Telemedicine, Telehealth, and Mobile Health Applications That Work: Opportunities and Barriers
Abstract There has been a spike in interest and use of telehealth, catalyzed recently by the anticipated implementation of the Affordable Care Act, which rewards efficiency in healthcare delivery. Advances in telehealth services are in many areas, including gap service coverage (eg, night-time radio...
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| Veröffentlicht in: | The American journal of medicine 2014-03, Vol.127 (3), p.183-187 |
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| container_title | The American journal of medicine |
| container_volume | 127 |
| creator | Weinstein, Ronald S., MD Lopez, Ana Maria, MD, MPH Joseph, Bellal A., MD Erps, Kristine A Holcomb, Michael, BS Barker, Gail P., PhD Krupinski, Elizabeth A., PhD |
| description | Abstract There has been a spike in interest and use of telehealth, catalyzed recently by the anticipated implementation of the Affordable Care Act, which rewards efficiency in healthcare delivery. Advances in telehealth services are in many areas, including gap service coverage (eg, night-time radiology coverage), urgent services (eg, telestroke services and teleburn services), mandated services (eg, the delivery of health care services to prison inmates), and the proliferation of video-enabled multisite group chart rounds (eg, Extension for Community Healthcare Outcomes programs). Progress has been made in confronting traditional barriers to the proliferation of telehealth. Reimbursement by third-party payers has been addressed in 19 states that passed parity legislation to guarantee payment for telehealth services. Medicare lags behind Medicaid, in some states, in reimbursement. Interstate medical licensure rules remain problematic. Mobile health is currently undergoing explosive growth and could be a disruptive innovation that will change the face of healthcare in the future. |
| doi_str_mv | 10.1016/j.amjmed.2013.09.032 |
| format | Article |
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Advances in telehealth services are in many areas, including gap service coverage (eg, night-time radiology coverage), urgent services (eg, telestroke services and teleburn services), mandated services (eg, the delivery of health care services to prison inmates), and the proliferation of video-enabled multisite group chart rounds (eg, Extension for Community Healthcare Outcomes programs). Progress has been made in confronting traditional barriers to the proliferation of telehealth. Reimbursement by third-party payers has been addressed in 19 states that passed parity legislation to guarantee payment for telehealth services. Medicare lags behind Medicaid, in some states, in reimbursement. Interstate medical licensure rules remain problematic. Mobile health is currently undergoing explosive growth and could be a disruptive innovation that will change the face of healthcare in the future.</description><identifier>ISSN: 0002-9343</identifier><identifier>EISSN: 1555-7162</identifier><identifier>DOI: 10.1016/j.amjmed.2013.09.032</identifier><identifier>PMID: 24384059</identifier><identifier>CODEN: AJMEAZ</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Cell Phone ; Credentialing ; Delivery of Health Care - economics ; Delivery of Health Care - organization & administration ; Disruptive innovation ; ECHO programs ; Health services ; Hospitals - standards ; Humans ; Insurance, Health ; Internal Medicine ; Licensure ; Licensure, Medical ; mHealth ; Mobile health ; Patient Protection & Affordable Care Act 2010-US ; Patient Protection and Affordable Care Act ; Reimbursement ; Reimbursement Mechanisms ; Rural medicine ; Telehealth ; Telemedicine ; Telemedicine - economics ; Telestroke ; United States</subject><ispartof>The American journal of medicine, 2014-03, Vol.127 (3), p.183-187</ispartof><rights>Elsevier Inc.</rights><rights>2014 Elsevier Inc.</rights><rights>Copyright © 2014 Elsevier Inc. 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Advances in telehealth services are in many areas, including gap service coverage (eg, night-time radiology coverage), urgent services (eg, telestroke services and teleburn services), mandated services (eg, the delivery of health care services to prison inmates), and the proliferation of video-enabled multisite group chart rounds (eg, Extension for Community Healthcare Outcomes programs). Progress has been made in confronting traditional barriers to the proliferation of telehealth. Reimbursement by third-party payers has been addressed in 19 states that passed parity legislation to guarantee payment for telehealth services. Medicare lags behind Medicaid, in some states, in reimbursement. Interstate medical licensure rules remain problematic. Mobile health is currently undergoing explosive growth and could be a disruptive innovation that will change the face of healthcare in the future.</description><subject>Cell Phone</subject><subject>Credentialing</subject><subject>Delivery of Health Care - economics</subject><subject>Delivery of Health Care - organization & administration</subject><subject>Disruptive innovation</subject><subject>ECHO programs</subject><subject>Health services</subject><subject>Hospitals - standards</subject><subject>Humans</subject><subject>Insurance, Health</subject><subject>Internal Medicine</subject><subject>Licensure</subject><subject>Licensure, Medical</subject><subject>mHealth</subject><subject>Mobile health</subject><subject>Patient Protection & Affordable Care Act 2010-US</subject><subject>Patient Protection and Affordable Care Act</subject><subject>Reimbursement</subject><subject>Reimbursement Mechanisms</subject><subject>Rural medicine</subject><subject>Telehealth</subject><subject>Telemedicine</subject><subject>Telemedicine - economics</subject><subject>Telestroke</subject><subject>United States</subject><issn>0002-9343</issn><issn>1555-7162</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkk1r3DAQhkVpaTZp_0Ephl56iJ3Rl9fqoZCGNikk5NAtvVXI8piV47UcyS7k30fOJgRyKTqIkZ55pXlnCPlAoaBAy5OuMLtuh03BgPICVAGcvSIrKqXM17Rkr8kKAFiuuOAH5DDGLoWgZPmWHDDBKwFSrcjfDfaYVJx1Ax5nS7RF00_b48wMTXbla9djdvFwlJ2OY--smZwfYrbZmin748PNl-x6HH2Y5sFNDuND3jcTgsMQ35E3rekjvn_cj8jvH983Zxf55fX5z7PTy9wKIaecIStVWthwrhhlpm5E3VQG69YajlALI00lZdtUlUoAIFC6bqHCquRl0_Ij8nmvOwZ_O2Oc9M5Fi31vBvRz1FRSDlIyrhL66QXa-TkM6XeJgrWQVIh1osSessHHGLDVY3A7E-40Bb34rzu9918v_mtQOvmf0j4-is_1cveU9GR4Ar7uAUxu_EsW6WgdDjZ1IKCddOPd_154KWB7N6Su9Dd4h_G5Fh2ZBv1rmYFlBFL9oKgS_B7f66wY</recordid><startdate>20140301</startdate><enddate>20140301</enddate><creator>Weinstein, Ronald S., MD</creator><creator>Lopez, Ana Maria, MD, MPH</creator><creator>Joseph, Bellal A., MD</creator><creator>Erps, Kristine A</creator><creator>Holcomb, Michael, BS</creator><creator>Barker, Gail P., PhD</creator><creator>Krupinski, Elizabeth A., PhD</creator><general>Elsevier Inc</general><general>Elsevier Sequoia S.A</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7TO</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20140301</creationdate><title>Telemedicine, Telehealth, and Mobile Health Applications That Work: Opportunities and Barriers</title><author>Weinstein, Ronald S., MD ; 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| fulltext | fulltext |
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| ispartof | The American journal of medicine, 2014-03, Vol.127 (3), p.183-187 |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Cell Phone Credentialing Delivery of Health Care - economics Delivery of Health Care - organization & administration Disruptive innovation ECHO programs Health services Hospitals - standards Humans Insurance, Health Internal Medicine Licensure Licensure, Medical mHealth Mobile health Patient Protection & Affordable Care Act 2010-US Patient Protection and Affordable Care Act Reimbursement Reimbursement Mechanisms Rural medicine Telehealth Telemedicine Telemedicine - economics Telestroke United States |
| title | Telemedicine, Telehealth, and Mobile Health Applications That Work: Opportunities and Barriers |
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