A Brief History of Telemedicine and the Role of COVID-19

By: Roshini Balasubramanian, Jacob Barber, and Kenzo Lacuarta

Source: “Video call with doctor” from Getty Images

With the increased uptake of digital health brought upon by COVID-19, this project examines access to telemedicine in the United States. We briefly look at the history of telemedicine and how previous barriers and obstacles have or have not been addressed. Like with all technological advancements, telemedicine can improve the quality of healthcare for some patients while leaving behind those who don’t have access. These breakthroughs can quickly become “magic bullets” if we are not careful in its implementation. We explore both the benefits and limits of telehealth through  Project Echo and the Dartmouth-Hitchcock Medical Center in New Hampshire, one of the state’s biggest hospitals. It is important to note that although we focus on these developments in New Hampshire, the analysis can be applied to healthcare systems across the globe. Remote care can be seen as a form of “telehealth,” and data reflecting the use of such care during COVID-19 will allow providers to implement the technology in the most equitable way.  “Health at home” will continue post-pandemic and has great potential to improve health outcomes of rural patients, if implemented correctly.

Podcast Available Here

 

 

Bibliography

Bashshur RL, Goldberg MA. The origins of telemedicine and e-Health. Telemed J E Health. 2014 Mar;20(3):190-1. doi: 10.1089/tmj.2014.9996. Epub 2014 Jan 29. PMID: 24476191.

Bashshur RL, Howell JD, Krupinski EA, Harms KM, Bashshur N, Doarn CR. The Empirical Foundations of Telemedicine Interventions in Primary Care. Telemed J E Health. 2016 May;22(5):342-75. doi: 10.1089/tmj.2016.0045. PMID: 27128779; PMCID: PMC4860623.

CDC. “Using Telehealth to Expand Access to Essential Health Services during the COVID-19 Pandemic.” Centers for Disease Control and Prevention. Centers for Disease Control and Prevention, June 10, 2020. https://www.cdc.gov/coronavirus/2019-ncov/hcp/telehealth.html. 

Grant, Gene, and Pioneer Blog Team. “Dr. Sanjeev Arora Talks Project ECHO with PBS New Mexico.” RWJF – Culture of Health Blog, Dec 9, 2013. https://www.rwjf.org/en/blog/2013/12/project_echo_pbsnew.html. 

“In Depth: COVID-19 and Telemedicine in N.H. | New Hampshire Public Radio.” Accessed December 8, 2020. https://www.nhpr.org/post/depth-covid-19-and-telemedicine-nh#stream/0.

ITHRemotePresence. “PBS Reporting on Telehealth.” YouTube, YouTube, 14 July 2015, www.youtube.com/watch?v=jKbSrIn3LSg.

Mann DM, Chen J, Chunara R, Testa PA, Nov O. COVID-19 transforms health care through telemedicine: Evidence from the field. J Am Med Inform Assoc. 2020 Jul 1;27(7):1132-1135. doi: 10.1093/jamia/ocaa072. PMID: 32324855; PMCID: PMC7188161.

Moon, Jason. “Growth of Telemedicine in N.H. Has Hopes High, But Questions Remain.” Accessed December 8, 2020. https://www.nhpr.org/post/growth-telemedicine-nh-has-hopes-high-questions-remain.

NJTodayOnline. “Telehealth Care Allows for Remote Monitoring of Patients.” YouTube, YouTube, 4 June 2015, www.youtube.com/watch?v=I4vpHZ5adIA.

Pai, A., 2020. Unitedhealthcare Now Covers Doctor On Demand, American Well Video Visits Too. [online] MobiHealthNews. Available at: <https://www.mobihealthnews.com/43052/unitedhealthcare-now-covers-doctor-on-demand-american-well-video-visits-too> [Accessed 6 December 2020].

“President Donald Trump Says His Administration Has Expanded Access to Telehealth.” YouTube, YouTube, 3 Aug. 2020, www.youtube.com/watch?v=W-hcSwwXOU8.

“Project ECHO.” University of New Hampshire – College of Health and Human Services, November 6, 2020. https://chhs.unh.edu/institute-health-policy-practice/project-echo.

“Telehealth-Covid19.Pdf.” Accessed December 8, 2020. https://www.dhhs.nh.gov/ombp/medicaid/documents/telehealth-covid19.pdf.