Can you hear me now?: Improving palliative care access through telehealth
- 4 January 2021
- journal article
- research article
- Published by Wiley in Research in Nursing & Health
- Vol. 44 (1), 226-237
- https://doi.org/10.1002/nur.22105
Abstract
Telehealth has been increasingly used to expand healthcare access over the last two decades. However, this had not been the case for palliative care (PC), because telehealth was considered nontraditional and impractical due to the sensitive nature of conversations and a “high touch” philosophy. Motivated by limited PC access to rural and underserved populations and positive PC telehealth studies, clinical PC telehealth models have been developing. However, nearly overnight, the COVID‐19 pandemic accelerated the use and uptake of telehealth across health care and especially in PC. As a result, clinicians, administrators, and others agree that telehealth is “here to stay,” and will likely maintain widespread use and refinement beyond rural areas. The purpose of this review is to describe exemplar PC telehealth programs in research and clinical practice, including pros and cons, lessons learned, and future directions for the ongoing development and expansion of PC via telehealth across diseases and the lifespan.Keywords
Funding Information
- Patient-Centered Outcomes Research Institute (PLC‐1609‐36381, PLC‐1609‐36714)
- National Institute of Nursing Research (NR013665‐01A1, NR017181, R00NR015903)
This publication has 31 references indexed in Scilit:
- Characteristics of Rural Children Admitted to Pediatric HospitalsPEDIATRICS, 2016
- Benefits of Early Versus Delayed Palliative Care to Informal Family Caregivers of Patients With Advanced Cancer: Outcomes From the ENABLE III Randomized Controlled TrialJournal of Clinical Oncology, 2015
- Early Versus Delayed Initiation of Concurrent Palliative Oncology Care: Patient Outcomes in the ENABLE III Randomized Controlled TrialJournal of Clinical Oncology, 2015
- Pediatric Hospice and Palliative CareCIN: Computers, Informatics, Nursing, 2014
- Pediatric Palliative Care Programs in Children’s Hospitals: A Cross-Sectional National SurveyPEDIATRICS, 2013
- Impact on caregiver burden of a patient-focused palliative care intervention for patients with advanced cancerPalliative & Supportive Care, 2010
- The project ENABLE II randomized controlled trial to improve palliative care for rural patients with advanced cancer: Baseline findings, methodological challenges, and solutionsPalliative & Supportive Care, 2009
- Do Preparation and Life Completion Discussions Improve Functioning and Quality of Life in Seriously Ill Patients? Pilot Randomized Control TrialJournal of Palliative Medicine, 2008
- Project ENABLE: A Palliative Care Demonstration Project for Advanced Cancer Patients in Three SettingsJournal of Palliative Medicine, 2004
- Revisiting the Road Not Taken: Integrating Palliative Care Into Oncology NursingClinical Journal of Oncology Nursing, 2002