Covid-19 has profoundly changed our lives. The thought that the person next to you can potentially affect you has exponentially increased everyone’s anxiety, thus affecting how people work and interact with each other. This has, however, become a severe challenge when it comes to persons experiencing homelessness. —who basically can’t survive without sharing some facilities such as bathing and ablutions.


Because of their increased risk of contracting and spreading the virus, local officials, health care providers, and other service providers have prioritized their care. For impactful and efficient care to this vulnerable group, health care experts have opted to leverage the power of technology. They are now using Telemedicine in providing much-needed help to homeless people.


Telemedicine is currently playing a significant role in providing patients with a convenient and cheap method of consulting clinicians. One most basic form of Telemedicine is telephone communication. This approach has made it easy to deliver much-needed quality health care to vulnerable patients virtually. Telemedicine is a more advanced form of video conferencing, which allows for real-time encounters and viewing of images and patient documents simultaneously.


Years ago, Telemedicine could not be practical for the homeless. However, things have changed, and technology is now accessible to almost everyone. Through the help of various organizations, Telemedicine has made it easier for the homeless to receive better health care. In a partnership announced last year, veterans dealing with homelessness were given the privilege of consulting with caseworkers through telehealth kiosks.


Generally, the homeless community has always had it rough accessing health care services, particularly specialty care such as otolaryngology. Here’s what a Chicago-based otolaryngologist had to say.


“I worked as an otolaryngologist at the Chicago Franciscan Outreach shelter for three years. Unfortunately, we only made it there a few days a month to help patients with tonsillitis, sinusitis, hearing loss, ear infections, and thyroid disorders. As such, our impact was limited. The onset of Covid-19 further paralyzed our services, forcing us to prioritize routine screenings.


To help solve the health care crisis within the homeless community, we have decided to partner with Rush University Medical Center and local homeless advocates to launch a virtual care program. Our primary focus is to provide otolaryngology care. The lost will have their ear, nose, and throat issues virtually addressed by a physician from a kiosk. Once in a while, they will get the opportunity for an in-person visit.


From my experience working with underserved communities, the best way to serve the homeless is to bring care to their doorstep. Besides making it easily accessible, it goes a long way in helping them save on the little money they have.


Combining Telemedicine and in-person visits are not limited to only delivering otolaryngology care. The same can be applied to other specialties in medicine across the United States to improve access to health care, cut down the costs involved, reduce the time wasted in delivering services face to face, and effectively care for the people struggling with homelessness.”

Here is no doubt that the ongoing COVID19 pandemic has had an impact on our way of life. Doctor and medical appointments are among the typical routines that have been disrupted and gave way to telemedicine. According to Colleen McCormick, the director of sustainability at UC Davis, the popularity and use of telemedicine have grown up to 3000% since the pandemic hit, which has suggested it might be the best way to handle climate change. Let’s try and dissect Miss McCormick’s statement and see how it might help climate change.

For starters, the number of patients’ visits to hospitals in 2019 was 122 million. This number includes both light and life-threatening health conditions. It also takes into account the dentist appointments. 2019 registered the highest number of hospital visits in the 2010s decade.

Due to social distancing and ‘stay at home’ initiatives to reduce the spread of the deadly coronavirus, the number of hospital visits has significantly dropped by 32%. The figure has remained constant for the non-COVID hospital admissions.

The reduced number of hospital visits and the inclusion of telemedicine has eliminated a need to drive to and from the hospital, according to Peter Yellowless of UC Davis, which has contributed to a 10% reduction in carbon emission. That’s a lot of carbon emission reduction, where the US healthcare systems are among the most pollutant sectors worldwide.

Given the advancements made in the technology sectors and the willingness of the healthcare sectors to adopt these technologies, it has resulted in telemedicine aiding in the following ways:

  • Non-physical follow-up appointments
  • basic consultations
  • improving comfort and convenience of patients and doctors through virtual visits
  • helped to keep people safe in their homes, hence curbing the spread of COVID19

Other than reducing carbon emission through reduced driving, patients can save money, with millions of dollars that would have been spent on fuel since the pandemic started being saved or included in other expenditures.

The only hope is for healthcare facilities and patients to keep using telemedicine post-pandemic to keep the current changes permanent and improve.

Routinely, Veterans have been making regular visits to their doctors either for yearly exams, follow-up visits, treatment of chronic illnesses, getting test results, or trips to the urgent care for sudden illnesses or injuries. Even though Veterans being able to go to the doctor by themselves has been seen as a beneficial thing, it turns out that telehealth could be exponentially better. Allowing our Veterans the ability to connect with their VA care team from their home, clinic or hospital provides additional benefits that were only dreamt of.

1. Quality of life

Allowing Veterans the ability to visit their doctor from the comfort of their own home is a highly beneficial thing for any individual. Whether they want to save money on gas, don’t have a mode of transportation, or have a lot of medical equipment needed to travel with them, having the ability to communicate with their doctors from home creates more solutions than thought possible. Those that have argued the trip to see their doctor simply for test results was a waste of time, money, and gas.

2. Safety

As most of our Veterans are aging, their needs increase for supported transportation. Some individuals may have to have another person drive them, or they need to use the city bus; however, not every Veteran has these alternative modes of transportation. If their vision is failing, but no one has the ability to drive with them to the appointment, that individual may have to drive. This causes a clear safety issue not only for the Veteran but for the other people on the roads.

3. Comfort and Privacy

It is commonly seen as embarrassing to go see your doctor when you have a mental health illness suddenly strike. Being able to see your doctor for any mental health illnesses from your home provides the protection and seclusion that many people are needing when they have issues arise. Not only this, but it will make patients experiencing severe psychotic episodes the ability to see a provider immediately instead of having to travel somewhere and wait in the reception hall. Not only this, but Veterans have access to real-time, interactive video visits with therapists.

As you can clearly see, telehealth has provided Veterans phenomenal opportunities to receive the same quality of care they have now in their own home. This it allows for the ability for Veterans to join more group visits for mental health care, nutrition education, rehabilitation, and general health education. This allows more people the option to reduce potential social isolation.

For more information visit Ourdoctor.com to sign up and schedule your first telehealth visit. 

The pandemic has created a society of video chats for the main source of communication, and some workers in the mental health industry are certain this culture is here to stay. Due to hospitals only being able to accept emergency cases, close to 100% of mental health care became remote during the height of the pandemic, according to the director of ambulatory services at Ohio State Harding Hospital.


What this means for the future is that patients will be able to decide whether they would prefer in-patient consults or to receive them via telehealth. With the technology available today, patients have experienced the same level of care that they would have received as an in-patient.


Even the previous intensive outpatient program, a strict three to the four-week program at Ohio State Harding Hospital, now gets held over Zoom. Potentially there could even be a future for telemedicine due to the massive success of telehealth in the last year.


When the pandemic started, patients were wary of using telehealth services for physical conditions, and most telehealth patients made use of the services. This was illustrated in a recent study from mid-March to early May 2020 published by RAND Corp, where 53.6% opted for treatment via telehealth compared to the 43.2% of patients with a physical condition using telehealth during that same timespan.


Telehealth services have also increased the rates of patients keeping their appointments as they are easier to attend due to the flexibility of attending the meetings, however like all things, there are a couple of downfalls to the program as not all age groups fall into the demographic of being able to use Video Chats and body language has also been raised as a concern when consulting over a call instead of in person. Reliable internet and having the privacy to talk openly are also issues raised when needing to use telehealth services instead of an in-person consultation.


As the world slowly starts to go back to normal and in-patient consultations have started up again, telehealth services have proven to be a crucial and needed solution for the future. Most medical institutes will offer a range of both to allow the patient to choose what suits them best.

Hereditary diseases are disorders that run in the family, and most are not cured. They are passed from parents to a child through defective genes. The transmission happens through chromosomes. One such condition is Cystic fibrosis (CF).

Cystic fibrosis affects the digestive system and the lungs producing a thick mucus that clogs the lungs and obstructs the pancreas. This life-threatening disorder is a significant concern for many, especially with the current COVID-19 pandemic. CF patients are at more risk because of coronavirus complications, and extra care is needed to manage the condition.

Such delicate situations require you to stay at home to avoid unnecessary exposure. Currently, telehealth is a reliable way for CF management. Telehealth integrates digital technology in healthcare communication through mobile apps, text messages, videoconferencing, and emails.

In the wake of the global pandemic, telehealth has proven to be effective in managing CF patients. It provides a safe environment for the medical team and patients to receive and offer healthcare.

Telehealth Importance

Telehealth is essential and convenient when utilized to :

  • Inquire about prescription refills and medication schedule
  • Taking a virtual exercise routine
  • Reporting new but non-urgent symptoms
  • Bringing to therapists, doctors, and others

However, for medical exams requiring lab samples, this technology is not reliable. Also, remember to call the emergency room immediately whenever you experience sudden severe symptoms such as increased drowsiness, severe breathing difficulties, non-stop wheezing and coughing, the appearance of blue lips or fingers, and blood streaks in mucus.

Advantages of Telehealth in CF

Telehealth offers medical options that reduce safety concerns like social distance associated with the COVID-19 pandemic. It also reduces the burden linked to CF care which is time-consuming and intense.

This technology allows doctors to attend to patients remotely where a physical visit is difficult or risky.

Telehealth challenges

Some of the most common challenges include unstable connectivity due to reliance on digital signals, insurance coverage options available for you, differing adherence levels in patients, and others.

However, telehealth remains reliable in CF management during the pandemic.

While telehealth has always existed, this is much like saying that Zoom always existed. In light of the COVID-19 pandemic, providers have ramped up the availability of telehealth to an extent far more significant than before. For that matter, many people have gotten their first experience with receiving medical care from home. While some may feel skeptical about it, people should be excited. If you have a chronic pain condition such as arthritis, telehealth can significantly benefit your health and wellness.

What is Telehealth?

Telehealth is a set of medical services that revolve around phone calls and other forms of remote communication, such as video calls. While telehealth cannot replace the traditional doctor’s visit for those with arthritis, it has a great deal to offer people with arthritis.

Benefits of Telehealth for Arthritis

There are many occasions where telehealth can be helpful for people who have arthritis. Some of the situations where it’s a good choice include, but are not limited to;

  • You’re experiencing a severe episode of pain that makes travel difficult
  • A quick checkup before deciding whether or not to visit the doctor in person, saving time and money
  • Followup check-ins to assess how you’re doing in the days or weeks following an appointment
  • Keeping in close contact with your doctor when frequent visits aren’t practical

But even more than these benefits, the original reason for the rise of telehealth may be the most important right now. When people can receive medical care from the comfort and safety of the home, it reduces the risks of virus exposure to the doctor, patient, and other patients.

While telehealth may seem like something strange to adapt to, it has the potential to help reduce the spread of COVID while improving the quality of life for those with chronic pain.

The pandemic has introduced a majority of the public to remote versions of their everyday tasks. School is online, work is done in the home office, and doctor’s appointments are phone calls or video meetings. If you’re one of the thousands of people that have embraced this new remote life, you may have trouble sustaining it with your doctor.

Loss of Accommodations

Telehealth was once just an idea with few groups fitting into the category of “Telehealth is better than in-person appointments for this patient.” As such, telehealth visits saw lower reimbursement amounts from claims. This was changed when the pandemic started, and telehealth received the same treatment as physical visits regarding coverage.

Another pain point for patients and doctors alike is privacy concerns. This isn’t unique to the medical field; financial institutions and research facilities have all had to adjust the strictness of data collection. Telehealth is only as secure as the connection between each screen and the environment you’re in during the session. 

Where Telehealth May Remain the Standard

 you may be wondering if it will still be available even at a slightly higher cost. The answer is a resounding “most likely.” Many mental health patients have found telehealth is better for visits as it can reduce anxiety being in a comfortable space.

Consultations are another area that fits well into telehealth. The non-physical symptom can be described to the doctor, and with some probing questions, an initial idea of the problem can be formed. This lets the doctor determine if an in-person appointment is necessary for the examination. If not, a prescription can be filled, or you may have a quick stop at a clinic for testing instead of a complete doctor visit.

In any case, telehealth isn’t going anywhere, As time goes on, telehealth visits will continue to improve and virtual health visits will be the norm. 

Parkinson’s disease (PD) is a progressive brain disorder requiring continuous therapy. Dead brain nerve cells cause a drop in dopamine production, leading to PD. This neurotransmitter regulates movement and attention in the body.

Clinicians rely on medication, occupational, and physical therapy in PD management. However, due to the COVID-19 pandemic, it became difficult to provide healthcare to patients without exposure to the virus. Thanks to the telehealth services, PD is now manageable with minimal risk of the pandemic.

Neurologists and other specialists can safely schedule regular check-ups, examine any new symptoms, and review medication side effects, refills, and other complications.

Advantages of Telehealth

Telehealth has helped clinicians for many years to reach and care for more patients reducing the rate of deterioration.

Here are some expected benefits of telemedicine:

Safety

PD impairs mobility making it difficult for patients to drive or even walk. With telehealth, caregivers can provide homebound services. This eliminates the need for constant physical movement and related risks for patients.

Satisfaction

Many PD patients have shown high satisfaction levels with telemedicine. In turn, it improves trust in medical guidance.

Comfort

The reduction in regular movements helps patients receive health care from the comfort of their homes.

When considering telehealth, first contact your insurance company for coverage verification, then check if your healthcare provider has telehealth care.

Telehealth is seeing more and more use. However, it still needs to be precisely what it can and cannot be used for, as shown by the debates about allowing eye care use. Currently, around 30 states allow this to some extent. In contrast, several others have banned it. The Michigan Legislature is one of the latest to examine the issue.


For those who are curious, the Michigan Legislature is minimally examining the issue. The proposal is to let contact lens users get eye exams conducted via telehealth. However, there are precautions built into the proposal to limit potential problems. For example, people need a prescription from an eye doctor before getting any eye care via telehealth. Similarly, people need an in-person eye exam if their telehealth eye exam says their prescription has changed. Effectively, this means that the proposal is intended for just contact lens users seeking a renewal while their prescription hasn’t changed.


Both the arguments for this proposal and the arguments against this proposal are very similar to those voiced in other debates on the issue. Generally speaking, people support telehealth for eye care because they believe it will lead to better health outcomes. This is because people will have an easier time accessing such services, thus increasing people’s chances of using them regularly. Something significant because catching potential problems early makes it much easier to treat them. Furthermore, telehealth tends to lower the cost of such services, which has a similar effect.
Meanwhile, people oppose telehealth for eye care because such services aren’t as good as their in-person counterparts.

For instance, an eye exam conducted via telehealth can reveal the prescription, but it can’t examine the eye for the signs of severe eye problems that can lead to blindness or worse. There is a possibility patients may decide to go for eye exams via telehealth because of their increased convenience while skipping out on in-person eye exams to cover this other critical aspect of eye care.

The adoption of telehealth has increased significantly since the pandemic began. Covid-19 has made it more urgent and necessary for health providers and patients to use telehealth. All available evidence and data on telehealth, such as a survey on investor confidence, provider attitudes, consumer adoption, and preference, indicate that telehealth will be helpful for a long time to come. It might play a more significant role in the healthcare delivery system. However, it is unclear how the policymaker and payer will treat telehealth when covid-19 decreases.

These are the four questions that policymakers and payers are analyzing to evaluate the function that telehealth should perform. The answers to these questions could help them decide what services can be offered, under what circumstances, from what locations, by whom, and at what price.

1. Is telehealth comparable to in-person care?

This is one of the nagging questions that weigh heavily on the minds of payers, providers, patients, and policymakers. There are concerns that telemedicine delivery can produce gaps in antibiotic prescribing. There is also the problem of primary care that if it is done correctly, it can offer quality care and at the same time reduce costs down the road. Can telemedicine that does not focus on care continuity make sure that there are care continuity and better outcomes in the long run?

Several telehealth providers have been able to achieve care continuity. For example, PlushCare emphasizes building doctors and patients during the whole care journey to offer care continuity that stresses quality. Doctor-On-Demand allows patients to have return visits to the same provider. It has a multifaceted approach to ensuring clinical quality, such as continuous accountability, ongoing professional development, credentialing, and accreditation.

To ensure that patient outcomes are at the same level as traditional HealthcareHealthcare or better, it will be advisable for all telehealth companies to collect and invest in data. That requires buying technology that gathers data, buying quality-scoring frameworks, and buying quality-measurement studies that show that they offer quality care and monitor patient outcomes after some time.

2. Can Telemedicine make Healthcare more accessible to underprivileged individuals?

There is a common debate in the telehealth companies that boosting telemedicine options can help get access to communities that usually face challenges accessing health care. This sounds possible in theory, especially for people in remote areas where healthcare providers are few, but it is not valid in reality. This is because internet connectivity in those areas is a big problem that can inhibit the reach, impact, and telemedicine adoption.

Among the minority communities such as Hispanics and blacks, the problems are complex, such as logistical challenges, trust, cultural/language, and cost. Studies show that telemedicine is more successful among people with higher education, higher income, and urban consumers.

Telehealth providers have been trying to tailor their services to these communities. For example, He & Hers has been collaborating with partners to come up with solutions. It founded Telehealth Equity Coalition, which comprises organizations such as American Telehealth Association and National Health IT Collaborative. He & Hers also accept cash payments that are endearing to minority communities who cannot afford insurance. They charge $39 per visit.

3. Could overutilization in Healthcare occur due to increased use in Telemedicine?

Overutilization fears might continue to be in the center of telemedicine’s pursuit of better policy frameworks—the discussion about overutilization trumps quality. Money is usually the main factor that affects policy decision-making and technology adoption in HealthcareHealthcare. The Telehealth industry has the obligation of proving that it provides quality care at affordable rates.

4. Is there an increased risk of fraud due to the use of Telemedicine?

Billions of dollars have been lost through telehealth frauds. A few dishonest providers can ruin things for everyone. Considering that abuse and fraud problems happen across the healthcare industry, if the telehealth industry can answer the other questions and companies work more challenging to operate more transparently, it should give policymakers and payers confidence and trust.