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10.1111/jgs.17163 http://scihub22266oqcxt.onion/10.1111/jgs.17163 33848360!8250614!33848360     free     free     free Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       J+Am+Geriatr+Soc 2021 ; 69 (9): 2404-2411 Nephropedia Template TP {{tp|p=33848360|t=2021. Barriers to telehealth access among homebound older adults |pdf=|usr=}}{{33848360}} gab.com Text Barriers to telehealth access among homebound older adults JO: J Am Geriatr Soc http://www.kidney.de/pget.php?&tw=1&pmid=33848360 #FOAvip BACKGROUND/OBJECTIVES: To identify major barriers to video-based telehealth use among homebound older adults. DESIGN: Cross-sectional survey. SETTING: A large home-based primary care (HBPC) program in New York City (NYC) serving 873 homebound patients living in the community. PARTICIPANTS: Sixteen primary care physicians. MEASUREMENTS: An 11-item assessment of provider perceptions of patients' experience with and barriers to telehealth. RESULTS: According to physicians in the HBPC program, more than one-third (35%) of homebound patients (mean age of 82.7; 46.6% with dementia; mean of 4 comorbidities/patient) engaged in first-time video-based telehealth encounters between April and June 2020 during the first COVID-19 surge in NYC. The majority (82%) required assistance from a family member and/or paid caregiver to complete the visit. Among patients who had not used telehealth, providers deemed 27% (n = 153) "unable to interact over video" for reasons including cognitive or sensory impairment and 14% lacked access to a caregiver to assist them with technology. Physicians were not knowledgeable of their patients' internet connectivity, ability to pay for cellular plans, or video-capable device access. CONCLUSION: The COVID-19 pandemic resulted in a large and dramatic shift to video-based telehealth use in home-based primary care. However, 4 months into the pandemic a majority of patients had not participated in a video-based telehealth encounter due to a number of barriers. Patients lacking caregiver support to assist with technology may benefit from novel approaches such as the deployment of community health workers to assist with device setup. Physicians may not be able to identify potentially modifiable barriers to telehealth use among their patients, highlighting the need for better systematic data collection before targeted interventions to increase video-based telehealth use. Twit Text FOAVip Barriers to telehealth access among homebound older adults ????J Am Geriatr Soc http://www.kidney.de/pget.php?&tw=1&pmid=33848360 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=33848360 #FOAvip English Wikipedia <ref>{{Cite pmid|33848360}}</ref> Barriers to telehealth access among homebound older adults #MMPMID33848360 Kalicki AV; Moody KA; Franzosa E; Gliatto PM; Ornstein KA J Am Geriatr Soc 2021[Sep]; 69 (9): 2404-2411 PMID33848360show ga BACKGROUND/OBJECTIVES: To identify major barriers to video-based telehealth use among homebound older adults. DESIGN: Cross-sectional survey. SETTING: A large home-based primary care (HBPC) program in New York City (NYC) serving 873 homebound patients living in the community. PARTICIPANTS: Sixteen primary care physicians. MEASUREMENTS: An 11-item assessment of provider perceptions of patients' experience with and barriers to telehealth. RESULTS: According to physicians in the HBPC program, more than one-third (35%) of homebound patients (mean age of 82.7; 46.6% with dementia; mean of 4 comorbidities/patient) engaged in first-time video-based telehealth encounters between April and June 2020 during the first COVID-19 surge in NYC. The majority (82%) required assistance from a family member and/or paid caregiver to complete the visit. Among patients who had not used telehealth, providers deemed 27% (n = 153) "unable to interact over video" for reasons including cognitive or sensory impairment and 14% lacked access to a caregiver to assist them with technology. Physicians were not knowledgeable of their patients' internet connectivity, ability to pay for cellular plans, or video-capable device access. CONCLUSION: The COVID-19 pandemic resulted in a large and dramatic shift to video-based telehealth use in home-based primary care. However, 4 months into the pandemic a majority of patients had not participated in a video-based telehealth encounter due to a number of barriers. Patients lacking caregiver support to assist with technology may benefit from novel approaches such as the deployment of community health workers to assist with device setup. Physicians may not be able to identify potentially modifiable barriers to telehealth use among their patients, highlighting the need for better systematic data collection before targeted interventions to increase video-based telehealth use. |*COVID-19[MESH] |Aged[MESH] |Aged, 80 and over[MESH] |Cross-Sectional Studies[MESH] |Female[MESH] |Health Personnel/psychology[MESH] |Health Services Accessibility/*statistics & numerical data[MESH] |Home Care Services/*statistics & numerical data[MESH] |Homebound Persons/psychology/statistics & numerical data[MESH] |Humans[MESH] |Male[MESH] |New York City[MESH] |Primary Health Care/methods/*statistics & numerical data[MESH] |Qualitative Research[MESH] |SARS-CoV-2[MESH]Barriers to telehealth access among homebound older adults (epmc).pdf DeepDyve Pubget Overpricing