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Telehealth, Telephone Visits a Lifesaver for Veterans Hooked on Opioids

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News Picture: Telehealth, Phone Visits a Lifesaver for Veterans Addicted to Opioids

THURSDAY, July 28, 2022 (HealthDay Information)

There are lots of stumbling blocks to opioid dependancy remedy, however a brand new learn about presentations person who one outgrowth of the COVID pandemic — telehealth — is enabling extra U.S. veterans to get lend a hand.

Researchers tested care given to vets prior to and after a transition to telehealth visits in early 2020 for remedy in their opioid use dysfunction. Telehealth for sufferers receiving the prescription drug buphrenorphine to regard opioid dependence was once somewhat new within the Veterans Affairs well being machine prior to the pandemic, mentioned lead writer Dr. Allison Lin.

“The fast transfer to digital visits for many sufferers saved other folks from falling by the wayside of care, and phone visits [also] performed a key function,” mentioned Lin, an dependancy psychiatrist on the Ann Arbor VA in Michigan and investigator on the VA Middle for Scientific Control Analysis.

In 2020, telephone appointments considerably outnumbered video and in-person visits, the learn about discovered. Even in early 2021, telephone visits made up 50% of per thirty days visits for vets the use of buprenorphine; video visits, 32%; and in-person care, 17%.

In comparison to March 2019, on a per thirty days foundation there was once a 14% build up in selection of vets receiving buphrenorphine remedy in February of remaining yr. Over that very same length, 6% fewer vets general won any more or less dependancy remedy.

Lin and her colleagues on the VA Ann Arbor Healthcare Machine and the College of Michigan revealed their findings July 28 within the American Magazine of Psychiatry.

They mentioned this new knowledge on telephone, video and in-person remedy may provide vital coverage insights at a an important time.

Federal, state and VA policymakers are all debating selections about the way forward for telehealth regulations followed throughout COVID generation. Ahead of the pandemic, audio-only visits had been normally no longer allowed and video visits to sufferers at house had been ceaselessly no longer reimbursed.

Lin hopes policymakers will weigh the proof moderately prior to making ultimate regulations.

Having telephone get admission to may well be specifically an important for the ones with opioid use problems, lots of whom lack strong housing, get admission to to a pc or high-speed web.

“Telephone visits would possibly supply flexibility to enable you stay other folks engaged in care over the years,” Lin mentioned in a college information liberate. “Those also are ceaselessly probably the most sickest sufferers we take care of, who’ve probably the most best chance for overdose. Protecting those sufferers in care is a big precedence.”

Insurance policies that make it so simple as conceivable for other folks to proceed receiving dependancy remedy can have an important have an effect on on their basic results, she mentioned.

Extra learn about is had to perceive the personal tastes and reviews of sufferers and clinicians, and to evaluate the effectiveness of care delivered by means of telehealth, Lin mentioned.

Additional information

The U.S. Well being Sources and Services and products Management has extra about telehealth.

SOURCE: College of Michigan/Michigan Drugs, information liberate, July 28, 2022

Via Sydney Murphy HealthDay Reporter

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Telehealth Visits Can Spice up Prenatal, Maternal Care

News Picture: Telehealth Visits Can Boost Prenatal, Maternal Care

TUESDAY, July 26, 2022 (HealthDay Information)

Seeing their docs by the use of telehealth as a substitute of in user throughout the COVID-19 pandemic seems to had been as excellent, and now and again even higher, for pregnant girls and new mothers.

Researchers from Oregon Well being & Science College reviewed 28 randomized medical trials and 14 observational research that integrated greater than 44,000 girls. The function was once to resolve the effectiveness and any harms of telehealth methods for maternal well being care.

Lots of the telehealth methods integrated have been used to regard postpartum despair or to watch diabetes or hypertension throughout being pregnant. In addition they served as a substitute for basic maternity deal with low-risk pregnancies.

Researchers discovered those appointments ended in most commonly equivalent, or now and again higher, results when compared with in-person care.

The authors mentioned this may occasionally imply that telehealth could be a complement to standard deal with postpartum despair. Telehealth interventions have been much more likely to make stronger temper signs within the brief time period in comparison to in-person care on my own, they mentioned, although the consequences is probably not sustained.

The findings have been revealed July 25 in Annals of Interior Drugs.

Prime charges of maternal well being problems and dying exist in the USA, together with vital well being disparities. Get admission to to high quality care has been proven to decrease charges of sickness and dying, as a result of docs are ready to take well timed steps to forestall stipulations that may build up the chance for deficient results.

Researchers mentioned telehealth is also a conceivable way to make stronger supply of maternity care, build up affected person delight and cut back well being disparities.

That is a space ripe for innovation, the authors mentioned in a magazine information free up.

They mentioned the findings spotlight an ongoing wish to incorporate the way to assessment and shut well being care gaps. This mentioned that is crucial part missing within the research they reviewed.

Additional information

The U.S. Division of Well being and Human Products and services has extra on having a wholesome being pregnant.

SOURCE: Annals of Interior Drugs, information free up, July 25, 2022

By means of Cara Murez HealthDay Reporter

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Alexa Will Quickly Put Customers in Contact With Telehealth Medical doctors

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News Picture: Alexa Will Soon Put Users in Touch With Telehealth Doctors

TUESDAY, March 1, 2022 (HealthDay Information)

Alexa can already play your favourite music or let you know whether or not it’s going to rain, however quickly you might also be capable to inform the preferred voice assistant to touch a physician for well being problems.

The provider from Amazon and telemedicine supplier Teladoc Well being might be to be had across the clock on Amazon’s Echo gadgets, the Related Press reported.

After telling Alexa they wish to communicate to a physician, shoppers gets a choice again from a Teladoc doctor. In some instances, medical doctors will be capable to prescribe drugs, in step with main points introduced Monday.

Whether or not sufferers get a choice again at the identical day they make their request to Alexa would possibly rely at the availability of medical doctors, Teladoc spokesman Chris Savarese advised the AP.

Amazon will be unable to get admission to, document or retailer the content material of the following name, he famous. The price depends upon the affected person’s insurance coverage. With out protection, the cost might be $75.

The provider might be audio-only to begin, however the corporations mentioned they be expecting to quickly upload video, the AP reported.

Amazon already dispenses prescribed drugs and is increasing a program referred to as Amazon Care that used to be introduced in 2019 and gives telemedicine visits with the choice of an in-person talk over with.

Some hospitals already use Alexa as a voice assistant in affected person rooms, and the U.Okay.’s Nationwide Well being Carrier makes use of the voice assistant to assist solution scientific questions with recommendation from the provider’s web page.

“Telehealth now’s one thing that sufferers have got used to and would possibly come to be expecting as an choice for his or her care,” Lori Uscher-Pines, a senior coverage researcher with Rand Corp., advised the AP. “[Before] the pandemic, there may no longer were this a lot consciousness that this used to be a provider that used to be to be had.”

Additional info

Talk over with Harvard College for extra on well being apps.

SOURCE: Related Press

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When Psychiatric Care Is A long way Away, Telehealth Fills the Hole

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News Picture: When Psychiatric Care Is Far Away, Telehealth Fills the Gap

FRIDAY, Feb. 11, 2022 (HealthDay Information)

Telehealth took off all through the COVID-19 pandemic, and a brand new learn about presentations even folks with severe psychological well being stipulations can get pleasure from on-line appointments.

The findings are just right information for rural people who reside miles clear of psychiatrists and psychologists.

“This learn about confirmed that sufferers with more than one psychiatric stipulations and who additionally fight with a number of power bodily well being issues can have interaction neatly in psychological well being remedy with their number one care docs or faraway psychological well being consultants,” stated learn about co-author Dr. Jennifer Serious, an assistant professor of psychiatry on the College of Michigan, in Ann Arbor.

But it surely additionally confirmed that sufferers with drug issues and manic signs from bipolar dysfunction would possibly want further make stronger to get began on psychotherapy or to stick with it, the researchers stated.

The learn about used to be performed earlier than the COVID-19 pandemic, to look if folks residing some distance clear of psychological well being care suppliers may just get pleasure from telehealth products and services. The paintings used to be well timed, for the reason that many well being care visits have moved on-line on account of the pandemic.

The researchers checked out simply over 1,000 folks with post-traumatic tension dysfunction, bipolar dysfunction or each stipulations who used two forms of telehealth at 24 safety-net clinics in Michigan, Washington and Arkansas.

Two-thirds of the sufferers had earning or disabilities that made them eligible for Medicaid, and part have been unemployed.

Sufferers have been divided into two teams. Part engaged with a far-away psychiatrist and psychologist, whilst the opposite part most commonly hooked up with workforce contributors on the native number one care hospital who gained steering from psychiatrist.

In each teams, maximum sufferers answered neatly to medicine and/or psychotherapy (sometimes called “communicate treatment”), however there used to be one primary distinction.

The sufferers who gained psychotherapy from a specifically skilled nurse or social employee at their native hospital finished 60% extra such periods than those that gained psychotherapy from a psychologist by way of video, the findings confirmed.

Common in-person touch with nurses or social staff checking on sufferers’ different well being wishes will have been a contributing consider that distinction, in line with the learn about.

“The learn about began at a time the place clinicians had reservations about treating psychiatrically complicated sufferers with telehealth or built-in care fashions. Understandably, engagement in care used to be one of the vital many considerations,” Serious stated in a school information liberate.

The findings have been revealed on-line not too long ago within the Magazine of Common Inner Drugs.

Additional info

For extra on “telemental” well being, cross to the U.S. Nationwide Institute of Psychological Well being.

SOURCE: College of Michigan, information liberate, Feb. 2, 2022

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