Patterns of Telemedicine Use in Primary Care for People with Dementia in the Post-pandemic Period

Journal of General Internal Medicine, Journal Year: 2024, Volume and Issue: 39(15), P. 2895 - 2903

Published: July 24, 2024

Abstract Background The pandemic rapidly expanded telemedicine, which has persisted as a widely available primary care modality. uptake of telemedicine among people with dementia specifically in the setting, who have more complex needs but also benefit from accessible care, is unknown. Objective Among dementia, assess telemedicine-based post-pandemic period and determine associations key socio-demographic characteristics. Design Retrospective observational study. Subjects People at UCSF Kaiser Permanente Northern CA (KPNC) least one encounter pre- (3/1/2019-2/29/2020) or post-COVID (3/1/2021-2/28/2022) periods, sample: N = 419 individuals (UCSF), =18,037 (KPNC). Main Measures Encounter modality: in-person, video telephone telemedicine. Focal characteristics: age, limited English proficiency, socioeconomic status, driving distance to clinic, caregiver encounter. Key Results There was large increase both sites. At KPNC, those only in-person visits shrunk 60.47% (pre) 26.95% (post). UCSF, change even greater: 98.99% 35.08%. Across sites, measure significantly associated use greater home clinic. over age 90 were most likely while patients proficiency used lower levels. relationships similar not statistically significant. Conclusions Telemedicine high for setting period. Those longer drives clinic oldest due challenges traveling appointments. Still, all equally—particularly proficiency.

Language: Английский

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Occupational Therapists’ Insights on Family Involvement in Videoconferencing-Based Home Assessments and Modifications in the Veterans Health Administration: A Descriptive Qualitative Study

American Journal of Occupational Therapy, Journal Year: 2025, Volume and Issue: 79(3)

Published: April 4, 2025

Importance: Collaboration between occupational therapists and family caregivers is essential during home assessments modifications. The shift to videoconferencing-based suggests increased caregiver involvement, but the specifics of this change are unclear. Objective: To investigate involvement subsequent modifications from perspective therapists. Design: This descriptive qualitative study involved virtual, semistructured individual interviews with participants who were recruited through purposeful snowball sampling. Data analysis followed a thematic methodology an inductive approach. Setting: All conducted virtually at each participant’s preferred time location. Participants: Fifteen Veterans Health Administration (VHA) experience in for rural veterans. Results: Four key themes identified: (1) active assessment process, (2) circumstances that require videoconferencing, (3) caregiver–related factors affecting outcomes, (4) strategies effective involvement. Conclusions Relevance: findings suggest veterans’ play more role than they do traditional in-person assessments. may lead higher workload VHA therapists, should now train caregivers, themselves, need perform tasks previously handled by visits. address challenge, can leverage insights extracted study. Plain-Language Summary: Occupational often collaborate assess safety accessibility clients their homes, recommending changes environment accordingly. However, therapy practitioners not fully understand how much assessments, which new remote method, client interventions. In study, we explored, 15 (VHA), made We found have greater responsibility additional videoconferencing compared including conducting measurements typically understanding will help adjust practices improve service delivery reduce both caregivers.

Language: Английский

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Bridging the Gap: Advancing Occupational Therapy in Cancer Recovery for Better Outcomes

Journal of Medicine Surgery and Public Health, Journal Year: 2025, Volume and Issue: unknown, P. 100196 - 100196

Published: April 1, 2025

Language: Английский

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Telehealth Adoption Among Saudi Older Adults: A Qualitative Analysis of Utilization and Barriers

Healthcare, Journal Year: 2024, Volume and Issue: 12(23), P. 2470 - 2470

Published: Dec. 6, 2024

The rapid adoption of telehealth services has been significantly accelerated by the need for accessible healthcare solutions, especially among older adults. However, utilization remains limited in many regions, including Saudi Arabia. This study aims to identify barriers and facilitators influencing adults Riyadh.

Language: Английский

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