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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
PubMed
Summary
This summary is machine-generated.

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.

Keywords:
disasterliteraturereviewscopingtelehealthtelemedicine

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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.