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/

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

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

Understanding Your Telehealth Insurance Options

Understanding Your Telehealth Insurance Options

by Ree Health Tech

The convenience of healthcare access from your home makes telehealth more popular than ever. According to McKinsey, telehealth usage has stabilized at levels 38 times higher than before the pandemic. This surge in virtual care has prompted many insurance providers to expand their telehealth coverage, but you may not know how their telehealth insurance options work. 

Whether you’re looking for convenient access to medical professionals or seeking cost-effective healthcare solutions, you need to understand the telehealth insurance options available to you.

First, let’s explore what telehealth is and why coverage matters.

Contents

What is Telehealth and Why is Insurance Coverage Important?

Telehealth has become a buzzword in recent years, especially with the rise of digital health platforms and the COVID-19 pandemic. 

Telehealth, fairly synonymous with telemedicine, refers to the use of tech to provide healthcare services remotely. This can include video consultations, secure messaging, remote monitoring, texting, audio-only calls, and even virtual prescription refills. 

Benefits of telehealth services

In November 2021, 55% of respondents said they were more satisfied with telehealth or virtual care visits than with in-person appointments. 35% use other digital services, such as ordering prescriptions online and home delivery.

Telehealth benefits patients and healthcare providers in many ways (Hasselfeld, n.d.):

  • Convenience: Patients can consult with their healthcare providers from the comfort of their homes, which eliminates the need for travel and reduces wait times.

  • Access to Care: Telehealth is particularly beneficial for people in rural areas or those with mobility issues, providing access to specialists and primary care providers who may not be available in the local area.

  • Cost-Effective: By reducing the need for physical visits, telehealth can lower healthcare costs for both patients and providers.

  • Preventive Care: Regular virtual check-ups can help in the early detection and management of chronic conditions, improving overall health outcomes.

Importance of insurance coverage for telehealth

Insurance coverage for telehealth services is crucial for several reasons:

  • Reduced Out-of-Pocket Costs: Without insurance, telehealth costs can add up quickly. Insurance coverage helps mitigate these expenses.

  • Access to a Broader Network: Insurance plans often have agreements with a network of providers, making it easier for patients to find in-network telehealth services.

  • Comprehensive Care: Insurance can cover a wide range of telehealth services, from primary care to specialist consultations, ensuring that patients receive comprehensive care.

Now that we understand the basics of telehealth, let’s look at the different types of insurance plans that offer coverage for these services.

Types of Insurance Plans with Telehealth Coverage

When it comes to telehealth, not all insurance plans are created equal. 

One study found that insurers paid less for third-party telehealth visits than in-person care. Before COVID-19, only six U.S. states required equal payment for telehealth and in-person visits. By late 2021, more states adopted these laws, reducing potential cost savings for insurers as telehealth payments increased (Cuellar et al., 2022).

Here’s a breakdown of the different types of insurance plans that cover telehealth services.

Traditional health insurance 

Most traditional/private health insurance plans now include telehealth benefits. These plans cover a variety of services such as video consultations, e-prescriptions, and remote monitoring (HRSA, 2023).

Standalone telehealth insurance

Some companies offer standalone telehealth insurance plans. These are subscription-based services that provide unlimited access to telehealth consultations for a monthly fee.

However, there may be limitations like the specific types of care covered, requiring initial in-person visits, or capping the number of telehealth visits. Recently, many private insurers have started providing telehealth services through third-party platforms like Teladoc or AmWell (Healthcare Service Corporation, 2020).

Medicare and Medicaid

Medicare Part B covers certain telehealth services, including virtual visits with doctors and specialists (Medicare.gov, n.d.). Medicaid coverage for telehealth varies by state, but many states have expanded their telehealth benefits in recent years (Schwamm et al., 2017).

Employer-sponsored plans

People sitting in an auditorium for a presentation

Many employers offer health insurance plans that include telehealth services. These plans often come with additional benefits like mental health services and secure messaging with healthcare providers.

With various telehealth insurance options available, it’s important to know what features to consider when evaluating plans.

What to Look for in Telehealth Insurance Plans

Choosing the right telehealth insurance plan can be overwhelming. Here are some key features to consider.

Scope of covered services

Ensure the plan covers a wide range of services, including:

  • Primary Care: Regular check-ups and preventive care. Many plans cover virtual visits for routine health assessments.

  • Mental Health: Access to telepsychiatry and counseling services. Mental health services via telehealth can be as effective as in-person visits.

  • Specialist Consultations: Ensure the plan includes virtual visits with specialists like cardiologists, and dermatologists. This can save time and reduce the need for physical referrals.

Network of available providers

A robust network of in-network providers ensures that you have access to a variety of healthcare professionals without incurring additional costs. Check if the plan includes:

  • Local Providers: Access to local healthcare providers who offer telehealth services.

  • Specialists: A wide range of specialists are available for virtual consultations.

  • National Networks: Some plans offer access to national networks of providers, which can be beneficial if you travel frequently.

Cost-sharing 

Bottle of pills spilled on currency

Healthcare marketplaces offer affordable individual health insurance plans. These plans must meet standards for cost-sharing, which are the out-of-pocket expenses people pay for medical services. 

Cost-sharing typically includes deductibles, copayments, and coinsurance, though not all plans use all three types (Rakshit et al., 2023):

  • Copayments: The fixed amount you pay for each visit. The fixed amount you pay for each telehealth visit. Some plans may offer lower copayments for virtual visits compared to in-person visits.

  • Deductibles: The amount you need to pay out-of-pocket before the insurance starts covering services. You may want to pair a high-deductible plan with Health Savings Accounts (HSAs) to help manage costs.

  • Coinsurance: The percentage of costs you share with the insurance company after you’ve paid your deductible. For example, a plan might cover 80% of the cost, leaving you to pay the remaining 20%.

Technology platforms and user experience

The technology with a telehealth platform should be easy to use. Look for features like:

  • User-Friendly Interface: An intuitive and easy-to-use platform.

  • 24/7 Availability: Access to healthcare services at any time.

  • Short Wait Times: Minimal waiting period for consultations.

Quality of care

Nursing colleagues in hall wearing blue

While convenience is a significant factor, the quality of care should not be compromised. Look for plans that ensure (Wolters Kluwer, 2023):

  • Clinical Effectiveness: The platform should support high-quality care across different specialties like chronic conditions and mental health issues.

  • Access to Resources: Plans that provide easy access to educational resources can empower patients to take control of their health.

Several insurance companies offer telehealth coverage, each with its own features and benefits. Here’s a comparison of some popular providers in the following table with info from the Center for Connected Health Policy (2021).

ProviderProsConsUnique FeaturesCustomer Satisfaction
AetnaComprehensive coverage & wide networkHigher premiumsIntegration with CVS HealthHigh
Blue Cross Blue ShieldBroad coverage & various plan optionsVaries by stateSpecialized telehealth programsHigh
Kaiser PermanenteIntegrated care model & user-friendly appLimited to certain regionsSeamless care coordinationVery High
UnitedHealthcareExtensive provider network & 24/7 availabilityComplex cost-sharingVirtual health assistantsModerate

Studies show patients prefer video telehealth over audio-only, reporting higher satisfaction and better outcomes. Video telehealth users are less likely to need emergency or in-person care (Lee et al., 2023). 

Armed with knowledge about different plans and their key features, let’s learn how to pick the best telehealth insurance plan for your needs.

How to Choose the Right Telehealth Insurance Plan for You

Doctor and patient virtual meeting both male

Selecting the right telehealth insurance plan requires careful consideration of your healthcare needs and preferences. Here are some steps to guide you.

Assess your healthcare needs

Identify your healthcare needs and preferences. Consider the following questions:

  • Do you need frequent specialist consultations?

  • Are mental health services important to you?

  • Do you have any chronic conditions that need regular monitoring?

Evaluate costs

Consider your budget and review the costs associated with each plan, including premiums, copayments, and deductibles.

  • Premiums: The monthly cost of the insurance plan.

  • Out-of-Pocket Costs: Copayments, deductibles, and coinsurance. For example, Medicare Part B covers certain telehealth services after you’ve paid the deductible, with a 20% coinsurance.

  • Additional Fees: Any additional fees for using telehealth services, such as subscription fees for standalone telehealth plans.

Check provider networks

Ensure the plan has a network of providers that includes your preferred doctors and specialists. This can help you avoid out-of-network charges and ensure continuity of care.

Review policy terms

Med insurance policy paper

Read the policy terms and conditions carefully. Look for any exclusions or limitations on telehealth services (Upvio, n.d.). For example, some plans may limit the number of telehealth visits they cover per year.

Consider integration with an existing plan

If you already have a health insurance plan, check if the telehealth plan works seamlessly with your existing coverage to provide a more comprehensive healthcare solution.

Tips to Maximize Your Telehealth Insurance Benefits

Once you have chosen a telehealth insurance plan, here are some tips to get the most out of it.

Medicare card and Rx closeup

Understand your coverage limits

Know the limits and restrictions of your coverage. This includes the number of visits covered and any specific conditions that apply (Upvio, n.d.). For example, some Medicare Advantage Plans offer more telehealth benefits than Original Medicare. 

Prepare for virtual appointments

Prepare for your virtual visit. Get your medical history and questions ready. Ensure you have a stable internet connection and a quiet, private space for the consultation.

Keep records

Maintain records of your telehealth visits and expenses to help you track your healthcare costs and manage your budget. Keeping detailed records can also be useful for any follow-up care or claims disputes.

Communicate effectively

Effective communication with your healthcare provider is key. Be clear about your symptoms and concerns. Beyond calling, you can use secure messaging within your patient portal to ask follow-up questions or clarify any doubts.

Stay informed

Keep track of any updates to your policy. Insurance plans can change, and staying informed ensures you continue to receive the best care. Check for updates from your insurance provider regularly, and review any new benefits or changes in coverage.

Use available resources

Take advantage of any educational resources provided by your telehealth platform. These resources can help you better understand your health conditions and treatment options, and empower you to make informed decisions about your care.

Conclusion

Telehealth insurance options have expanded significantly, providing us with more flexibility, convenience, and access to virtual care. However, navigating telehealth insurance options can be complex. By understanding the various plans available and considering your unique healthcare needs, you can select a telehealth insurance option that provides comprehensive coverage and peace of mind. 

Remember to review your policy on a regular basis and stay informed about new developments in telehealth insurance. Over time, insurance coverage will likely adapt their virtual care options to meet our changing healthcare needs. Take the time to explore your options and make an informed decision to ensure you’re getting the most out of your telehealth insurance coverage.

References

An Analysis of Private Payer Telehealth Coverage. (2021). Center for Connected Health Policy. Retrieved from https://www.cchpca.org/2021/04/Private-Payer-Telehealth-Coverage-Reportfinal.pdf

Bestsennyy, O., Gilbert, G., Harris, A. & Rost, J. (2021). McKinsey & Company. Retrieved from https://www.mckinsey.com/industries/healthcare/our-insights/telehealth-a-quarter-trillion-dollar-post-covid-19-reality

Centers for Medicare & Medicaid Services. (n.d.). Telehealth. Medicare.gov. Retrieved from  https://www.medicare.gov/coverage/telehealth

Cordina, J., Levin, E., Stein, G.  (2022). Consumer Health Insights: How respondents are adapting to the “new normal.” McKinsey & Company. Retrieved from https://www.mckinsey.com/industries/healthcare/our-insights/covid-19-consumer-healthcare-insights-what-2021-may-hold

Cost-Sharing Charges. (2023). Center on Budget and Policy Priorities. Retrieved from https://www.healthreformbeyondthebasics.org/cost-sharing-charges-in-marketplace-health-insurance-plans-answers-to-frequently-asked-questions/

Cuellar, A., Pomeroy, J. M. L., Burla, S., Jena, A. B. (2022). Outpatient Care Among Users and Nonusers of Direct-to-Patient Telehealth: Observational Study. Journal of Medical Internet Research;24(6):e37574. doi:10.2196/37574 

Five key features telehealth patients want: Insights for healthcare developers. (2023). Wolters Kluwer. Retrieved from https://www.wolterskluwer.com/en/expert-insights/5-key-features-telehealth-patients-want-healthcare-developers-insights

Hasselfeld, B. W. (n.d.). Benefits of Telemedicine. Johns Hopkins Medicine. Retrieved from https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/benefits-of-telemedicine

How to Check Telehealth Insurance Coverage. (n.d.). Upvio. Retrieved from https://upvio.com/blog/telehealth/how-to-check-telehealth-insurance-coverage

Lee, E. C., Grigorescu, V. Enogieru, I., Smith, S. R. Samson, L. W., Conmy, A. B., & De Lew, N. (2023). Updated National Survey Trends in Telehealth Utilization and Modality (2021-2022). Assistant Secretary for Planning and Evaluation (ASPE). Retrieved from  https://aspe.hhs.gov/sites/default/files/documents/7d6b4989431f4c70144f209622975116/household-pulse-survey-telehealth-covid-ib.pdf

Private insurance coverage for telehealth. (2023). Health Resources & Services Administration (HRSA). Retrieved from https://telehealth.hhs.gov/providers/billing-and-reimbursement/private-insurance-coverage-for-telehealth 

Rakshit, S., Rae, M., Claxton, G., Amin, K., & Cox, C. (2023). Private Insurer Payments for Telehealth and In-Person Claims During the Pandemic. Kaiser Family Foundation. Retrieved from  https://www.kff.org/mental-health/issue-brief/early-in-the-pandemic-private-insurers-paid-similarly-for-common-telehealth-and-in-person-claims/

Schwamm L.H., Chumbler N., Brown E., et al. (2017). Recommendations for the implementation of telehealth in cardiovascular and stroke care: a policy statement from the American Heart Association. Circulation;135(7):e24–e44. doi: 10.1161/CIR.0000000000000475

Stay Informed on COVID-19. (2020). Health Care Service Corporation. Retrieved from  https://www.hcsc.com/newsroom/category/company-news/covid-19-information/

How to Prepare for Your Virtual Doctor Visit: A Complete Guide

How to Prepare for Your Virtual Doctor Visit: A Complete Guide

by Ree Health Tech

A virtual doctor visit is a convenient and effective way to receive medical care, making healthcare more accessible and efficient for everyone. From 2019 to 2024, the rate of online doctor visits worldwide more than doubled to over 116 million. 

Whether you’re a first-timer or you want to improve your virtual doctor visit experience, proper preparation is key. This guide will walk you through the steps to ensure your online appointment is as effective as – or even better than – an in-person visit.

Let’s start with some background about virtual doctor visits and their benefits.

Contents

Virtual Doctor Visit Overview

Woman in gold talking to doctor on laptop

What is a virtual doctor visit?

A virtual doctor visit, also known as telehealth or telemedicine, is a way to consult with your healthcare provider using technology like video calls, phone calls, or text messaging. 

Instead of going to a doctor’s office, you can talk to your doctor from the comfort of your home using your smartphone, tablet, or computer. 

This method is more popular since the COVID-19 pandemic, as it offers a convenient and safe way to receive medical care (Zulman & Verghese, 2021 & National Institute on Aging, n.d.). The Census Bureau’s Household Pulse Survey (with data from April 2021 through August 2022) found that (Lee, E. C. et al., 2023):

  • Telehealth use was lowest among people who are uninsured (9.4%), aged 18 to 24 (17.6%), and residents of the Midwest (18.7%).

  • Telehealth use was highest among those with Medicaid (28.3%) and Medicare (26.8%), those who are Black (26.1%), and those earning less than $25,000 (26.4%).

Benefits of telehealth appointments

Woman talking to doctor on her phone closeup

Telehealth appointments come with several advantages:

  • Convenience: You don’t have to travel to the doctor’s office or sit in a waiting room. You can have your appointment from anywhere, whether it’s in your home, office, or even your car during a lunch break (Hasselfeld, n.d. & bravo, 2022).

  • Saves Time: A virtual visit can save you more than an hour compared to an in-person visit (UnitedHealthcare, 2023). This is great for people with busy schedules or live far away from their doctors (bravo, 2022).

  • Cost-Effective: Virtual visits often cost less than in-person visits, especially when compared to urgent care or emergency room visits (Zulman & Verghese, 2021 & bravo, 2022).

  • Accessibility: Telehealth increases access to healthcare for people in rural areas or those with mobility issues. It also allows you to consult with specialists who may not be available in your local area (bravo, 2022 & HRSA, 2024).

  • Safety: Virtual visits help prevent the spread of infectious diseases by reducing the need for in-person interactions (Hasselfeld, n.d. & HRSA, 2024).

Common misconceptions about virtual consultations

Black woman talking to someone on laptop in sideview

Despite its benefits, there are several myths about virtual consultations:

  • “Telehealth is only for tech-savvy people.” Many people believe that you need to be tech-savvy to use telehealth services. However, most platforms are easy to use and designed to be accessible to everyone, including older adults (Solutionreach, n.d.).

  • “Virtual visits aren’t secure.” Security is a common concern, but reputable telehealth platforms are HIPAA-compliant and use advanced security measures to protect your privacy (Solutionreach, n.d.).

  • “Telehealth is a temporary solution.” While telehealth surged during the COVID-19 pandemic, it is here to stay. Many healthcare providers continue to offer virtual visits as a permanent option (Lee, C. 2023).

  • “I won’t get to choose my doctor.” Online health platforms let you review detailed profiles of multiple certified doctors. This allows you to choose a provider that fits your needs best, giving you more control over your healthcare (WeHealth, n.d.).

  • “It’s not covered on my insurance.” (WeHealth, n.d.). Many insurance plans now cover telehealth as it becomes more common. Healthcare providers are adapting to make virtual care accessible, recognizing its growing importance in delivering patient care.

When to choose a virtual doctor visit vs. in person

Taking blood pressure

Virtual doctor visits have a lot of conveniences. But there are certain times when it’s better to see the doctor in person, for (Henderson, 2023):

  • First-Time Visits: If it’s your first time seeing this doctor, you should see them. Face-to-face meetings help patients build trust and doctors assess both physical and emotional aspects.

  • Physical Exams: If you’ve noticed new or worsening symptoms, the doctor will need to see you in person to examine the affected areas of your body.

  • Serious Health Conditions: Unless they tell you otherwise, it’s better to go to your doctor’s office for your health appointments. 

After you establish a relationship with this doctor, telehealth can be useful for follow-ups.

Now that you understand the basics, let’s set up your tech for a smooth virtual visit experience.

Technical Preparations

Ensure a stable internet connection

A stable internet connection is crucial for a successful virtual doctor visit. Here are some tips:

  • Check Your Internet Speed: Use a speed test to ensure your internet connection is fast enough for video calls. 

    Note that if you live in a rural area or anywhere your internet service is often unstable, you can also (HRSA, 2024):
  • Use a Wired Connection: If possible, use an Ethernet cable instead of Wi-Fi for a more stable connection.

  • Close Unnecessary Items: Close any apps or browser tabs that might be using internet bandwidth.

Test your device’s camera and microphone

Female doctor waving to female patient on Zoom

Before your appointment, test your device’s camera and microphone to make sure they are working:

  • Check Settings: Go to your device’s settings to ensure the camera and microphone are enabled.

  • Use Headphones: Using headphones with a built-in microphone can improve sound quality and reduce background noise.

  • Do a Test Call: Make a test call with a friend or family member to check the audio and video quality.

Get familiar with the required software or app

Your healthcare provider will use a specific telehealth platform or app for the virtual visit that you may not be familiar with. To save yourself some frustration do these tasks well in advance of your virtual visit:

  • Download in Advance: Download the required software or app well before your appointment.

  • Create an Account: If necessary, create an account and log in to familiarize yourself with the platform.

  • Explore Features: Take some time to explore the features, such as how to join a call, mute/unmute yourself, and turn the camera on/off.

With your tech ready, it’s time to collect important medical information for your appointment.

Gather Your Medical Information

Flatlay of small medical items

Update your medical history

The doctor may ask you about your medical history, or ask you to fill out a form to collect it. Be sure to include:

  • List Past Conditions: Note all your past medical conditions, surgeries, and hospital stays.

  • Your Family History: Include any relevant family medical history, such as chronic illnesses or genetic conditions.

List current medications and dosages

Pills and capsules (pink white and tan)

Make a list of all the medications you’re taking, including:

  • Prescription Medications: Write the name, dosage, and frequency for each prescription.

  • Over-the-Counter Medications: Don’t forget to list any over-the-counter (OTC) medications, supplements, or vitamins you’re taking, and any you’re thinking about starting.

  • Recent Changes: Note any recent changes in your medications or dosages.

Note any recent changes in your health

Keep track of any new symptoms or changes in your health:

  • New Symptoms: Note any new or worsening symptoms, such as pain, fatigue, or changes in appetite.

  • Measurements: If applicable, record any recent measurements like blood pressure, weight, or blood sugar levels.

Prepare questions for your doctor

Make a list of questions and have it ready to help you get the most out of your appointment, such as:

  • Symptoms: Ask about any symptoms or concerns you have.

  • Treatment Options: Inquire about treatment options, side effects, and alternatives.

  • Follow-Up: Ask about the next steps and any follow-up appointments or tests.

Next, we’ll create the right environment for a successful virtual visit. 

Setting Up Your Space

Redhead with airpods and green wall

For the best virtual visit experience, make sure your environment is prime and ready to go.

Choose a private area for your appointment

Select the right environment for your virtual visit is essential to minimize interruptions and maintain privacy:

  • Choosing the Right Space: Select a quiet and private room where you can close the door and you won’t be disturbed.

  • Inform Household Members: Let others in your household know about your appointment to avoid disturbances.
  • Minimize Background Noise: Close windows and doors, and turn off any noisy appliances.

  • Ensure Good Lighting:
    • Natural Light: Natural light is best so the doctor can see you clearly. Position yourself facing a window if possible.

    • Artificial Light: If not, use a lamp if natural light is not available. Avoid backlighting (light shining from behind you), which can make it hard for your doctor to see you.

Keep water, pen and paper nearby 

Taking notes during your appointment can help you remember important information. And having water nearby can be helpful in case you get warm or have to cough during the call:

  • Stay Hydrated: Drinking water can help keep your throat clear and prevent coughing.

  • Comfort: Having water on hand can make you feel more comfortable during the call.

Log on before your appointment time

Being on time for your appointment shows respect for your doctor’s schedule. To ensure a smooth virtual check-in:

  • Check Your Connection: Ensure your internet connection is stable and your device is ready.

  • Log In Early: Try to log in at least 10 minutes before your appointment time in case of  any technical issues.

OK, you’re ready! You’re logged in and seated in a quiet, well-lit room with your water, pen, medical history, prescriptions, and questions. Let’s go!

During the Virtual Visit

Doctor with teal scrubs and patient virtual meeting

Now, let’s go through what to do during your virtual doctor appointment.

Speak clearly and concisely

Clear communication is essential for a successful virtual visit (Coleman, 2020):

  • Speak Slowly: Speak slowly and clearly to ensure your doctor understands you.

  • Be Concise: Try not to ramble. Get to the point quickly to make the most of your appointment time.

  • Ask Questions: Don’t be afraid to ask your doctor about anything you need to know or don’t understand.

Show any visible symptoms to the camera 

If you have visible symptoms, such as a rash or swelling, adjust your camera angle to clearly show the affected area.

Take notes on doctor’s advice and next steps

Taking notes can help you remember important information:

  • Write Down Instructions: Note any instructions or advice from your doctor, and confirm it with them.

  • List Follow-Up Actions: Record any follow-up actions, such as scheduling tests or appointments.

Confirm how to fill your prescriptions

Multi colored pills illustration

Be sure you know how and when to get your prescriptions after a virtual visit:

  • Pharmacy Information: Make sure your doctor has the correct pharmacy information.

  • E-Prescriptions: Your doctor may send an e-prescription to your pharmacy.

Finally, let’s discuss what to do after your virtual visit.

Follow-Up Actions

Redhead writing notes with green wall

Schedule follow-up appointments and access your medical records online

Follow-up appointments are often necessary for ongoing care. Your virtual doctor visit may be shorter than an in-person visit. Before you go, don’t forget to schedule your follow-up appointment if needed, and learn how to access your records online.

  • Contact Information: Label your doctor’s contact information in your phone so it’s there when you need to call them.

  • Patient Portal: Most healthcare providers offer a patient portal where you can access your visit summary and medical records. You can also schedule follow-up appointments there as an alternative to a call.

  • Download Records: Download and save important documents for your records.

Conclusion

Virtual doctor visits offer a convenient way to receive medical care, and with the right preparation, are just as effective as in-person appointments. By ensuring a stable internet connection, testing your device, gathering your medical information, and setting up a suitable space, you can make the most of your telehealth visit.

Don’t hesitate to ask questions and get clarification during your virtual doctor visit. Remember to communicate clearly, take notes, and follow up on any actions they recommend. With practice, you’ll find that telehealth can be a valuable tool to manage your health and wellness.

Do you prefer to use telehealth services or see your doctor in person? Why?

References

5 Common Misconceptions about Telehealth: What Research Has to Say. (n.d.). Solutionreach. Retrieved from https://www.solutionreach.com/blog/10-misconceptions-about-telehealth-and-what-research-has-to-say-about-it

Coleman, C. (2020. Health Literacy and Clear Communication Best Practices for Telemedicine. Health Literacy Research and Practice;4(4):e224-e229. doi:10.3928/24748307-20200924-01.

Hasselfeld, B. W. (n.d.). Benefits of Telemedicine. Johns Hopkins Medicine. Retrieved from https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/benefits-of-telemedicine

Henderson, E. (2023). Virtual or in person: Which kind of doctor’s visit is better, and when it matters. (2023). News Medical. Retrieved from https://www.news-medical.net/news/20230306/Virtual-or-in-person-Which-kind-of-doctore28099s-visit-is-better-and-when-it-matters.aspx

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