{"id":86,"date":"2020-12-01T13:01:18","date_gmt":"2020-12-01T18:01:18","guid":{"rendered":"https:\/\/commons.princeton.edu\/ghp350-f20\/?page_id=86"},"modified":"2020-12-22T22:33:51","modified_gmt":"2020-12-23T03:33:51","slug":"telehealth-expansion-in-nh","status":"publish","type":"page","link":"https:\/\/commons.princeton.edu\/ghp350-f20\/podcasts\/telehealth-expansion-in-nh\/","title":{"rendered":"Expanding Access to Essential Care"},"content":{"rendered":"<h4 style=\"text-align: center\"><b>A Brief History of Telemedicine and the Role of COVID-19<\/b><\/h4>\n<p style=\"text-align: center\">By: Roshini Balasubramanian, Jacob Barber, and Kenzo Lacuarta<\/p>\n<div id=\"attachment_148\" style=\"width: 622px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/drive.google.com\/file\/d\/1Cw-n7qGigR2uu-ULUAr4sbDN-Ft1oea9\/view?usp=sharing\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-148\" class=\"wp-image-148 size-full\" src=\"https:\/\/commons.princeton.edu\/ghp350-f20\/wp-content\/uploads\/sites\/235\/2020\/12\/ghp350-image.jpg\" alt=\"\" width=\"612\" height=\"379\" srcset=\"https:\/\/commons.princeton.edu\/ghp350-f20\/wp-content\/uploads\/sites\/235\/2020\/12\/ghp350-image.jpg 612w, https:\/\/commons.princeton.edu\/ghp350-f20\/wp-content\/uploads\/sites\/235\/2020\/12\/ghp350-image-300x186.jpg 300w\" sizes=\"auto, (max-width: 612px) 100vw, 612px\" \/><\/a><p id=\"caption-attachment-148\" class=\"wp-caption-text\"><a href=\"https:\/\/www.healthwise.org\/blog\/patient-ed-telehealth-amid-covid-19.aspx\"><span style=\"font-weight: 400\">Source<\/span><\/a><span style=\"font-weight: 400\">: \u201cVideo call with doctor\u201d from Getty Images<\/span><\/p><\/div>\n<p style=\"text-align: center\"><span style=\"font-weight: 400\">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\u2019t have access. These breakthroughs can quickly become \u201cmagic bullets\u201d if we are not careful in its implementation. We explore both the benefits and limits of telehealth through\u00a0 Project Echo and the Dartmouth-Hitchcock Medical Center in New Hampshire, one of the state\u2019s 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 \u201ctelehealth,\u201d and data reflecting the use of such care during COVID-19 will allow providers to implement the technology in the most equitable way.\u00a0 \u201cHealth at home\u201d will continue post-pandemic and has great potential to improve health outcomes of rural patients, if implemented correctly.<\/span><\/p>\n<p style=\"text-align: center\">Podcast Available <a href=\"https:\/\/drive.google.com\/file\/d\/1Cw-n7qGigR2uu-ULUAr4sbDN-Ft1oea9\/view?usp=sharing\">Here<\/a><\/p>\n<audio class=\"wp-audio-shortcode\" id=\"audio-86-1\" preload=\"none\" style=\"width: 100%;\" controls=\"controls\"><source type=\"audio\/mpeg\" src=\"https:\/\/commons.princeton.edu\/ghp350-f20\/wp-content\/uploads\/sites\/235\/2020\/12\/ghp350_telemedicine_podcast.mp3?_=1\" \/><a href=\"https:\/\/commons.princeton.edu\/ghp350-f20\/wp-content\/uploads\/sites\/235\/2020\/12\/ghp350_telemedicine_podcast.mp3\">https:\/\/commons.princeton.edu\/ghp350-f20\/wp-content\/uploads\/sites\/235\/2020\/12\/ghp350_telemedicine_podcast.mp3<\/a><\/audio>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center\">Bibliography<\/p>\n<p><span style=\"font-weight: 400\">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.<\/span><\/p>\n<p><span style=\"font-weight: 400\">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.<\/span><\/p>\n<p><span style=\"font-weight: 400\">CDC. \u201cUsing Telehealth to Expand Access to Essential Health Services during the COVID-19 Pandemic.\u201d 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.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Grant, Gene, and Pioneer Blog Team. \u201cDr. Sanjeev Arora Talks Project ECHO with PBS New Mexico.\u201d RWJF &#8211; Culture of Health Blog, Dec 9, 2013. https:\/\/www.rwjf.org\/en\/blog\/2013\/12\/project_echo_pbsnew.html.\u00a0<\/span><\/p>\n<p>\u201cIn Depth: COVID-19 and Telemedicine in N.H. | New Hampshire Public Radio.\u201d Accessed December 8, 2020. https:\/\/www.nhpr.org\/post\/depth-covid-19-and-telemedicine-nh#stream\/0.<\/p>\n<p><span style=\"font-weight: 400\">ITHRemotePresence. \u201cPBS Reporting on Telehealth.\u201d YouTube, YouTube, 14 July 2015, www.youtube.com\/watch?v=jKbSrIn3LSg.<\/span><\/p>\n<p><span style=\"font-weight: 400\">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.<\/span><\/p>\n<p>Moon, Jason. \u201cGrowth of Telemedicine in N.H. Has Hopes High, But Questions Remain.\u201d Accessed December 8, 2020. https:\/\/www.nhpr.org\/post\/growth-telemedicine-nh-has-hopes-high-questions-remain.<\/p>\n<p>NJTodayOnline. \u201cTelehealth Care Allows for Remote Monitoring of Patients.\u201d <i>YouTube<\/i>, YouTube, 4 June 2015, www.youtube.com\/watch?v=I4vpHZ5adIA.<\/p>\n<p><span style=\"font-weight: 400\">Pai, A., 2020. Unitedhealthcare Now Covers Doctor On Demand, American Well Video Visits Too. [online] MobiHealthNews. Available at: &lt;https:\/\/www.mobihealthnews.com\/43052\/unitedhealthcare-now-covers-doctor-on-demand-american-well-video-visits-too&gt; [Accessed 6 December 2020].<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u201cPresident Donald Trump Says His Administration Has Expanded Access to Telehealth.\u201d YouTube, YouTube, 3 Aug. 2020, www.youtube.com\/watch?v=W-hcSwwXOU8.<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u201cProject ECHO.\u201d University of New Hampshire &#8211; College of Health and Human Services, November 6, 2020. https:\/\/chhs.unh.edu\/institute-health-policy-practice\/project-echo.<\/span><\/p>\n<p>\u201cTelehealth-Covid19.Pdf.\u201d Accessed December 8, 2020. https:\/\/www.dhhs.nh.gov\/ombp\/medicaid\/documents\/telehealth-covid19.pdf.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A Brief History of Telemedicine and the Role of COVID-19 By: Roshini Balasubramanian, Jacob Barber, and Kenzo Lacuarta 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<\/p>\n<p><a class=\"more-link\" href=\"https:\/\/commons.princeton.edu\/ghp350-f20\/podcasts\/telehealth-expansion-in-nh\/\">Continue Reading<\/a><\/p>\n","protected":false},"author":2163,"featured_media":0,"parent":40,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-nosidebar.php","meta":{"footnotes":""},"class_list":["post-86","page","type-page","status-publish","hentry","post-preview"],"_links":{"self":[{"href":"https:\/\/commons.princeton.edu\/ghp350-f20\/wp-json\/wp\/v2\/pages\/86","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/commons.princeton.edu\/ghp350-f20\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/commons.princeton.edu\/ghp350-f20\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/commons.princeton.edu\/ghp350-f20\/wp-json\/wp\/v2\/users\/2163"}],"replies":[{"embeddable":true,"href":"https:\/\/commons.princeton.edu\/ghp350-f20\/wp-json\/wp\/v2\/comments?post=86"}],"version-history":[{"count":17,"href":"https:\/\/commons.princeton.edu\/ghp350-f20\/wp-json\/wp\/v2\/pages\/86\/revisions"}],"predecessor-version":[{"id":603,"href":"https:\/\/commons.princeton.edu\/ghp350-f20\/wp-json\/wp\/v2\/pages\/86\/revisions\/603"}],"up":[{"embeddable":true,"href":"https:\/\/commons.princeton.edu\/ghp350-f20\/wp-json\/wp\/v2\/pages\/40"}],"wp:attachment":[{"href":"https:\/\/commons.princeton.edu\/ghp350-f20\/wp-json\/wp\/v2\/media?parent=86"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}