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Issues And Trends In Healthcare Delivery System01:29

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The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
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Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
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Direct-to-Consumer Academic Telemedicine.

Joshua W Elder1,2, Daniel Stein3, Tamara L Scott4

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Summary
This summary is machine-generated.

Direct-to-consumer telemedicine rapidly expanded during COVID-19, establishing a large-scale video-based program at UC Davis Health. This innovative virtual health model improved access and care coordination, becoming a key workforce component.

Keywords:
direct-to-consumeron demandtelehealthtelemedicine

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Area of Science:

  • Healthcare Management
  • Digital Health
  • Telemedicine

Background:

  • The COVID-19 pandemic accelerated the adoption and innovation of telemedicine services globally.
  • Academic health systems faced the challenge of rapidly scaling virtual care infrastructure to meet increased demand.

Purpose of the Study:

  • To describe the development and impact of a direct-to-consumer telemedicine program within an academic health system.
  • To highlight the role of this program as a model for virtual health infrastructure and workforce development.

Main Methods:

  • Implementation of a video-based telemedicine program across five clinical departments.
  • Staffing the program with 80 healthcare providers, including physicians (MDs) and advanced practice providers (APPs).
  • Focus on direct-to-consumer delivery model.

Main Results:

  • The program became the largest direct-to-consumer telemedicine service of its kind in California.
  • One year post-launch, the program demonstrated success in expanding access to care.
  • The initiative improved care coordination and served as a workforce engine for virtual health.

Conclusions:

  • Direct-to-consumer telemedicine offers a viable and scalable model for academic health systems.
  • This approach can significantly enhance healthcare access and operational efficiency in virtual settings.
  • The program's success underscores the potential of telemedicine to reshape healthcare delivery.