmr.2023.0002

Mechanic, O. J. , Persaud, Y., & Kimball, A. B. (2022). Telehealth Systems. StatPearls. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK459384/

Telehealth Utilization Fell Nearly Four Percent Nationally in June 2022. (2022). FAIR Health. Retrieved from https://www.prnewswire.com/news-releases/telehealth-utilization-fell-nearly-four-percent-nationally-in-june-2022-301621770.html

Ward, K., Vagholkar, S., Lane, J., Raghuraman, S., & Lau, A. Y. (2023). Are chronic condition management visits translatable to telehealth? Analysis of in-person consultations in primary care. International Journal of Medical Informatics; 178, 105197. doi.org/10.1016/j.ijmedinf.2023.105197

Best Telehealth Apps for Urgent Care: Quick Medical Help at Your Fingertips

Best Telehealth Apps for Urgent Care: Quick Medical Help at Your Fingertips

by Ree Health Tech Med Tech

Telehealth apps offer urgent care services right from the comfort of your home. In a recent Rock Health survey with 8,000 respondents, 76% said they used telehealth services in 2023 – a huge increase since the COVID-19 pandemic. 

Many digital health companies have taken advantage of this surge in popularity, each vying to provide the best experience. But which telehealth apps are best for urgent care? 

In this comprehensive guide, we’ll explore the best telehealth apps for urgent care, helping you understand what to look for in a telehealth app when you need medical attention fast.

Contents

What Makes a Great Telehealth App for Urgent Care?

Man holding a phone using a health app

When choosing a telehealth app for urgent care, be sure it has these must-have features (Shah, n.d.):

  • Easy Patient Registration: The app should allow quick and straightforward registration with minimal information required.

  • Patient Dashboard: A dashboard that provides a comprehensive view of medical history, current conditions, and treatment plans is crucial.

  • Doctor Catalog: The app should offer detailed profiles of healthcare providers, including their qualifications and specialties.

  • Appointment Management: Features like calendar integration and reminders help manage appointments efficiently.

  • E-Prescription: The ability to receive prescriptions electronically is a must-have. It helps doctors create and deliver prescriptions with fewer errors (Haleem et al., 2021).

  • Payment Gateway: Secure and straightforward payment options enhance user experience.

User-friendly interface

A user-friendly interface is vital for patients and healthcare providers. It should be easy to navigate, with clear instructions and intuitive design. This ensures that users can quickly find what they need, reducing frustration and improving overall satisfaction.

Board-certified healthcare providers

If the app connects you with board-certified healthcare providers, you’re almost guaranteed to get quality care.

Integration with insurance plans and pricing transparency

Check if the app works with with your insurance plan and shows the up front costs. This can help you avoid unexpected costs, and ensure you can use your insurance benefits effectively.

Privacy and security measures

Privacy and security are paramount when dealing with health information. Look for apps that comply with regulations like HIPAA and offer secure data handling practices.

Now that we’ve covered the essential components of a great telehealth app for urgent care, let’s take a closer look at some of the top-rated options.

Top-Rated Telehealth Apps for Urgent Care

1. Doctor on Demand

Patient using Doctor on Demand app
Source: Doctor on Demand

Doctor on Demand offers a wide range of services, including urgent care, mental health, and preventive care. It’s available on iOS, Android, and web platforms.

Key Features:

  • 24/7 access to board-certified doctors
  • Mental health services
  • Prescription refills
  • Integration with major insurance plans

ProsCons
24/7 availabilityHigher cost without insurance
Accepts MedicareLimited specialty care
User-friendly interface

Use Cases:

  • Treating common conditions like urinary tract infections (UTIs), viruses, and sinus infections
  • Managing mental health issues

To learn more, visit:

Doctor on Demand

2. MDLive

Doctor onscreen with patient - MDLive app
Source: MDLive

MDLive provides urgent care, primary care, and mental health services. It’s known for its comprehensive mental health offerings and user-friendly platform.

Key Features:

  • 24/7 urgent care
  • Mental health services
  • Prescription services
  • Insurance integration

ProsCons
Wide range of servicesHigher cost for uninsured
Insurance acceptedLimited availability in some regions
Easy to use

Use Cases:

  • Urgent care for common ailments
  • Ongoing mental health support

To learn more, visit:

MDLive

3. PlushCare

Doctor onscreen - PlushCare app
Source: PlushCare

PlushCare offers primary, urgent, and mental health care. It stands out for its disaster relief programs and specific health services.

Key Features:

  • Primary and urgent care
  • Mental health services
  • Disaster relief programs
  • Subscription-based model

ProsCons
Comprehensive careSubscription required
Disaster relief servicesHigher initial visit cost
Insurance integration

Use Cases:

  • Regular primary care visits
  • Urgent care needs
  • Mental health consultations

To learn more, visit:

PlushCare

4. Sesame Care

Doctor onscreen - Sesame Care app
Source: Sesame Care

Sesame Care is known for its affordability and transparency. It offers a variety of services, including urgent care, primary care, and mental health.

Key Features:

  • Affordable pricing
  • Transparent doctor profiles
  • Wide range of services
  • Membership options

ProsCons
AffordableLimited insurance integration
Transparent pricing
Membership benefits

Use Cases:

  • Affordable urgent care visits
  • Primary care consultations

To learn more, visit:

Sesame Care

5. Teladoc

Teladoc statistic: Over 50% of chronic care services live in underserved areas

Source: Sesame Care on Linkedin

Founded in 2002, Teladoc is a pioneer in telehealth. Their app and online portal provide a wide range of healthcare services, including urgent care, mental health support, and chronic condition management. 

Key Features:

  • No-pay service for eligible patients
  • Prescription services
  • Simple consultation process

ProsCons
24/7 availabilityHigher cost without insurance
Wide range of servicesLimited availability in some regions
User-friendly interface

Use Cases:

  • Treating common conditions like the flu, allergies, and sinus infections
  • Ongoing mental health support with the same specialist
  • Dermatology consultations for skin issues

To learn more, visit:

Teladoc

How to Choose the Right Telehealth App for Your Needs

Before you picking a telehealth app for urgent care, consider the following factors.

Decide on your specific urgent care requirements

Consider what you need from a telehealth app. Are you looking for general urgent care, mental health support, or primary care services? 

Identifying your needs will help narrow down your options. It’s also worth checking whether you’d be better served with in-person urgent care.

Compare app features and services

Compare the features and services of different apps. Look for those that offer the specific services you need, such as 24/7 access, mental health support, or prescription refills.

Consider cost and insurance coverage

Check if the app integrates with your insurance plan and understand the costs involved. Some apps offer subscription models that can save money in the long run.

Review provider qualifications and availability

Ensure the app connects you with board-certified providers. Also, check the availability of providers to ensure you can get an appointment when you need it.

Read user reviews and testimonials

User reviews and testimonials can provide valuable insights into the app’s performance and user experience. Look for apps with high ratings and positive feedback.

Once you’ve chosen the appropriate telehealth app, get familiar with it so you’re ready when you or your family have urgent care needs. 

Tips to prepare for a virtual doctor visit

Conclusion

Telehealth apps give us greater access to urgent care, providing quick, convenient, and high-quality medical attention when we need it most. Whether you’re dealing with a sudden illness, need a quick consultation, or require ongoing care, these top telehealth apps for urgent care are ready to connect you with qualified professionals.

When you choose the right app for your needs, expert healthcare is always just a few taps away. Don’t wait until an emergency strikes – explore these apps today and be prepared for whatever health concerns tomorrow may bring.

References

Haleem, A., Javaid, M., Singh, R. P., & Suman, R. (2021). Telemedicine for healthcare: Capabilities, features, barriers, and applications. Sensors International; 2, 100117. doi.org/10.1016/j.sintl.2021.100117

Knowles, M., Krasniansky, A., Nagappan, A., Zweig, M. & Kaganoff, S. (2024). The new era of consumer engagement: Insights from Rock Health’s ninth annual Consumer Adoption Survey. Rock Health. Retrieved from https://rockhealth.com/insights/the-new-era-of-consumer-engagement-insights-from-rock-healths-ninth-annual-consumer-adoption-survey/

Samee, A. S. (n.d.) 16 Must-Have Telemedicine App Features for a Better Experience. Folio3. Retrieved from https://digitalhealth.folio3.com/blog/telemedicine-app-features/

Shah, R. (n.d.). Must-Have Healthcare Software Features in Your Telemedicine App.” OSP Labs. Retrieved from https://www.osplabs.com/insights/10-must-have-features-in-your-telemedicine-app/

How to Set Up a Home Health Monitoring Station: The Ultimate Guide

How to Set Up a Home Health Monitoring Station: The Ultimate Guide

by Ree Health Tech Med Tech

Home health monitoring wearables to track blood pressure, heart rate and sleep are popular.  A 2022 AnalyticsIQ study of 8,000 Americans showed that we’ve doubled our use of wearable health devices between 2020 and 2021. Almost half of the respondents used at least one type of wearable tech, and Black, Latinx, male, and Gen X respondents used it the most.

This surge in popularity is no surprise, as home health monitoring empowers people to take control of their well-being from the comfort of their own homes. 

In this guide, we’ll walk you through the essentials of setting up a home health monitoring system. 

Contents

Let’s start with the fundamentals.

Home Health Monitoring Basics

Definition of home health monitoring

Home health monitoring uses technology to track and manage health conditions at home or on the go. 

Home health monitoring systems let you monitor various health metrics and share the data with healthcare providers remotely. It includes connected health devices and apps to collect, analyze, and transmit health data, facilitating continuous health management without frequent in-office visits (Story, 2010).

Source: ScienceDirect.com, Ahmed & Kannan, 2022.

Key benefits of monitoring health at home

Home health monitoring offers numerous advantages:

  • Increased Health Awareness: People become more aware of their health status, making informed decisions about diet, lifestyle, and treatment options.

  • Reduced Physical Consultations: Minimizes the need for in-person visits, which can be beneficial for people with mobility issues or those living in remote areas.

  • Real-Time Intervention: Allows for prompt medical interventions based on real-time data, to prevent potential complications.

  • Cost Savings: Reduces healthcare costs by decreasing hospital admissions and emergency room visits.

  • Improved Chronic Disease Management: Enhances the management of chronic conditions through continuous monitoring and timely adjustments to treatment plans.

Trackable health metrics 

Heart illustration for ECG monitor

Home health monitoring can track a wide range of health metrics, including:

  • Vital Signs: Heart rate, blood pressure, and body temperature.

  • Biometric Data: Blood glucose levels, blood oxygen saturation (SpO2), and body composition.

  • Activity Levels: Steps taken, calories burned, and sleep patterns.

  • Symptoms: Tracking symptoms related to chronic conditions or acute illnesses.

Medical and tech devices for home health monitoring

Several technologies and devices are available for home health monitoring (Dusun, 2024):

  • Smart Scales: Measure weight and body composition.

  • Blood Pressure Monitors: Track blood pressure levels.

  • Glucose Meters: Monitor blood glucose levels for diabetes management.

  • Pulse Oximeters: Measure blood oxygen saturation.

  • Wearable Fitness Trackers and Smartwatches: Monitor physical activity, heart rate, and sleep patterns.

  • ECG Monitors: Record heart rhythms to detect irregularities.

  • Medication Adherence Trackers: Ensure people take medications as prescribed.

Other conditions require more complicated devices that require training from your provider, including:

  • Apnea monitors

  • Heart monitors

  • Special monitors for dementia and Parkinson’s disease

  • Breathing apparatuses

  • Fetal monitors

Let’s review each of the less complex medical devices in turn.

Essential Devices for Home Health Monitoring

Smart scales for weight and body composition

Smart scale with monitor

A study in England showed that smart scale users who weighed themselves often were more likely to lose weight, and weigh themselves after recent weight loss (Sperrin et al., 2016).

Smart scales go beyond measuring weight; they can also analyze body composition, including body fat percentage, muscle mass, and bone density. These scales connect to health apps, allowing users to track their progress over time.

Before measuring your body composition:

  • Don’t drink alcohol for 2 days before measuring.

  • Avoid exercise, coffee, chocolate, or other diuretics (drinks that make you pee a lot) for 12 hours.

     
  • Don’t eat or drink anything for 4 hours before.

  • Don’t measure if you’re sick with a fever or diarrhea.

  • Use the bathroom within 30 minutes of measuring.

How to use a smart scale

Mondal & Mondal (2021) recommend the following steps to measure your body composition:

  1. Enter your age, sex, and height into the device.

  2. Stand in the right position to ensure you’re touching the electrodes properly.

  3. If your hands and feet are very dry, use a damp cloth to moisten them.

  4. Stand still during the measurement.

These devices may show body fat as a percentage, but don’t rely on just one measurement. Take three in a row, find the average (add the results, then divide by three), and write it down in a health log or app.

Blood pressure monitors

Woman on couch with Blood pressure monitor at home

Blood pressure monitors are essential for people with hypertension or heart conditions. These devices provide accurate readings of systolic and diastolic blood pressure to manage cardiovascular health.

Before taking your blood pressure:

  • Don’t measure your blood pressure until at least 30 minutes after having tea, coffee, energy drinks, cigarettes, or exercising.

  • Remove tight clothes and use the bathroom. 

How to use a blood pressure monitor

Mondal & Mondal (2021) recommend the following steps to take your blood pressure:

  1. Sit in a chair with back support, and legs uncrossed with feet flat on the floor. Rest your arm on a table at heart level.

  2. Put the cuff on their bare arm and start measuring. Don’t move or talk during the measurement.

  3. Take two readings one minute apart, and take the average of them (add the results, then divide by two). For better accuracy, you can do three readings, but it’s optional.

  4. Write down the final number in a health log or app to track any changes. 

Glucose meters for diabetes management

Glucose meter on hand with a blood drop

Glucose meters, or glucometers, are crucial for diabetes management, which helps people  monitor their blood sugar levels regularly. Some advanced models can sync with smartphones and health apps for easy tracking and data sharing with healthcare providers.

How to use a glucose meter

Mondal & Mondal (2021) recommend the following steps to measure your blood sugar:

  1. Check if that the test strips have not expired.

  2. Wash and dry your hands.

  3. Take a test strip and close the container. Use a new lancet each time.

  4. Put the lancet in the right spot on the device and set how deep it will prick based on what works for you or how thick your skin is.

  5. After loading the device, prick your ring or middle finger. You might need to gently squeeze your finger for enough blood.


    Once the blood touches the strip, the meter will take a moment to complete the measurement. The result will show up on the device or your phone.

  6. Throw away the used lancet in a special container for sharp objects and the strip in a biohazard bin. You might need to press your finger with cotton to stop bleeding. You can clean the lancet tip with an alcohol wipe. Write down your blood sugar reading right away in a health log.

Pulse oximeters for oxygen saturation levels

Man taking pulse oximeter reading

Pulse oximeters measure the oxygen saturation level in the blood, which is vital for people with respiratory conditions like chronic obstructive pulmonary disease (COPD) or COVID-19. These devices are easy to use and provide quick, accurate readings.

Before you take a measurement with a pulse oximeter, remove any nail polish from the finger you’re going to use.

How to use a pulse oximeter

Mondal & Mondal (2021) recommend the following steps to measure your oxygen level:

  1. Wash and dry your hands.

  2. Put the device on your finger so it’s not too loose or tight. Don’t use a finger with a tattoo or henna on it.

  3. Make sure your finger covers the lights and sensor properly.

  4. Avoid bright light, which can cause errors. If you can’t, cover the device with a cloth.

  5. Start the device, and keep your finger still during measurement.

Every few days of use, clean the device with an alcohol wipe to ensure accurate readings.

Wearable fitness trackers and smartwatches

Woman in a jacket touching smart watch

Wearable fitness trackers and smartwatches monitor various health metrics, including heart rate, steps taken, calories burned, and sleep patterns. They are popular for their convenience and integration with health and fitness apps.

Note that sometimes, these devices make errors. These errors can happen because the sensors in these devices aren’t perfect at counting or estimating. For example, fitness trackers worn on the wrist may count fewer steps than you actually take if you walk slowly (Hicks et al., 2019).

ECG monitors

Irregular heartbeats, known as heart rate arrhythmia, are a major sign of common heart diseases and can be very dangerous. Because these irregularities can happen suddenly, are hard to notice, and change quickly, it’s important to keep track of heart rate changes in real-time to spot and prevent problems early (Zhang & Yang, 2023).

ECG monitor closeup on stomach

A home electrocardiogram (ECG) monitor can track your heart rate. Note that while wearable ECG monitors can detect heart rhythm issues, but may miss some due to intermittent recording. They’re usually expensive and not covered by insurance. 

Medical-grade monitors are more accurate, using chest sensors for continuous recording. Personal devices use wrist or finger sensors and may require manual activation, making them less reliable for serious conditions (Samaan, 2022).

Before measuring your heartbeat:

  • Move electronic devices, metal, and magnets away from the ECG device.

  • Sit quietly for 5 minutes.

How to use

Mondal & Mondal (2021) recommend the following steps to analyze your heartbeat:

  1. If your hands are dry, use a damp cloth to moisten them.

  2. Follow the instructions to place the electrodes correctly.

  3. Start the device. Don’t move or talk during the measurement.

  4. Have a doctor look at the results afterward.

Medication adherence trackers

Taking your medication as prescribed is a critical part of your overall health and wellness. To help you remember when to take your meds, use one or more medication adherence monitoring technologies like:

  • Medication reminder apps

  • Electronic pill boxes, bags, or bottles

  • Ingestible sensors

  • Blister packs

While these devices offer real-time data and improve adherence monitoring, they face challenges like accuracy issues and expensive implementation. Most rely on proxy measures like device opening events, limiting data precision, and integration with clinical systems is a challenge. (Mason et al., 2022).

Next, we’ll learn how to pick the right health monitoring device for your specific needs.

Choosing the Right Monitoring Devices

Factors to consider when selecting devices

Purple pulse oximeter and mask

When choosing home health monitoring devices, consider the following factors:

  • Ease of Use: Devices should be user-friendly, especially for those with limited technical skills.

  • Accuracy and Reliability: Look for devices with proven accuracy and reliability, supported by clinical validation.

  • Compatibility: Ensure devices are compatible with your smartphone, tablet, or other health platforms.

  • Battery Life: Consider devices with long battery life to avoid frequent recharging.

  • Customer Support: Opt for brands that offer robust customer support and warranty services.

Compatibility with smartphones and other tech

Many home health monitoring devices are designed to sync with smartphones and other tech platforms. This integration allows for seamless data transfer, real-time monitoring, and easy access to health metrics through dedicated apps.

Accuracy and reliability of different brands

To ensure you choose the right device, check that the device is approved by the proper authority such as the FDA or ISO (Mondal & Mondal, 2021).

Research and reviews can also help determine the accuracy and reliability of different brands. Look for devices with positive feedback from users and healthcare professionals, and check for any clinical validation or certifications. 

Once you get your medical device, it’s important to use them properly, and calibrate them at the intervals the manufacturer recommends to maintain its accuracy (Mondal & Mondal, 2021). 

Budget considerations and cost-effectiveness

While some advanced devices can be expensive, there are cost-effective options available that still offer reliable performance. Consider your budget and prioritize devices that provide the best value for money without compromising on essential features.

Once you’ve chosen your devices, it’s vital to address the important aspects of data protection and privacy.

Privacy and Security Considerations

Blue lock shield

Home health monitoring and remote patient monitoring (RPM) are part of telehealth.  Telehealth provides convenience, but also comes with security risks and issues (Houser et al., 2023):

Let’s look at a few best practices to protect and secure your personal health information.

Protect your health data from breaches

Health data is sensitive and must be protected from breaches. Some tips:

  • Use strong passwords for your health apps and devices.

  • Turn on two-factor authentication in your apps.

  • Use email, chat, or messages through the patient portal. This is especially useful when a private location is temporarily unavailable. If the situation isn’t temporary, ask your health provider for suggestions (Houser et al., 2023).

     
  • Regularly update your software to protect against vulnerabilities.

Understand data ownership and sharing policies

Some apps may share data with third parties for research or marketing purposes. Read the privacy policies of your health apps and devices to understand who owns your data and they share it. Opt for apps that prioritize user privacy and offer clear data ownership policies.

Secure your home network for health devices

Some tips to secure your home network include:

  • Use a strong Wi-Fi password and enabling network encryption.

     
  • Check the URL address bar of your browser before you enter your personal information on a website. A secure website will show a lock icon in the address bar, and look for https:// at the beginning of the URL (as some do not include the “s”).

  • Install and use anti-virus software on your devices.

  • Avoid using public Wi-Fi networks for health monitoring, as they are more susceptible to breaches.

Check compliance with health data regulations 

Health Insurance Portability and Accountability Act (HIPAA) is a regulation in the U.S. that protects the privacy and security of people’s personal health information. Check whether your health monitoring devices and apps are HIPAA-compliant before you use them, or the similar standards in your region if you’re not in the U.S. (Gerke et al., 2020).

Now that you know how to secure your data, it’s time to create an effective monitoring environment in your home.

Setting Up Your Home Health Monitoring System

Create a dedicated space for health monitoring

Black woman smiling at phone with glucose meter on arm

Designate a specific area in your home for health monitoring. This space should be quiet, well-lit, and free from distractions to ensure accurate measurements. Keep all your monitoring devices and accessories organized and easily accessible.

Connect devices to your home network

Most home health monitoring devices use Wi-Fi or Bluetooth to connect to your home network. Follow the manufacturer’s instructions to pair each device with your smartphone or tablet. Ensure your home network is secure to protect your health data.

Sync devices with health apps and platforms

Download the necessary health apps for your devices and create accounts if required. Synchronize your devices with these apps to enable data transfer and real-time monitoring. Popular health platforms include Apple Health, Google Fit, and dedicated apps from device manufacturers.

Set a daily routine for regular measurements

Consistency is key to effective home health monitoring. Establish a routine for taking measurements, such as checking your blood pressure every morning or measuring your blood glucose levels before meals. Set reminders on your smartphone to help you stay on track.

With your system set up, let’s see how to make sense of the data you’re collecting.

Interpreting and Using Health Data

Learn about health metrics 

Get familiar with the health metrics your devices track, and understand what they mean. For example, know the normal ranges for blood pressure, blood glucose, and oxygen saturation levels. Health apps often provide explanations and visualizations to help you interpret the data (Chan et al., 2022).

Recognize normal ranges and potential red flags

Knowing the normal ranges for your health metrics allows you to identify potential red flags. For instance, a consistently high blood pressure reading may indicate hypertension, while low oxygen saturation levels could signal respiratory issues (Chan et al., 2022). Consult your healthcare provider if you notice any abnormal readings.

Set health goals and track progress

Use the data from your monitoring devices to set health goals, such as achieving a target weight or maintaining stable blood glucose levels. Track your progress over time and adjust your goals as needed. Health apps often offer goal-setting features and progress-tracking tools.

Share data with healthcare providers securely

Many health apps allow you to share your data with healthcare providers securely. This can be done through app integrations, email, or cloud storage platforms. Sharing your data helps your healthcare provider make informed decisions about your treatment plan and monitor your progress remotely.

Maximizing the Benefits of Home Health Monitoring

To get the most out of your home health monitoring system, consider these strategies for integrating it into your daily life.

Black woman gold top showing phone with glucose meter on arm

Integrate monitoring in your daily routine

Include health monitoring into your daily routine to make it a habit. For example, you can check your blood pressure while having your morning coffee or track your steps during your evening walk. Consistency ensures accurate data and better health management (Kariuki, n.d.).

Make lifestyle improvements

Use the insights from your health data to make positive lifestyle changes. For instance, if your fitness tracker shows low activity levels, you can set a goal to increase your daily steps. If your blood glucose levels are high, you can adjust your diet and exercise routine accordingly (Kariuki, n.d.).

Combine monitoring with telehealth services

Telehealth services complement home health monitoring by providing remote consultations with healthcare providers. Share your health data during these virtual visits to receive personalized advice and treatment plans. Telehealth can be especially beneficial for managing chronic conditions and reducing the need for in-person visits.

Involve your family in health-tracking

Involving family members in your health monitoring can provide additional support and motivation. Share your health goals and progress with them, and encourage them to participate in health-tracking activities. This can create a supportive environment and improve overall health outcomes.

Conclusion

Setting up a home health monitoring system is a proactive step to take charge of your well-being. Once you choose the right devices, set a consistent monitoring routine, and learn how to interpret your health data, you can gain valuable insights into your body’s needs and trends. 

Remember, home health monitoring is no substitute for professional medical advice. Use your newfound knowledge to have more informed discussions with your healthcare provider, ask questions, and make proactive decisions about your health. With the right approach, home health monitoring can lead to better health outcomes and an improved quality of life.

Which health monitors and wearables do you use, and how do they help you?

References

Chan, A., Cohen, R., Robinson, M., Bhardwaj, D., Gregson, G., Jutai, J. W., Millar, J., Rincón, A. R., & Fekr, A. R. (2022). Evidence and User Considerations of Home Health Monitoring for Older Adults: Scoping Review. JMIR Mhealth Uhealth, 5(4). doi.org/10.2196/40079

Consumer HealthTech Research Report. (2023). AnalyticsIQ. Retrieved from https://analytics-iq.com/wp-content/uploads/AnalyticsIQ-Research-Report-Consumer-HealthTech.pdf

Gerke, S., Shachar, C., Chai, P. R., & Cohen, I. G. (2020). Regulatory, safety, and privacy concerns of home monitoring technologies during COVID-19. Nature Medicine, 26(8), 1176. doi.org/10.1038/s41591-020-0994-1

Hicks, J. L., Althoff, T., Sosic, R., Kuhar, P., Bostjancic, B., King, A. C., Leskovec, J., & Delp, S. L. (2019). Best practices for analyzing large-scale health data from wearables and smartphone apps. Npj Digital Medicine; 2(1), 1-12. doi.org/10.1038/s41746-019-0121-1


Home Health Monitoring. (2024). Dusun. Retrieved from https://www.dusuniot.com/blog/home-health-monitoring-complete-guide/

Houser, S. H., Flite, C. A., & Foster, S. L. (2023). Privacy and Security Risk Factors Related to Telehealth Services – A Systematic Review. Perspectives in Health Information Management; 20(1). 

Imtyaz Ahmed, M., & Kannan, G. (2022). Secure and lightweight privacy preserving Internet of things integration for remote patient monitoring. Journal of King Saud University – Computer and Information Sciences; 34(9), 6895-6908. doi.org/10.1016/j.jksuci.2021.07.016

Kariuki, F. (n.d.). The Top 13 Benefits of Remote Patient Monitoring. Health Recovery Solutions. Retrieved from https://www.healthrecoverysolutions.com/blog/the-top-13-benefits-of-remote-patient-monitoring

Mason, M., Cho, Y., Rayo, J., Gong, Y., Harris, M., & Jiang, Y. (2022). Technologies for Medication Adherence Monitoring and Technology Assessment Criteria: Narrative Review. JMIR MHealth and UHealth; 10(3). doi.org/10.2196/35157

Mondal, H., & Mondal, S. (2021). Basic technology and proper usage of home health monitoring devices. Malaysian Family Physician: The Official Journal of the Academy of Family Physicians of Malaysia;16(1), 8-14. doi.org/10.51866/rv1097

Samaan, S. (2022). Are Home ECG Monitors Reliable? GoodRx Health. Retrieved from https://www.goodrx.com/health-topic/heart/home-ecg-monitors

Sperrin, M. et al.  (2016). Who self-weighs and what do they gain from it? A retrospective comparison between smart scale users and the general population in England. Journal of Medical Internet Research; 18, e17.

Story, M. F. (2010). National Research Council (US) Committee on the Role of Human Factors in Home Health Care. The Role of Human Factors in Home Health Care: Workshop Summary. Washington (DC): National Academies Press (US); 8, Medical Devices in Home Health Care. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK210047/

Telehealth and remote patient monitoring. (n.d.). Health Resources & Services Administration (HRSA). Retrieved from https://telehealth.hhs.gov/providers/preparing-patients-for-telehealth/telehealth-and-remote-patient-monitoring

Zhang, J. & Yang, H. (2023). A Privacy-preserving Remote Heart Rate Abnormality Monitoring System. IEEE Access; 11, 97089-97098. doi:10.1109/ACCESS.2023.3312549

Telehealth vs. In-Person Visits: Pros and Cons

Telehealth vs. In-Person Visits: Pros and Cons

by Ree Health Tech

Telehealth is a viable alternative to traditional in-person care, sparking an ongoing debate about each of their relative merits. This may leave people wondering about the differences between telehealth vs. in-person visits.

In this article, we’ll explore the pros and cons of telehealth and in-person care so you make informed decisions about your healthcare needs, and determine which option is right for you.

Contents

 

What is Telehealth?

Telehealth, also known as telemedicine, involves the use of digital tools to provide healthcare services remotely. A few examples:

  • Sending and receiving direct messages from your healthcare provider via a patient portal.

  • Email or text reminders about prescriptions.

  • Remote monitoring of your blood sugar, heart rate, sleep patterns, etc.

More background on what telehealth is and its benefits.

Telehealth can be synchronous, where the patient and provider interact in real-time, or asynchronous, where information is shared and reviewed at different times. Types of telehealth services include:

  • Synchronous Telehealth: Real-time interactions via video calls or phone calls.

  • Asynchronous Telehealth: Store-and-forward technology where data, images, or messages are sent and reviewed later.

  • Remote Patient Monitoring (RPM): Continuous monitoring of patients‘ health data using devices that send information to healthcare providers.

Advantages of Telehealth

Telehealth offers several advantages, especially in today’s fast-paced world. An AMA study found that medical practitioners who use telehealth the most were radiologists (39.5%), psychiatrists (27.8%), and cardiologists (24.1%). 

Convenience and accessibility

One of the most attractive things about telehealth is its convenience:

  • No Travel Required: You can have a consultation from the comfort of your home, office, or even while on vacation.

  • Flexible Scheduling: Appointments can be scheduled outside of traditional office hours, making it easier for those with busy schedules.

Cost-effectiveness

With insurance

Telehealth can be less expensive than in-person visits due to lower overhead costs for providers and no travel expenses for patients. 

Many insurance plans cover telehealth services, making it a more affordable option. 

If you are planning a telehealth appointment, ask your health plan if telehealth is covered and the copay or coinsurance amount. Your telehealth appointment may be through your in-network provider or a telehealth company your insurer contracts with.

Without insurance

If you don’t have health insurance, you can contact a telehealth company like AmWell, Teladoc, Doctor On Demand, or MD Live for a medical consultation and get a quote.

More access to specialists

  • Specialist Referrals: Telehealth makes it easier to get specialist consultations, especially for those living in rural or underserved areas (Gajarawala & Pelkowski, 2021).

  • Integrated Care: Health providers can seamlessly integrate telehealth into their healthcare systems, improving overall care coordination.

Mental health services

Telehealth has made mental health services more accessible, giving people access to counseling and therapy without the stigma of visiting a clinic (Harris, 2022).

Limitations of Telehealth

Lock octagon illustration

Despite its many benefits, telehealth also has its drawbacks. Here are some of the biggest limitations.

Technology barriers and connectivity issues

Lack of physical exams

  • Inability to Perform Comprehensive Exams: Some conditions require a physical examination that a health provider can’t do as well via telehealth (Saljoughian, 2021).

  • Potential for Misdiagnosis: Without the ability to perform a hands-on examination, there is a higher risk of misdiagnosis (Gajarawala & Pelkowski, 2021). For example, The Doctors Company said that nearly 70% of their telehealth-related claims have alleged diagnostic errors.

Privacy and security concerns

  • Data Security: While most telehealth platforms are encrypted, there is always a risk of data breaches or hacking (HHS, 2023).

  • Confidentiality: Ensuring privacy during a telehealth session can be challenging, especially if the patient is in a shared or public space (Houser et al., 2023).

When to Choose Telehealth

Elderly woman on Zoom with health provider

Telehealth is not suitable for every situation, but it excels in several areas.

Routine check-ups and consultations

  • Primary Care: Regular check-ups and follow-up appointments can be easily managed through telehealth.

  • Preventive Care: Screenings and preventive measures can often be discussed and managed remotely.

Mental health services

Telehealth provides a convenient and private way to receive mental health support like counseling and therapy.

Chronic disease management

People with chronic conditions like diabetes or hypertension can manage them through regular telehealth consultations and RPM (Harris, 2022).

Minor acute conditions

Health providers can diagnose and treat conditions like colds, minor infections, and rashes via telehealth.

What is In-Person Care?

In-person care is the traditional model of healthcare where patients visit a clinic, hospital, or specialty center to receive medical attention. This type of care is essential for many medical conditions and treatments. In-person healthcare settings include:

  • Clinics: Primary care and specialized clinics offer a wide range of services.

  • Hospitals: For emergency care, surgeries, and complex treatments.

  • Specialty Centers: Focused on specific areas like cardiology, oncology, or orthopedics.

Advantages of In-Person Care

Doctor shows patient Rx

In-person care remains crucial for many reasons. In the same AMA study medical practitioners who use telehealth the least (in favor of in-person care) were obstetrician-gynecologists (9.3%), gastroenterologists (7.9%), and allergists/immunologists (6.1%). 

In-person care offers several unique benefits that are worth considering, as follows.

Comprehensive physical exams

  • Hands-On Assessment: Allows for thorough physical examinations, which are essential for accurate diagnosis and treatment (Saljoughian, 2021).

  • Immediate Diagnostic Tests: Access to lab tests, imaging, and other diagnostic procedures during the visit.

Face-to-face interaction and rapport 

  • Personal Connection: Face-to-face interactions help build trust and rapport between patients and healthcare providers.

  • Non-Verbal Cues: Providers can pick up on non-verbal cues that are easy to miss in virtual consultations.

Complex treatments and surgeries

  • Surgical Procedures: In-person care is necessary for any surgical intervention or complex medical procedures.

  • Emergency Care: Immediate, hands-on care is essential in emergencies.

Drawbacks of In-Person Care

While in-person care has its strengths, it also comes with several disadvantages.

People in waiting room wearing face masks

Longer wait times and scheduling difficulties

  • Appointment Delays: Patients often face long wait times for appointments and in waiting rooms.

  • Scheduling Conflicts: Finding a convenient time for both the patient and provider can be challenging.

Travel requirements and associated costs

Traveling to and from healthcare facilities can be time-consuming and costly, especially for those in rural areas (Harris, 2022).

Exposure to other patients and potential infections

Visiting a healthcare facility increases the risk of exposure to other illnesses, including infectious diseases (Saljoughian, 2021).

Time away from work or family obligations

In-person visits often require taking time off work or away from family responsibilities, resulting in lost productivity.

When to Opt for In-Person Care

Empty white hospital hallway

In-person care is indispensable in some situations, as follows.

Emergencies

Conditions like heart attacks, strokes, and severe injuries require immediate, hands-on medical attention.

Chronic or complex medical conditions

Conditions that require specialized treatment plans and hands-on management benefit from in-person care.

Diagnostic procedures and lab tests

You must complete certain tests and procedures, like blood work and imaging, in a healthcare facility for the most accurate diagnosis.

Hands-on treatments and therapies

Rehabilitation and physical therapy usually require direct interaction with healthcare providers.

Telehealth and in-person care each have their merits. Now, let’s explore how these two approaches can be combined.

Integrating Telehealth and In-Person Care

The future of healthcare likely lies in a hybrid model that combines the strengths of both telehealth and in-person care.

Woman getting a shot in her arm

Hybrid models of care

A blended approach that combines telehealth for routine check-ups and follow-ups with in-person visits can better address more complex needs.

Coordinating care between virtual and physical settings

Ensuring that patient information and care plans are consistent across both telehealth and in-person settings.

Using telehealth for follow-ups after in-person visits

Follow-up appointments can often be conducted via telehealth, saving time and resources.

Conclusion

To sum up the differences in a handy-dandy chart, look at this one from Mira.

Comparison chart - In person vs virtual care chart
Source: Mira (talktomira.com)

Virtual and in-person visits each have unique advantages and limitations. Telehealth offers convenience, cost savings, and improved access to care, especially for routine consultations and mental health services. However, it falls short in situations that require hands-on examinations and immediate medical interventions. 

In-person care remains essential for physical exams, complex treatments, and emergencies, but comes with the drawbacks of longer wait times, travel, and potential exposure to infections.

The best choice between telehealth and in-person care isn’t always black and white. It often depends on your specific health needs, preferences, and circumstances. When you understand the pros and cons of each approach, you can make more informed decisions about your healthcare.  

As technology continues to advance, the integration of telehealth and in-person care will likely become more innovative, sophisticated, and widespread. Remember, the goal is to find the right balance that ensures you receive the best possible care, whether it’s through a screen or in a doctor’s office.

References

Bean, K. (2023). In-Person Vs. Virtual Care: What’s The Difference & Which Is Best. Mira. Retrieved from https://www.talktomira.com/post/telehealth-vs-in-person-care-pros-and-cons

Feldman, D. L. (n.d.). Top Seven Tips for Telehealth. The Doctors Company. Retrieved from https://www.thedoctors.com/articles/top-seven-tips-for-telehealth/

Gajarawala, S. N., & Pelkowski, J. N. (2021). Telehealth Benefits and Barriers. The Journal for Nurse Practitioners, 17(2), 218-221. doi.org/10.1016/j.nurpra.2020.09.013

Harris, A. (2022). Differences between telehealth vs. in-person care. Everlywell. Retrieved from  https://www.everlywell.com/blog/virtual-care/telehealth-vs-in-person-care/

Henderson, E. (2020). Telemedicine or in-person visit? Pros and cons. News Medical. Retrieved from https://www.news-medical.net/news/20201027/Telemedicine-or-in-person-visit-Pros-and-cons.aspx

Houser, S. H., Flite, C. A., & Foster, S. L. (2023). Privacy and Security Risk Factors Related to Telehealth Services – A Systematic Review. Perspectives in Health Information Management; 20(1). 

Robeznieks, A. (2019). Which medical specialties use telemedicine the most? American Medical Association (AMA). Retrieved from https://www.ama-assn.org/practice-management/digital/which-medical-specialties-use-telemedicine-most

Saljoughian, M. (2021). The Benefits and Limitations of Telehealth. U.S. Pharmacist. Retrieved from https://www.uspharmacist.com/article/the-benefits-and-limitations-of-telehealth

Telehealth Privacy and Security Tips for Patients. (2023). U.S. Department of Health and Human Services (HHS). Retrieved from  https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/telehealth-privacy-security/index.html