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Considerations for Virtual Care Following the Pandemic
Melanie Powis1, Monika K Krzyzanowska2
1A health services and implementation science researcher focused on evaluating the quality of cancer care delivery; a research manager at Cancer Quality Lab (CQuaL), Princess Margaret Cancer Centre; and a PhD student at the Institute of Health Policy, Management and Evaluation in the University of Toronto in Toronto, ON.
The COVID-19 pandemic accelerated virtual care adoption, but persistent barriers hinder its full integration. Recommendations are provided to sustain this essential healthcare modality.
Area of Science:
- Health Services Research
- Digital Health
- Healthcare Policy
Background:
- The COVID-19 pandemic significantly increased the adoption of virtual care, highlighting new patient and clinician needs.
- Patient expectations have shifted, with virtual care now considered an essential option, unlikely to revert to pre-pandemic in-person levels.
- Pre-existing structural and behavioral barriers, including issues of equity, access, infrastructure, provider licensing, and remuneration, continue to impede virtual care's widespread use.
Purpose of the Study:
- To analyze the impact of the pandemic on virtual care adoption and identify persistent challenges.
- To propose actionable recommendations and next steps for the sustainable integration of virtual care into clinical practice.
- To address the structural and behavioral barriers that limited virtual care prior to the pandemic.
Main Methods:
- Qualitative analysis of pandemic-driven virtual care trends.
- Review of existing literature on virtual care barriers and facilitators.
- Development of policy and practice recommendations based on identified needs and challenges.
Main Results:
- Rapid and widespread adoption of virtual care technologies occurred during the pandemic.
- Patient and clinician acceptance of virtual care has increased significantly.
- Key barriers related to equity, access, infrastructure, licensing, and reimbursement remain unresolved.
Conclusions:
- Virtual care is a permanent fixture in healthcare, necessitating strategies for sustained implementation.
- Addressing persistent structural and behavioral barriers is crucial for equitable and effective virtual care.
- Tangible recommendations and next steps are essential to overcome challenges and ensure the future of virtual care.
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