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Telemedicine Use in Disasters: A Scoping Review
Mark Litvak1, Katherine Miller2, Tehnaz Boyle1
1Department of Emergency Medicine, Boston Medical Center, Boston, Massachusetts, USA.
Disaster Medicine and Public Health Preparedness
|March 22, 2021
Summary
Disaster telemedicine improves healthcare access during emergencies. This review identifies common barriers like credentialing, licensure, and technology, offering recommendations for better implementation in the United States.
Area of Science:
- Health Services Research
- Emergency Medicine
- Health Informatics
Background:
- Disasters increasingly strain healthcare systems.
- Telemedicine offers a solution to maintain healthcare access during crises.
- Disaster telemedicine is crucial for robust emergency response.
Purpose of the Study:
- To conduct a scoping literature review on disaster telemedicine.
- To identify barriers to implementing telemedicine for disaster health response in the US.
- To develop recommendations for overcoming these barriers.
Main Methods:
- Scoping literature review of telemedicine in disasters.
- Publications collected from online databases, including translated works.
- PRISMA flow diagram used for literature screening and selection.
- Reviewers scored literature for relevance to implementation barriers and system design.
Main Results:
- Telemedicine usage (42 publications) and system design/operating models (43 publications) were key themes.
- Common barriers identified include credentialing (5), licensure (6), liability (4), reimbursement (5), and technology (24).
- Recommendations were qualitatively summarized for each identified topic.
Conclusions:
- Addressing barriers in credentialing, licensure, liability, reimbursement, and technology is vital for effective disaster telemedicine.
- Implementing robust telemedicine systems enhances regional disaster health response capabilities.
- Further research and policy development are needed to optimize disaster telemedicine.
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