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Telerheumatology: before, during, and after a global pandemic
Rachel A Matsumoto1, Jennifer L Barton1,2
1Center to Improve Veteran Involvement in Care, VA Portland Health Care System.
Telerheumatology visits are effective and preferred by patients and clinicians, offering time and cost savings. However, addressing the digital divide is crucial for equitable access to remote rheumatology care.
Area of Science:
- Rheumatology
- Digital Health
- Healthcare Delivery
Background:
- The COVID-19 pandemic accelerated the adoption of remote healthcare, including telehealth.
- Prior to 2020, research on telerheumatology was limited in scope.
- Telehealth encompasses various remote care methods like video and telephone consultations.
Purpose of the Study:
- To review the current state of telerheumatology.
- To assess the acceptability, feasibility, and efficacy of telehealth in rheumatology.
- To identify challenges and future directions for telerheumatology.
Main Methods:
- Literature review of existing studies on telerheumatology.
- Analysis of patient and clinician experiences with remote rheumatology care.
- Evaluation of the benefits and limitations of telerheumatology.
Main Results:
- Telerheumatology visits demonstrated noninferiority to in-person visits.
- Telehealth consultations were found to be time and cost-effective for patients.
- Both patients and clinicians reported positive attitudes towards telerheumatology, despite limitations like the absence of physical exams and diagnostic tests.
Conclusions:
- Telerheumatology offers a valuable and useful modality for rheumatologic care, extending beyond the pandemic.
- Ensuring health equity and addressing the digital divide are essential for widespread telerheumatology adoption.
- Future efforts should prioritize patient preferences and shared decision-making in telehealth rheumatology to ensure equitable access and care.
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