Difference between revisions of "ARTICLE"
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| − | + | '''Article Review: A systematic review of telehealth applications in hospital medicine''' | |
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| − | + | Gutierrez J, Rewerts K, CarlLee S, Kuperman E, Anderson ML, Kaboli PJ. A systematic review of telehealth applications in hospital medicine. Journal of hospital medicine. 2022 Apr;17(4):291-302. | |
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| + | Background | ||
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| + | Telemedicine in acute care settings has been primarily in emergency (tele-ED) and intensive care units (tele-ICU) thus far. Covid-19 and hospital shortages in rural and critical access hospitals revived interest in tele- hospital medicine (tele- HM). The objectives of this article are to conduct a systematic review of telemedicine applications in inpatient adult and pediatric HM services, incorporate existing evidence and identify gaps for future research. | ||
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| + | Methods | ||
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| + | Data sources: Five databases were used for search- PubMed, Embase, CINAHL, Scopus and ProQuest Theses and Dissertations | ||
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| + | Study selection: Two independent coders screened for eligibility and organized data into three main categories listed below. | ||
| + | |||
| + | Results | ||
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| + | A total of 20 studies were reviewed. Most studies were conducted in the USA (except three), involved mostly adult HM patient wards (except two pediatric studies), split evenly between rural and urban, and published between 2018-2021. Studies were organized into three groups: | ||
| + | 1. Feasibility and planning: 3 studies conducted needs assessment, proposed roles for tele-hospitalists and briefly looked at financial viability for nocturnal staffing model. | ||
| + | 2. Implementation and technology: 5 studies discussed rapid implementation due to covid-19 pandemic, tele- hospitalist workflow and patient experience | ||
| + | 3. Telehealth application process and outcome measures: 12 studies reported specific outcomes that can be further categorized into: | ||
| + | 1. Clinical outcomes and processes | ||
| + | 2. Satisfaction | ||
| + | 3. Economic analysis | ||
| + | |||
| + | Conclusion | ||
| + | |||
| + | Overall review supports the use of telehealth for inpatient care | ||
| + | Overall satisfaction was high in overcoming feelings of professional isolation | ||
| + | Good evidence in support of tele-HM to rural and critical access hospitals | ||
| + | Good evidence in support of tele- HM dispersing best practices | ||
| + | Telemedicine allowed for new team structures such as advanced practice providers supported by tele-hospitalists | ||
| + | No difference or modest improvements in outcome metrics were noted. | ||
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| + | Comments | ||
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| + | Covid-19 pandemic propelled telemedicine adoption into an accelerated mode. Potential benefits include addressing provider shortages and mitigating burnout by unburdening local physicians, especially in hospital medicine. Further studies on economic evaluations of tele- HM are needed. | ||
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| + | Related resources | ||
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| + | https://www.the-hospitalist.org/hospitalist/article/36180/career/hospitalists-explore-evolving-roles-in-telemedicine/ | ||
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| + | https://www.americantelemed.org/ata-news/19-leading-hospital-systems-and-academic-medical-centers-share-their-learnings-at-ata-nexus-2024-in-new-system-spotlight-sessions/ | ||
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| + | |||
| + | Submitted by Veda L Koneru | ||
| + | [[Category:BMI512-SPRING-24]] | ||
Latest revision as of 23:53, 16 May 2024
Article Review: A systematic review of telehealth applications in hospital medicine
Gutierrez J, Rewerts K, CarlLee S, Kuperman E, Anderson ML, Kaboli PJ. A systematic review of telehealth applications in hospital medicine. Journal of hospital medicine. 2022 Apr;17(4):291-302.
Background
Telemedicine in acute care settings has been primarily in emergency (tele-ED) and intensive care units (tele-ICU) thus far. Covid-19 and hospital shortages in rural and critical access hospitals revived interest in tele- hospital medicine (tele- HM). The objectives of this article are to conduct a systematic review of telemedicine applications in inpatient adult and pediatric HM services, incorporate existing evidence and identify gaps for future research.
Methods
Data sources: Five databases were used for search- PubMed, Embase, CINAHL, Scopus and ProQuest Theses and Dissertations
Study selection: Two independent coders screened for eligibility and organized data into three main categories listed below.
Results
A total of 20 studies were reviewed. Most studies were conducted in the USA (except three), involved mostly adult HM patient wards (except two pediatric studies), split evenly between rural and urban, and published between 2018-2021. Studies were organized into three groups: 1. Feasibility and planning: 3 studies conducted needs assessment, proposed roles for tele-hospitalists and briefly looked at financial viability for nocturnal staffing model. 2. Implementation and technology: 5 studies discussed rapid implementation due to covid-19 pandemic, tele- hospitalist workflow and patient experience 3. Telehealth application process and outcome measures: 12 studies reported specific outcomes that can be further categorized into: 1. Clinical outcomes and processes 2. Satisfaction 3. Economic analysis
Conclusion
Overall review supports the use of telehealth for inpatient care Overall satisfaction was high in overcoming feelings of professional isolation Good evidence in support of tele-HM to rural and critical access hospitals Good evidence in support of tele- HM dispersing best practices Telemedicine allowed for new team structures such as advanced practice providers supported by tele-hospitalists No difference or modest improvements in outcome metrics were noted.
Comments
Covid-19 pandemic propelled telemedicine adoption into an accelerated mode. Potential benefits include addressing provider shortages and mitigating burnout by unburdening local physicians, especially in hospital medicine. Further studies on economic evaluations of tele- HM are needed.
Related resources
Submitted by Veda L Koneru
