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      Telemedicine, COVID-19, and Disparities: Policy Implications

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          Highlights

          • Given the current COVID-19 pandemic and the significant increase in utilization of telemedicine and technologies to assist in patient care, we review the policy implications of these technologies in an effort to mitigate disparities.

          • Our article reviews recent policy changes and outlines important recommendations that governments and health care systems can adopt to improve access to telemedicine and to tailor the use of these technologies to best meet the needs of underserved patients.

          Abstract

          While the rapid expansion of telemedicine in response to the COVID-19 pandemic highlights the impressive ability of health systems to adapt quickly to new complexities, it also raises important concerns about how to implement these novel modalities equitably. As the healthcare system becomes increasingly virtual, it risks widening disparities among marginalized populations who have worse health outcomes at baseline and limited access to the resources necessary for the effective use of telemedicine. In this article, we review recent policy changes and outline important recommendations that governments and health care systems can adopt to improve access to telemedicine and to tailor the use of these technologies to best meet the needs of underserved patients. We suggest that by making health equity integral to the implementation of telemedicine now, it will help to ensure that all can benefit from its use going forward and that this will be increasingly integral to care delivery.

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          Most cited references18

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          Addressing Equity in Telemedicine for Chronic Disease Management During the Covid-19 Pandemic

          The coronavirus crisis exposes disparities in access to care for vulnerable populations, particularly with respect to telemedicine. There is, however, an opportunity, as payers and providers are temporarily embracing expanded use of video visits, to establish practices that will mitigate inequities now and prevent future disruption of chronic disease management.
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            Is Open Access

            Balancing Health Privacy, Health Information Exchange and Research in the Context of the COVID-19 Pandemic

            Abstract The novel coronavirus COVID-19 infection poses serious challenges to the healthcare system that are being addressed through the creation of new unique and advanced systems of care with disjointed care processes (telehealth screening, drive-through specimen collection, remote testing, telehealth management, etc.) However, our current regulations on the flows of information for clinical care and research are antiquated and often conflict at the state and federal level. This paper discusses proposed changes to privacy regulations such as the Health Insurance Portability and Accountability act (HIPAA) designed to let health information seamlessly and frictionlessly flow between the health entities that need to collaborate on treatment of patients and, also, allow it to flow to researchers trying to understand how to limit its impacts.
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              Virtual health care in the era of COVID-19 [world report]

              P. WEBSTER (2020)
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                Author and article information

                Contributors
                Journal
                Health Policy Technol
                Health Policy Technol
                Health Policy and Technology
                Published by Elsevier Ltd on behalf of Fellowship of Postgraduate Medicine.
                2211-8837
                2211-8845
                15 August 2020
                15 August 2020
                Affiliations
                [1 ]Center for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
                [2 ]Department of General Internal Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
                [3 ]Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
                [4 ]Harvard Medical School, Boston, MA, USA
                [5 ]Department of Surgery, Healthcare Transformation Lab, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
                [6 ]Division of General Internal Medicine and Primary Care, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
                Author notes
                [* ]Corresponding author: David W. Bates, MD, MSc, Chief, Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Medical Director, Clinical and Quality Analysis, Partners HealthCare System, Inc., Professor of Medicine, Harvard Medical School, Professor of Health Policy and Management, Harvard T.H. Chan School of Public Health, Division of General Internal Medicine and Primary Care, Department of Medicine, 1620 Tremont Street, BC3-2M, Boston, MA 02120-1613, Tel: 617-732-5650, Fax: 617-732-7072. dbates@ 123456bwh.harvard.edu
                Article
                S2211-8837(20)30073-3
                10.1016/j.hlpt.2020.08.001
                7428456
                32837888
                44c91433-a7d3-4218-8e52-2b286a903192
                © 2020 Published by Elsevier Ltd on behalf of Fellowship of Postgraduate Medicine.

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

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                Article

                covid-19,telemedicine,disparities,virtual care,policy
                covid-19, telemedicine, disparities, virtual care, policy

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