Review
Geriatrics & Gerontology
Julie S. Yi, Corinne A. Pittman, Carrie L. Price, Carrie L. Nieman, Esther S. Oh
Summary: This study reviewed the use of telemedicine among older adults with Alzheimer's disease and related dementia or mild cognitive impairment, finding that telemedicine is well received among patients and care partners, with support staff and care partners playing a crucial role in technology navigation. However, excluding older adults with sensory impairments may further exacerbate access to care in this population.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
Article
Health Care Sciences & Services
Kristin N. Ray, Samuel R. Wittman, Sarah Burns, Tran Doan, Kelsey A. Schweiberger, Jonathan G. Yabes, Janel Hanmer, Tamar Krishnamurti
Summary: During the COVID-19 pandemic, telemedicine provided by primary care practices became widely accessible for children. This study aimed to identify the factors associated with the use of primary care telemedicine among children with a usual source of care. Factors such as having a chronic medical condition, living in a metropolitan area, internet connectivity concerns, and higher health literacy were found to be associated with the use of primary care telemedicine.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2023)
Article
Health Care Sciences & Services
Omar H. Ordaz, Raina L. Croff, LaTroy D. Robinson, Steven A. Shea, Nicole P. Bowles
Summary: Contrary to previous reports, Black American patients in this study generally accepted patient portals as tools for personalized care and reducing unfair disease burden in primary care. Increased communication, experience, and adoption of remote health care practices among Black Americans will lead to better health care opportunities.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2021)
Article
Health Care Sciences & Services
Heather Braund, Nancy Dalgarno, Sophy Chan-Nguyen, Genevieve Digby, Faizal Haji, Anne O'Riordan, Ramana Appireddy
Summary: This study aimed to understand patient advisors' perceptions related to virtual care and potential impacts on health care quality. Through interviews with 20 patient advisors, the study found that participants had positive experiences with virtual care, including greater efficiency, increased accessibility, and the perception that virtual care was less stressful and more patient-centered.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2023)
Article
Pediatrics
Alison L. Curfman, Jesse M. Hackell, Neil E. Herendeen, Joshua J. Alexander, James P. Marcin, William B. Moskowitz, Chelsea E. F. Bodnar, Harold K. Simon, S. David McSwain
Summary: All children and adolescents should have access to quality healthcare regardless of their race, financial resources, or location. Disparities in availability and access to high-quality pediatric care persist in the United States due to economic, racial, and geographical factors, as well as limited availability of pediatric specialists. Robust telehealth coverage is crucial for improving access to pediatric care and services, especially for underprivileged populations.
Article
Health Care Sciences & Services
Martine W. J. Huygens, Helene R. Voogdt-Pruis, Myrah Wouters, Maaike M. Meurs, Britt van Lettow, Conchita Kleijweg, Roland D. Friele
Summary: The uptake of telemonitoring in Dutch chronic care remained stable during 2014-2019 but increased among medical specialists. According to both patients and professionals, telemonitoring improves the quality of life and quality of care. Professionals mentioned that monitoring data and tracking alerts can take up significant time.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2021)
Article
Oncology
Samantha Tam, Christine Neslund-Dudas, Amy M. Barrett, Lauren C. J. Barrow, Ilona Fridman, Alan C. Kinlaw, Praveen Puviindran, Trevor J. Royce, Angela B. Smith, Jacob N. Stein, William A. Wood, Jennifer Elston Lafata
Summary: This study describes the perceived usability and acceptability of virtual visits (VVs) among Black adults diagnosed with cancer. While VVs were reported to be acceptable in specific circumstances, Black adults reported preferring in-person care, in part due to a perceived lack of interpersonal connectedness.
Editorial Material
Health Care Sciences & Services
Tyla Thomas-Jacques, Trevor Jamieson, James Shaw
Summary: The pandemic has led to a significant increase in virtual care, with telephone care becoming crucial for many populations. However, relying on complex technologies as the new standard of virtual care may worsen health disparities by deepening the digital divide for marginalized populations.
NPJ DIGITAL MEDICINE
(2021)
Article
Surgery
Aaron P. Lesher, Yulia Gavrilova, Kenneth J. Ruggiero, Heather L. Evans
Summary: Many patients in the United States experience disparities in access to surgical care, including geographic constraints, limited transportation and time, and financial hardships; using smartphones for mobile health technology can improve access and health care quality for surgical patients and their families.
JOURNAL OF SURGICAL RESEARCH
(2021)
Article
Health Care Sciences & Services
Kea Turner, Margarita Bobonis Babilonia, Cristina Naso, Oliver Nguyen, Brian D. Gonzalez, Laura B. Oswald, Edmondo Robinson, Jennifer Elston Lafata, Robert J. Ferguson, Amir Alishahi Tabriz, Krupal B. Patel, Julie Hallanger-Johnson, Nasrin Aldawoodi, Young-Rock Hong, Heather S. L. Jim, Philippe E. Spiess
Summary: This qualitative study explored the experiences of oncology healthcare providers and professionals (HPPs) with telehealth implementation during the COVID-19 pandemic. The study identified five key themes, including establishing patient-HPP relationships, coordinating care with other HPPs and informal caregivers, adapting in-person assessments for telehealth, developing workflows and allocating resources, and making future recommendations. Participants described innovative strategies for telehealth implementation and discussed challenges such as workflow integration and lack of physical exam and biometric data.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2022)
Review
Psychology, Clinical
Anna Mae Scott, Justin Clark, Hannah Greenwood, Natalia Krzyzaniak, Magnolia Cardona, Ruwani Peiris, Rebecca Sims, Paul Glasziou
Summary: This study analyzed the effectiveness of real-time telehealth compared to face-to-face therapy for patients with depression, and found no significant differences in treatment outcomes, quality of life, therapeutic alliance, and satisfaction between the two methods. The results suggest that telehealth may be a viable alternative for providing care to patients with depression, but further trials with longer follow-up periods are needed.
PSYCHOLOGICAL MEDICINE
(2022)
Article
Health Care Sciences & Services
Samantha M. R. Kling, Erika A. Saliba-Gustafsson, Marcy Winget, Maria A. Aleshin, Donn W. Garvert, Alexis Amano, Cati G. Brown-Johnson, Bernice Y. Kwong, Ana Calugar, Ghida El-Banna, Jonathan G. Shaw, Steven M. Asch, Justin M. Ko
Summary: Teledermatology can increase clinic capacity and flexibility, serving as an important tool for post-discharge patients in need of follow-up care. Even during the COVID-19 pandemic, clinic capacity increased with teledermatology use. The choice of care modality for post-discharge patients should be determined through communication to incorporate their and their caregivers' preferences.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2022)
Article
Education & Educational Research
Hannah L. Anderson, Joshua Kurtz, Daniel C. West, Dorene F. Balmer
Summary: This study aimed to understand the perceptions of pediatric postgraduate trainees and supervisors on using telehealth for instruction in ambulatory settings. The results indicated that trainees and supervisors adapted to telehealth and utilized it to enhance observation, autonomy, and develop novel skills.
BMC MEDICAL EDUCATION
(2022)
Article
Oncology
Brook A. Calton, Sarah Nouri, Carine Davila, Ashwin Kotwal, Carly Zapata, Kara E. Bischoff
Summary: Telemedicine has the potential to improve access to cancer care, but there is a risk of widening healthcare disparities. Practical strategies and policy changes are needed to optimize telemedicine usage.
Article
Clinical Neurology
Harry M. Lightsey, Caleb M. Yeung, David N. Bernstein, Marissa G. Sumathipala, Antonia F. Chen, Andrew J. Schoenfeld, Melvin C. Makhni
Summary: This survey-based study explored factors influencing the utilization and evaluation of telemedicine for spine care. The findings showed high levels of patient-rated care and experience for both in-person and telemedicine visits, but in-person visits were significantly rated higher. A preference for in-person first-time visits was observed, but this preference was not maintained for follow-up care. Patients acknowledged the benefits of telemedicine and reflected on its effective integration with in-person care.
Article
Emergency Medicine
Heather J. Becker, Melissa L. Langhan
PEDIATRIC EMERGENCY CARE
(2020)
Article
Emergency Medicine
Leonie Rose Bovino, Christina Brainard, Kristen Beaumier, Victoria Concetti, Nicole Lefurge, Emily Mittelstadt, Tabea Wilson, Melissa L. Langhan
JOURNAL OF EMERGENCY NURSING
(2018)
Review
Emergency Medicine
Antonio Riera, Melissa Langhan, Cicero Torres Silva
PEDIATRIC EMERGENCY CARE
(2020)
Article
Pediatrics
Olga Kovalerchik, Emily Powers, Margaret L. Holland, Mona Sharifi, Melissa L. Langhan
ACADEMIC PEDIATRICS
(2020)
Article
Health Care Sciences & Services
Rahul Shah, Douglas A. Streat, Marc Auerbach, Veronika Shabanova, Melissa L. Langhan
Summary: Documented capnography use increased with simple interventions but with no positive trend. Additional work is needed to improve use.
JOURNAL OF PATIENT SAFETY
(2022)
Letter
Emergency Medicine
Jehanzeb Kayani, Jennifer Reed, Basmah Safdar, Melissa L. L. Langhan
ACADEMIC EMERGENCY MEDICINE
(2023)
Article
Emergency Medicine
Kathleen G. Reichard, Deborah A. Levine, Jennifer Reed, Lindsey Barrick-Groskopf, Kirsten Bechtel, Gena Cooper, Jeannine E. Hall, Marjorie L. White, Melissa L. Langhan
Summary: Compared to national pediatric emergency medicine conferences, there is a lower proportion of female speakers at the Advanced PEM Assembly (APEMA), but similar proportions of female speakers and award recipients at the American Academy of Pediatrics Section on Emergency Medicine (SOEM). Conference organizers in pediatric emergency medicine should strive for gender equity in national recognition.
ACADEMIC EMERGENCY MEDICINE
(2023)
Article
Pediatrics
Melissa L. Langhan, Gunjan Tiyyagura
Summary: This study aimed to develop and evaluate an objective assessment tool for fellowship applicants. By using a behaviorally-anchored rating scale (BARS), the distribution of data was normalized, skewness was reduced, and inter-rater reliability was enhanced.
ACADEMIC PEDIATRICS
(2022)
Article
Pediatrics
Melissa L. Langhan, Michael P. Goldman, Gunjan Tiyyagura
Summary: The objective of this study was to implement behavior-based interviews (BBIs) in a fellowship program and compare applicant assessment by race and gender when using a standardized assessment tool versus a BBI-based tool. The results showed that BBIs successfully reduced racial differences in applicant assessments, while gender did not have a significant impact on the evaluation results. The majority of faculty and applicants provided positive feedback about BBIs.
ACADEMIC PEDIATRICS
(2022)
Article
Emergency Medicine
Maybelle Kou, Aline Baghdassarian, Jerri A. Rose, Kelli Levasseur, Cindy G. Roskind, Tien Vu, Noel S. Zuckerbraun, Kathryn Leonard, Veronika Shabanova, Melissa L. Langhan
Summary: This study found no significant differences in fellow milestone achievement by graduation between trainees entering PEM training from an EM background and those from a pediatric background. However, EM-trained fellows achieved higher milestone scores than pediatrics-trained fellows in the first year of fellowship.
AEM EDUCATION AND TRAINING
(2021)
Article
Emergency Medicine
Cindy G. Roskind, Kathryn Leonard, Aline Baghdassarian, Maybelle Kou, Kelly Levasseur, Jerri A. Rose, Veronika Shabanova, Tien Vu, Noel S. Zuckerbraun, Melissa L. Langhan
Summary: The study found that 67% of pediatric emergency medicine fellows did not achieve level 4 in one or more subcompetencies at graduation. Some fellows failed to meet level 4 in one or two subcompetencies at graduation, while others did not achieve level 4 across all 23 subcompetencies. Those who did not reach the designated level at graduation generally had lower scores during residency graduation and the first year of fellowship.
AEM EDUCATION AND TRAINING
(2021)
Article
Emergency Medicine
Tien T. Vu, Jerri A. Rose, Veronika Shabanova, Maybelle Kou, Noel S. Zuckerbraun, Cindy G. Roskind, Aline Baghdassarian, Kelly Levasseur, Kathryn Leonard, Melissa L. Langhan
Summary: The study found that pediatric-trained fellows experienced significant decreases in milestone scores in shared subcompetencies from the end of primary residency training to early PEM fellowship, but were able to reattain these scores by the end of fellowship. Changes in subcompetency milestone anchors may be necessary to accurately define skills acquisition during the residency-to-fellowship transition.
AEM EDUCATION AND TRAINING
(2021)
Article
Emergency Medicine
Noel S. Zuckerbraun, Kelly Levasseur, Maybelle Kou, Jerri A. Rose, Cindy G. Roskind, Tien Vu, Aline Baghdassarian, Kathryn Leonard, Veronika Shabanova, Melissa L. Langhan
Summary: The study found no major differences in milestone scores between female and male PEM fellows in a national sample. However, females had slightly higher scores in some subcompetencies, though not significantly meaningful.
AEM EDUCATION AND TRAINING
(2021)
Article
Family Studies
Seth M. Woolf, John M. Leventhal, Julie R. Gaither, Priyanka Hardikar, Melissa L. Langhan, Kirsten Bechtel, Marc A. Auerbach, Gunjan Tiyyagura
CHILD ABUSE & NEGLECT
(2019)