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Purpose: The primary purpose of this research was to explore individuals born in the millennial generation’s likelihood of using telehealth and virtual office visits as a replacement for face to face provider interactions. The secondary purpose was to examine the feasibility and access of treatable conditions and ailments in a virtual environment. Methods: A literature review exploring millennials and telehealth was performed using various databases with search terms combined to include: ‘millennials*’, ‘telehealth*’, ‘telemed*’, ‘finance*’, ‘primary care*’, ‘healthcare*’, ‘health knowledge*’, ‘literacy*’, ‘education*’, ‘misinformation*’. The data was conformed into tables that synthesized the relationship between the millennial generation and their access to telehealth and virtual office visits. Results: An initial search of literature returned 72 articles that met search criteria. In total, 10 articles were chosen for synthesis and relevance to the topic. After further review, a total of 10 articles were chosen for synthesis and relevance to the topic. The results suggest the use of telehealth as a virtual office visit in place of face to face interaction have limited applications at this time. The severity of conditions used by millennial’s for telehealth ranged from mild symptomatic conditions, such as the common cold, to moderate symptomatic conditions, such as sore throat and gastrointestinal discomfort. Millennial populations are more likely to use telehealth and virtual office visits based on their increased proficiency and use of technology; however this does not translate into actual use of technology for health-related conditions. Millennials likelihood of embracing telehealth and virtual office visits is related to convenience and timeliness of care, as well as trust in the provider established through web-based reviews and ratings offered by other telehealth users. Cost is not as beneficial as originally anticipated. Factors regarding safety and privacy through mobile applications and online portals are untested.

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Deaths from opioid overdose have increased dramatically in the past decade, representing an epidemic in the United States. For individuals with opioid use disorder (OUD), agonist medications such as methadone and buprenorphine represent an evidence-based treatment that has been shown to reduce opioid-related morbidity and mortality. Historically, the provision of buprenorphine treatment in office-based settings has relied on frequent in-person contact, which influenced patients’ access to and retention in care. However, in response to the COVID-19 pandemic, providers of office-based buprenorphine treatment rapidly adapted their care processes, increasingly relying on telemedicine visits. This dissertation employed mixed methods to study the implementation and effectiveness of telemedicine in office-based buprenorphine treatment provided in safety-net settings, or those that provide health services to patients regardless of their ability to pay. Qualitative methods were used to explore provider and patient experiences with the use of telemedicine in an office-based buprenorphine treatment clinic associated with an academic safety-net hospital, while quantitative methods were used to examine the effects of telemedicine adoption on outcomes for patients with OUD attending federally-qualified health centers (FQHCs) in Massachusetts. Results from provider interviews indicated the implementation of telemedicine in office-based buprenorphine treatment precipitated openness to more flexibility in care practices, though providers expressed concerns regarding telemedicine and related adaptations that centered around patient safety. Results from patient interviews indicated telemedicine enabled engagement in care, though patients differed in their views on: 1) the appropriateness of telemedicine based on one’s stage of recovery, 2) how telemedicine impacted their relationships with providers, and 3) their preferences for telemedicine visits moving forward. Results from both patient and provider interviews indicated safety-net patient populations experienced unique challenges when using telemedicine, particularly due to difficulties with technology and privacy. Finally, results from the quasi-experimental study of telemedicine adoption across a network of FQHCs indicated it was associated with: 1) increases in all-cause and OUD-related outpatient care engagement, 2) increases in retail buprenorphine fills and days supplied, and 3) either no changes or decreases in all-cause and OUD-related emergency department visits and inpatient admissions. These findings suggest telemedicine has the potential to improve patients’ engagement in office-based buprenorphine treatment while not compromising safety; however, qualitative data emphasizes the perceived benefits of hybrid, patient-centered approaches to care, particularly in safety-net settings. Overall, results of this dissertation support the maintenance of changes to policy and practice that facilitate the use of telemedicine in office-based buprenorphine treatment beyond the COVID-19 public health emergency. / 2025-01-03T00:00:00Z

Yes / Stroke is the leading cause of adult disability in the UK. Many stroke patients report a feeling of ‘abandonment’ when they are discharged from therapy services. This in turn, leads to readmissions and re-referrals to both hospital and community services. This paper discusses the components of E-health and how E-health could be used to supplement conventional interventions to improve patient engagement, empowerment and decreased reliance on therapy services. In doing so it will consider how such interventions could better involve carers. An integrated E-health approach has the potential to improve outcomes for stroke survivors. A person centred approach needs to be employed through partnerships between stroke survivor, carer and healthcare professional. Remote monitoring could provide specific targeted interventions, preventing unnecessary hospital admissions or re-referrals and reducing cost of care. While the issues are well defined more work is required on what these integrated, patient centred E-health solutions may look like in order to be successful in supporting stroke survivors.

The continued integration of technology into healthcare has made telehealth a vital resource. Yet, factors influencing individuals' willingness to seek telehealth treatment remain relatively underexplored. In this study, I examined the relationship between social media use, personal growth, environmental mastery, and social anxiety, as well as their relationship to college students’ willingness to utilize telehealth services. A sample of 402 participants was surveyed and a multiple regression analysis was conducted to assess these variables' abilities to predict willingness to use telehealth services. The model explained 10.6% of the variance in willingness to use telehealth with social media use and personal growth emerging as significant predictors. A follow-up multivariate analysis of variance (MANOVA) also was performed, comparing individuals with low versus high willingness to use telehealth on study variables. The results indicated significant differences across multiple dependent variables with social media use, personal growth, environmental mastery, and social anxiety significantly contributing to the model. These findings suggest that social anxiety, personal development factors, individuals’ competence in the management of their daily affairs, and digital engagement play key roles in shaping telehealth adoption, highlighting the importance of targeted interventions to increase accessibility.

School-based health clinics are on the rise while telemedicine is increasingly used to provide communities access to health care. Incorporating the two together poses to create healthier school communities. Parker County Hospital District collaborated with Weatherford Independent School District (WISD) to implement the district's first telemedicine school-based health clinic. This project is in partnership with Parker County Hospital District to explore parent perceptions and desires of telemedicine and school-based health clinics to facilitate utilization among the WISD community.

This study addresses the antecedents of individuals' disposition to use telemedicine applications, as well as the antecedents of their usage to provide insight into creating sustained usage over time. The theoretical framework of this research is Bhattacherjee's expectation-confirmation IS continuance model. By combining a series of key factors which may influence the initial and continued usage of telemedicine applications with key constructs of Bhattacherjee's IS continuance model, this study aims to provide a deeper understanding of barriers to telemedicine app usage and how to facilitate continued use of these apps. Online survey data was collected from college students who are telemedicine application users. A total of 313 responses were gathered, and data analysis was conducted using SmartPLS 3. This dissertation contributes by looking at the IS adoption and IS continuance research simultaneously to connect these two research streams as well as suggesting the usage context of some established IS theory being different with regard to healthcare applications.

O presente estudo consiste em descrever e analisar a evolução da Telemedicina no Brasil, abrangendo as experiências efetivamente implantadas até dezembro de 2000. Várias instituições no país têm adotado programas de telemedicina, tais como hospitais, laboratórios de análises clínicas, clínicas especializadas em realização de eletrocardiogramas à distância, universidades, o Exército e o próprio Governo. Cada uma das experiências tem diferentes objetivos e não há nenhuma integração entre elas. As aplicações estudadas variam desde aquelas que requerem uma estrutura tecnológica simples como a realização de eletrocardiogramas à distância, até outras mais sofisticadas tecnologicamente como a realização de teleconferências com transmissão de imagens clínicas para segunda opinião médica e monitoração remota de leitos. Para a realização do estudo foram feitas entrevistas com os responsáveis pelos programas e um levantamento de dados em publicações especializadas. As conclusões apontam para a falta de coordenação entre os modelos adotados, para a resistência cultural relativa à informática médica e à telemedicina e para o papel tímido do Governo no fomento da telemedicina. / The present study consists in describing and analyzing the evolution of Telemedicine in Brazil, comprehending the experiences established until December 2000. Several institutions in the country use telemedicine programs, as hospitals, pathology analysis clinics, remote electrocardiograms clinics, universities, the Brazilian Army and the federal Government. Each experience has its own goals and there is no integration among them. The telemedicine programs comprehend a wide range of applications: while some require a plain technological structure as remote electrocardiograms, others demand more sophisticated resources as teleconferences with clinical images transmission and remote bedside monitoring. To accomplish this study it was necessary to conduct interviews with the leaders of the projects and also data mining in specialized publications. The conclusions indicate that there is lack of coordination among the experiences, that there is a cultural resistence both to medical informatics and telemedicine, and the faint Goverment role in stimulating telemedicine.

Thesis (M.P.H.)--University of Texas Health Science Center at Houston, School of Public Health, 2008. / Source: Masters Abstracts International, Volume: 47-01, page: . Adviser: Charles E. Begley. Includes bibliographical references.