The problem is that despite the continued advances and benefits telemedicine has provided, an underserved community and demographics are resulting in low health literacy and anxiety (Tapuria et al., 2021).
The problem is that despite the continued advances and benefits telemedicine has provided, an underserved community and demographics are resulting in low health literacy and anxiety (Tapuria et al., 2021). Eventually, patient information will be accessible globally, allowing patients to receive care from anywhere in the world. By boosting face-to-face medicine, it dramatically enhances the quality-of-care delivery and decreases healthcare costs; telehealth enables clinicians to give care on a smartphone or computer without a doctor’s visit (Worthy, 2021). With the improvement of technology innovations, provider satisfaction and patient involvement will increase.
The National Institutes of Health defines telemedicine as “the use of electronic information and communication technology to offer and support healthcare when distance separates the participants” (O’Grady, 2022). Numerous novel doctor-patient interactions are now possible due to the fast-growing care modality. Due to the pandemic, telemedicine has been lately integrated into healthcare design. Numerous institutions have adopted telehealth as a standard component of patient care due to its enormous benefits and positive reception among patients and healthcare staff (O’Grady, 2022). Telehealth was developed to benefit rural people who lacked the luxury of living near a reputable hospital (Worthy, 2021).
A physician must operate similarly to other similarly situated members of their profession with comparable knowledge, competence, and care and act reasonably under the circumstances. According to Worthy (2021) reasonable for telemedicine means that a physician must provide healthcare in the same manner as any other physician in the same situation, regardless of whether the physician is practicing in person or via telehealth. According to Worthy (2021), telehealth can focus on something other than whether a physician’s telehealth practice includes audio or visual capabilities to prevent problems and differing regulatory criteria. In lieu of this, all physicians must act rationally per the current conditions, regardless of whether they practice telehealth or traditional medicine. One of the most fundamental reasons why the standard of care for telehealth should be the same as for traditional medicine is that telehealth is critical to changing the existing state of medicine and is needed in our healthcare system (Worthy, 2021).
The medical community must comprehend that although telemedicine is a deviation from the norm, it should not alter our perspective on healthcare or compromise it. Telehealth is a movement involving technology to give patients health information, education, and care remotely. Implementing the patient portal and video visits is the most crucial telemedicine component. There are numerous advantages to telehealth encouraging remote healthcare, such as for immobile patients who do not require in-office care for chronic conditions. However, telehealth has at least as many disadvantages as positives.
Tapuria et al. (2021) suggest the disadvantages include a specific demographic that is not technologically savvy and does not have smartphones, patients with lower health literacy, and patients who have security concerns, particularly regarding the sharing of information, test results, and reports that arrive in the patient portal and cause anxiety and confusion. Telehealth physicians incur a more significant “risk of probable misdiagnosis by depending on the information provided by their patients” via electronic methods (O’Grady,2022). Others argue that a stricter standard would require physicians to constantly stay abreast of rapidly evolving telemedicine advances and encourage more physicians to avoid potentially high liability risks associated with telehealth, which would “significantly disincentivize” its use “given the inherent diagnostic disadvantage of its use.”
According to O’Grady (2022), the standard of care for telehealth must be unambiguous. The ideal would be clearly defined statutory standards and recommendations that are “efficient in protecting patients’ safety.” Sharing clinical notes with patients and parents poses ethical and legal challenges, such as how to capture secret and sensitive information, such as reproductive health, misattributed paternity, or arguments between providers and parents (Tapuria et al., 2021). Online access to clinical information, such as cancer diagnoses, may induce anxiety in patients and lengthen patient-physician interactions while indicating that some patients experienced anxiety upon discovering previously unknown facts, disparaging language, or contradictions in their records.
Nonetheless, according to some research, access to EHRs reduced patients’ anxiety by enhancing their understanding of their illnesses. “Ralston et al. and Winkelman et al. feel that faster access to test data through the patient portal could reduce patients’ worry and anxiety (Tapuria et al., 2021).” It may be necessary to improve patients’ comprehension while receiving their radiology findings online for the first time. The evidence implies that patient access to their EHRs may generate anxiety in challenging clinical situations. However, patients are pleased with their EHRs, and patient portal access to laboratory test data has resulted in convenience, fewer appointments, and reduced anxiety (Tapuria et al., 2021).
Purpose Statement
This proposed qualitative exploratory study aims to understand and develop new regulations and policies to ensure that patients who opt-in to use telehealth have access to the tools necessary to receive adequate patient-centered care(Bhaskar et al., 2020). In New York, several institutions have rolled out telemedicine throughout the pandemic, and now telehealth has been spearheaded as a standard of care in the healthcare system. The purpose is to extrapolate and analyze how this electronic tool is beneficial and secure for everyone who chooses to use and wishes to participate in telemedicine in the future.
The participants are patients and clinicians who utilize these systems in healthcare daily (Haleem et al., 2021). One demographic is the baby boomers who are trying to keep up with technology and may not have smartphones or know how to use them, now faced with navigating and managing their healthcare on an app(LeRouge et al.,2014). The other demographic is those who do not have access to internet services and, therefore, cannot benefit from telemedicine(Adams et al., 2021). The impact the telemedicine has been significant but affects varied branches of the healthcare system differently. The study’s results could educate organizations on methods to teach or employ staff who can help various demographics with the tools to interact efficiently with their providers. Curtail how test results are released to patients alleviate unnecessary stress and anxiety, and strategize methods for those with low health literacy to get the literature they need in the portal.
Research Question
RQ1
Does the implementation of nursing telehealth EBP education positively impact the willingness to access telehealth medicine by people aged 65 years and older as measured by the Telehealth Usability Questionnaire (TUQ) (Dooley,2022)?
RQ2
What are some lessons learned pertaining to the positive and negative outcomes of telehealth services for the delivery of healthcare during non-pandemic times( Manrique-Aparicio, 2022)?
References:
Adams, R. B., Nelson, V. R., & Holtz, B. E. (2021). Barriers for telemedicine use among nonusers at the beginning of the pandemic. Telemedicine reports, 2(1), 211-216. https://doi.org/10.1089/tmr.2021.0022
Bhaskar, S., Bradley, S., Chattu, V. K., Adisesh, A., Nurtazina, A., Kyrykbayeva, S., Sakhamuri, S., Moguilner, S., Pandya, S., Schroeder, S., Banach, M., & Ray, D. (2020). Telemedicine as the new outpatient clinic gone digital: Position paper from the pandemic healthSystem rEsilience PROGRAM (REPROGRAM) International Consortium (Part 2). Frontiers in public health, pp. 8, 410. https://doi.org/10.3389/fpubh.2020.00410
Haleem, A., Javaid, M., Singh, R. P., & Suman, R. (2021). Telemedicine for healthcare: Capabilities, features, barriers, and applications. Sensors international, p. 2, 100117. https://doi.org/10.1016/j.sintl.2021.100117
LeRouge, C., Van Slyke, C., Seale, D., & Wright, K. (2014). Baby boomers’ adoption of consumer health technologies: survey on readiness and barriers. Journal of medical Internet research, 16(9), e200. https://doi.org/10.2196/jmir.3049
O’Grady, M. (2022, September 15). Telemedicine: What we’ve learned and what’s to come: Reflecting on the present and preparing for the future of virtual eye care. Review of Optometry, 159(9), 54.
Tapuria, A., Porat, T., Kalra, D., Dsouza, G., Xiaohui, S., & Curcin, V. (2021). Impact of patient access to their electronic health record: systematic review. Informatics for Health & Social Care, 46(2), 192-204. https://doi.org/10.1080/17538157.2021.1879810
Worthy, H. (2021). The New Norm in Healthcare: Telehealth. Charleston Law Review, 15(2), 549-572.
Question:
How can these research questions be written in a scholarly tone using a qualitative method design?
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