Telemed J E Health - Post-disaster Gulf Coast recovery using telehealth.

Tópicos

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{ health(3367) inform(1360) care(1135) }
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Resumo

JECTIVE: The Gulf Coast continues to struggle with service need far outpacing available resources. Since 2005, the Regional Coordinating Center for Hurricane Response (RCC) at Morehouse School of Medicine, Atlanta, GA, has supported telehealth solutions designed to meet high service needs (e.g., psychiatry) within primary care and other healthcare organizations. The overall RCC vision is to support autonomous, useful, and sustainable telehealth programs towards mitigating unmet disaster-related needs.SUBJECTS AND METHODS: To assess Gulf Coast telehealth experiences, we conducted semistructured interviews with both regional key informants and national organizations with Gulf Coast recovery interests. Using qualitative-descriptive analysis, interview transcripts were analyzed to identify shared development themes.RESULTS: Thirty-eight key informants were interviewed, representing a 77.6% participation rate among organizations engaged by the RCC. Seven elements critical to telehealth success were identified: Funding, Regulatory, Workflow, Attitudes, Personnel, Technology, and Evaluation. These key informant accounts reveal shared insights with telehealth regarding successes, challenges, and recommendations.CONCLUSIONS: The seven elements critical to telehealth success both confirm and organize development principles from a diverse collective of healthcare stakeholders. The structured nature of these insights suggests a generalizable framework upon which other organizations might develop telehealth strategies toward addressing high service needs with limited resources.

Resumo Limpo

jectiv gulf coast continu struggl servic need far outpac avail resourc sinc region coordin center hurrican respons rcc morehous school medicin atlanta ga support telehealth solut design meet high servic need eg psychiatri within primari care healthcar organ overal rcc vision support autonom use sustain telehealth program toward mitig unmet disasterrel needssubject method assess gulf coast telehealth experi conduct semistructur interview region key inform nation organ gulf coast recoveri interest use qualitativedescript analysi interview transcript analyz identifi share develop themesresult thirtyeight key inform interview repres particip rate among organ engag rcc seven element critic telehealth success identifi fund regulatori workflow attitud personnel technolog evalu key inform account reveal share insight telehealth regard success challeng recommendationsconclus seven element critic telehealth success confirm organ develop principl divers collect healthcar stakehold structur natur insight suggest generaliz framework upon organ might develop telehealth strategi toward address high servic need limit resourc

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