Access to Care Matters: Remote Health Care Needs During COVID-19

Area of Science:

• Neurology
• Public Health
• Health Informatics

Background:

• The COVID-19 pandemic has strained global healthcare systems, with significant case numbers in the U.S. and New York City.
• Disparities in healthcare access, particularly for populations with high-risk comorbidities like those in The Bronx, are exacerbated by the risks of in-person visits.
• Limited discussion exists on the underlying disparities in the transition to telemedicine.

Purpose of the Study:

• To review recent literature on telemedicine and its potential applications within the field of neurology.
• To identify successes and challenges associated with telemedicine implementation during the COVID-19 pandemic.
• To propose strategies for improving telemedicine accessibility and effectiveness.

Main Methods:

• Literature review of recent publications on telemedicine in neurology.
• Analysis of preliminary reflections on telemedicine implementation during the COVID-19 crisis.
• Synthesis of perspectives on disparities and future needs in telehealth.

Main Results:

• Telemedicine has shown potential in reducing the strain on in-person healthcare visits.
• Preliminary findings indicate both successes and challenges in the implementation of telemedicine.
• The pandemic has underscored the need to address disparities in healthcare access.

Conclusions:

• Fundamental changes in training, technological accessibility, and healthcare policy are necessary for effective telemedicine beyond the COVID-19 crisis.
• Recommendations include open access to telehealth training and screening for patient inequities.
• Advocacy is needed to ensure broad, long-term access to telehealth care for all populations.