Telemed J E Health - Provider barriers to telemental health: obstacles overcome, obstacles remaining.

Tópicos

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Resumo

Many providers are hesitant to use telemental health technologies. When providers are queried, various barriers are presented, such as the clinician's skepticism about the effectiveness of telemental health (TMH), viewing telehealth technologies as inconvenient, or reporting difficulties with medical reimbursement. Provider support for TMH is critical to its diffusion because clinicians often serve as the initial gatekeepers to telehealth implementation and program success. In this article, we address provider concerns in three broad domains: (1) personal barriers, (2) clinical workflow and technology barriers, and (3) licensure, credentialing, and reimbursement barriers. We found evidence that, although many barriers have been discussed in the literature for years, advancements in TMH have rapidly reduced obstacles for its use. Improvements include extensive opportunities for training, a growing evidence base supporting positive TMH outcomes, and transformations in technologies that improve provider convenience and transmission quality. Recommendations for further change are discussed within each domain. In particular, it is important to grow and disseminate data underscoring the promise and effectiveness of TMH, integrate videoconferencing capabilities into electronic medical record platforms, expand TMH reimbursement, and modify licensure standards.

Resumo Limpo

mani provid hesit use telement health technolog provid queri various barrier present clinician skeptic effect telement health tmh view telehealth technolog inconveni report difficulti medic reimburs provid support tmh critic diffus clinician often serv initi gatekeep telehealth implement program success articl address provid concern three broad domain person barrier clinic workflow technolog barrier licensur credenti reimburs barrier found evid although mani barrier discuss literatur year advanc tmh rapid reduc obstacl use improv includ extens opportun train grow evid base support posit tmh outcom transform technolog improv provid conveni transmiss qualiti recommend chang discuss within domain particular import grow dissemin data underscor promis effect tmh integr videoconferenc capabl electron medic record platform expand tmh reimburs modifi licensur standard

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