A "Not So Quiet" Revolution: Systemic Benefits and Challenges of Telehealth in the Context of COVID-19 in Quebec (Canada)

被引：11

作者：

Alami, Hassane ^{[1
,2
]}

Lehoux, Pascale ^{[1
,2
]}

Attieh, Randa ^{[3
]}

Fortin, Jean-Paul ^{[4
,5
]}

Fleet, Richard ^{[5
,6
,7
]}

Niang, Marietou ^{[8
]}

Offredo, Kevin ^{[9
,10
]}

Rouquet, Ronan ^{[11
]}

Ag Ahmed, Mohamed Ali ^{[12
,13
]}

Ly, Birama Apho ^{[14
]}

机构：

[1] Univ Montreal, Ctr Publ Hlth Res, Montreal, PQ, Canada

[2] Univ Montreal, Dept Hlth Management Evaluat & Policy, Montreal, PQ, Canada

[3] Univ Montreal, Res Ctr Univ Montreal Hosp Ctr, Montreal, PQ, Canada

[4] Laval Univ, Fac Med, Dept Social & Prevent Med, Quebec City, PQ, Canada

[5] Laval Univ, VITAM Res Ctr Sustainable Hlth, Quebec City, PQ, Canada

[6] Laval Univ, Fac Med, Dept Family Med & Emergency Med, Quebec City, PQ, Canada

[7] Laval Univ, Affiliated Univ Hosp Ctr Hotel Dieu Levis, Res Chair Emergency Med, Levis, PQ, Canada

[8] Laval Univ, Fac Nursing Sci, Quebec City, PQ, Canada

[9] Rennes 1 Univ, Fac Dent Med, Rennes, France

[10] French Soc Digital Hlth, Paris, France

[11] Hauts De France Reg Hlth Agcy ARS, Amiens, France

[12] Sherbrooke Univ, Res Chair Chron Dis Primary Care, Chicoutimi, PQ, Canada

[13] Inst Trop Med, Dept Publ Hlth, Antwerp, Belgium

[14] Univ Sci Tech & Technol Bamako, Fac Pharm, Bamako, Mali

来源：

FRONTIERS IN DIGITAL HEALTH | 2021年 / 3卷

关键词：

COVID-19; Quebec (Canada); telehealth; sustainability; quality of care; remuneration; direct-to-consumer; digital divide; VIRTUAL CARE; ERA; TELEMEDICINE; IMPLEMENTATION;

D O I：

10.3389/fdgth.2021.721898

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

The COVID-19 pandemic has had a major impact on health and social service systems (HSSS) worldwide. It has put tremendous pressure on these systems, threatening access, continuity, and the quality of patient care and services. In Quebec (Canada), the delivery of care and services has radically changed in a short period of time. During the pandemic, telehealth has been widely deployed and used, notwithstanding the decades-long challenges of integrating this service modality into the Quebec HSSS. Adopting a narrative-integrative approach, this article describes and discusses Quebec's experience with the deployment and utilization of telehealth in the context of COVID-19. Firstly, we introduced the achievements and benefits made with the use of telehealth. Secondly, we discussed the challenges and concerns that were revealed or accentuated by the sanitary crisis, such as: (1) training and information; (2) professional and organizational issues; (3) quality of services and patient satisfaction; (4) cost, remuneration, and funding; (5) technology and infrastructure; (6) the emergence of private telehealth platforms in a public HSSS; (7) digital divide and equity; and (8) legal and regulatory issues. Finally, the article presents recommendations to guide future research, policies and actions for a successful integration of telehealth in the Quebec HSSS as well as in jurisdictions and countries facing comparable challenges.

引用

页数：13

共 122 条

[61] Optimizing Patient-Ventilator Synchrony Utilizing Radar-Based Respiratory Features for Monitoring COVID-19 Patients [J].