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Nunes J, Fettem S, Tahri S, Macke L, Chourak H, Barateau A, Lafond C, de Crevoisier R, Bessieres I, Marage L, Acosta O. PO-1611 Evaluation of synthetic-CT generated from prostate MRI (0.35T) with a 2D+ Pix2Pix method. Radiother Oncol 2022. [DOI: 10.1016/s0167-8140(22)03575-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Phimphasone-Brady P, Chiao J, Karamsetti L, Sieja A, Johnson R, Macke L, Lum H, Lee R, Farro S, Loeb D, Schifeling C, Huebschmann AG. Clinician and staff perspectives on potential disparities introduced by the rapid implementation of telehealth services during COVID-19: a mixed-methods analysis. Transl Behav Med 2021; 11:1339-1347. [PMID: 34132810 PMCID: PMC8344776 DOI: 10.1093/tbm/ibab060] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
The COVID-19 pandemic has rapidly altered ambulatory health care delivery and may have worsened disparities in health care access. To assess the telehealth implementation experiences of ambulatory personnel in different disciplines and their perspectives on potential telehealth disparities, and to make recommendations for more equitable telehealth delivery. We used a convergent parallel mixed-methods design. Clinic managers from geriatric medicine, internal medicine, and psychiatry e-mailed a survey to clinicians and staff regarding experiences with telehealth care delivery. Quantitative survey responses were analyzed with Fisher's Exact tests. Qualitative responses were coded thematically. Recommendations were categorized by type of implementation strategy. Quantitative and qualitative findings on telehealth disparities were merged in a joint data display. Respondents (n = 147, 57% response rate) were distributed across three specialties: 66% internal medicine, 19% psychiatry, and 14% geriatric medicine. Prior to 2020, 77% of clinicians had never delivered telehealth services. By Spring 2020, 78% reported conducting more than half of clinic visits by telehealth. Among clinicians, 52% agreed/strongly agreed that rapid telehealth implementation exacerbated access to care disparities to: older adult patients, those with limited internet access, and those needing interpretation services. Staff expressed similar difficulties with telehealth set-up especially for these patients. To improve telehealth equity, clinicians recommended to: (i) change infrastructure; (ii) train and educate stakeholders; and (iii) support clinicians. Clinicians and staff reported specific subpopulations had challenges in accessing telehealth visits. To avoid perpetuating telehealth access disparities, further co-discovery of equitable implementation strategies with patients and clinics are urgently needed.
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Affiliation(s)
| | - J Chiao
- Division of General Internal Medicine, Department of Medicine, University of Colorado, Aurora, CO, USA
| | - L Karamsetti
- Department of Psychiatry, University of Colorado, Aurora, CO, USA
| | - A Sieja
- Division of General Internal Medicine, Department of Medicine, University of Colorado, Aurora, CO, USA
| | - R Johnson
- Department of Biostatistics and Informatics, Colorado School of Public Health, Aurora, CO, USA
| | - L Macke
- Division of General Internal Medicine, Department of Medicine, University of Colorado, Aurora, CO, USA
| | - H Lum
- Division of Geriatric Medicine, Department of Medicine, University of Colorado, Aurora, CO, USA
| | - R Lee
- Division of General Internal Medicine, Department of Medicine, University of Colorado, Aurora, CO, USA
| | - S Farro
- Division of Geriatric Medicine, Department of Medicine, University of Colorado, Aurora, CO, USA
| | - D Loeb
- Division of General Internal Medicine, Department of Medicine, University of Colorado, Aurora, CO, USA
| | - C Schifeling
- Division of Geriatric Medicine, Department of Medicine, University of Colorado, Aurora, CO, USA
| | - A G Huebschmann
- Division of General Internal Medicine, Department of Medicine, University of Colorado, Aurora, CO, USA
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Afonso M, Kollins D, Macke L, Woehling H, Wuerth G. THU0144 Pharmacokinetics and Safety of GP2015, A Proposed Etanercept Biosimilar, Administered Subcutaneously by An Autoinjector or Prefilled Syringe in Healthy Male Subjects. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.1304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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