In Personalized medicine
Aim: The COVID-19 pandemic forced medical practices to augment healthcare delivery to remote and virtual services. We describe the results of a nationwide survey of cardiovascular professionals regarding telehealth perspectives. Materials & methods: A 31-question survey was sent early in the pandemic to assess the impact of COVID-19 on telehealth adoption & reimbursement. Results: A total of 342 clinicians across 42 states participated. 77% were using telehealth, with the majority initiating usage 2 months after the COVID-19 shutdown. A variety of video-based systems were used. Telehealth integration requirements differed, with electronic medical record integration being mandated in more urban than rural practices (70 vs 59%; p < 0.005). Many implementation barriers surfaced, with over 75% of respondents emphasizing reimbursement uncertainty and concerns for telehealth generalizability given the complexity of cardiovascular diseases. Conclusion: Substantial variation exists in telehealth practices. Further studies and legislation are needed to improve access, reimbursement and the quality of telehealth-based cardiovascular care.
Waldman Carly E, Min Jean H, Wassif Heba, Freeman Andrew M, Rzeszut Anne K, Reilly Jack, Theriot Paul, Soliman Ahmed M, Thamman Ritu, Bhatt Ami, Bhavnani Sanjeev P
COVID-19, access to care, electronic medical record, healthcare access, pandemic, payment parity, reimbursement, telehealth, telemedicine, video-visitations