Patient Trust Tanked in Healthcare During COVID Archives - gettectonic.com
Dementia Care and Telemedicine

Dementia Care and Telemedicine

How 3 Health Systems Are Leveraging Telemedicine for Dementia Care Telemedicine is expanding access to dementia care, particularly for rural and elderly patients, though challenges like technology barriers and sustainability remain. Dementia—an umbrella term for cognitive and memory disorders—affects millions of Americans directly and indirectly. By 2060, nearly 1 million people in the U.S. are projected to develop dementia. While no cure exists, the growing prevalence underscores the need for accessible and effective care solutions. Telehealth has emerged as a critical tool in meeting this demand. The rapid adoption of virtual care during the COVID-19 pandemic transformed dementia care delivery. A 2024 study found that telehealth use surged among dementia patients, particularly those with long travel distances to clinics and the oldest age groups. For health systems like the University of Mississippi Medical Center (UMMC), telemedicine has been a game-changer. “COVID-19 changed things almost overnight,” said Dr. Kim Tarver, associate professor of medicine and director of clinical services at UMMC’s MIND Center. “We have patients who travel three hours to see us. Being able to communicate without requiring a clinic visit every time is incredibly helpful.” UMMC is among several health systems integrating telehealth into dementia care, though challenges like technology access and financial sustainability persist. Telehealth’s Role in Dementia Care: Benefits and Applications Dementia care is uniquely suited for telehealth. Virtual visits allow for evaluations, treatment adjustments, and follow-ups while offering privacy and flexibility that in-person visits cannot. At UMMC, clinicians conduct cognitive assessments like the Montreal Cognitive Assessment (MoCA) remotely. A nurse guides patients through the test via screen-sharing, while caregivers assist with physical exam components when needed. “I’ll ask the caregiver to perform parts of the exam, like cerebellar function tests, while I observe via video,” Tarver explained. Though in-person visits are still used for verification, virtual assessments have proven comparably accurate. Telemedicine also enables family members to discuss concerns privately—especially valuable when patients are unaware of or resistant to acknowledging their condition. Extending Dementia Care Through Virtual Workforce Solutions Health systems are also using telehealth to expand their dementia care workforce. At the University of California, San Francisco (UCSF), unlicensed but trained care navigators support families, handling routine assessments and triaging complex cases to specialists. “Navigators manage caseloads of families, consulting licensed experts only when needed,” said Dr. Katherine Possin, a neurology professor at UCSF. “This extends the reach of our limited dementia specialist workforce.” Similarly, Banner Health’s Dementia Care Partners program employs health coaches (Certified Nursing Assistants) to conduct initial assessments and provide ongoing support, reducing clinician workload. “If I train 30 people who each support 3,000 patients, the impact multiplies rapidly,” said Dr. Ganesh Gopalakrishna of Banner Alzheimer’s Institute. Banner also uses Project ECHO, a telehealth-based training model, to educate community providers—from physicians to elder care attorneys—on dementia care best practices. Overcoming Telehealth Challenges in Dementia Care Despite its benefits, implementing telehealth in dementia care presents hurdles: The Future of Telehealth in Dementia Care Despite obstacles, providers see immense value in virtual dementia care—reducing caregiver burden, preventing unnecessary hospitalizations, and improving patients’ quality of life. “I hope telehealth becomes the standard of care,” Possin said. As health systems refine their approaches, telemedicine promises to play an increasingly vital role in dementia care—bridging gaps in access and delivering support to patients and families when they need it most. Tectonic can help you transform telehealth in your organization. Contact us today. Like Related Posts Salesforce OEM AppExchange Expanding its reach beyond CRM, Salesforce.com has launched a new service called AppExchange OEM Edition, aimed at non-CRM service providers. Read more The Salesforce Story In Marc Benioff’s own words How did salesforce.com grow from a start up in a rented apartment into the world’s Read more Salesforce Jigsaw Salesforce.com, a prominent figure in cloud computing, has finalized a deal to acquire Jigsaw, a wiki-style business contact database, for Read more Service Cloud with AI-Driven Intelligence Salesforce Enhances Service Cloud with AI-Driven Intelligence Engine Data science and analytics are rapidly becoming standard features in enterprise applications, Read more

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Patient Trust Tanked in Healthcare During COVID

Patient Trust Tanked in Healthcare During COVID

Patient Trust in Healthcare Declined During COVID-19 Pandemic Patient trust in healthcare providers significantly declined during the COVID-19 pandemic, a trend that some experts believe could threaten public health. New data published in JAMA Network Open outlines the negative impact the pandemic had on patient trust levels. Patient Trust Tanked in Healthcare During COVID. The study, which analyzed survey results collected between April 2020 and January 2024, revealed a 30 percentage point drop in self-reported patient trust. Factors such as age, gender (specifically female), lower educational attainment, lower income, Black race, and living in rural areas were associated with lower trust levels, according to the researchers. These findings come as the healthcare industry examines the broader implications of the pandemic. The focus on patient trust is crucial because of the significant role healthcare providers play in public health and the profound impact the pandemic had on societal attitudes. “During the COVID-19 pandemic, medicine and public health became politicized, with the internet amplifying public figures and even some physicians encouraging distrust in public health experts and scientists,” the investigators wrote. “As such, the pandemic may have represented a turning point in trust, with a profession previously seen as trustworthy increasingly subject to doubt.” The data, drawn from 24 waves of surveys involving more than 443,000 individuals over age 18, showed that healthcare professionals began the pandemic with high trust ratings—71.5% of individuals reported trust in physicians and hospitals. However, by January 2024, this number had fallen to 40.1%. The decline in trust could have serious repercussions for public health. Lower patient trust was linked to a reduced likelihood of receiving flu or COVID-19 vaccinations. Patient Trust Tanked in Healthcare During COVID “Our results cannot establish causation, but in the context of prior studies documenting associations between physician trust and more positive health outcomes, they raise the possibility that the decrease in trust during the pandemic could have long-lasting public health implications,” the researchers explained. Conversely, higher levels of trust were associated with healthier behaviors, particularly the receipt of the COVID-19 vaccine, flu shots, and COVID-19 boosters. To address this issue, the healthcare sector should focus on reaffirming patient trust in physicians and hospitals. However, this may be a challenging task. A previous Cochrane review found that no intervention meaningfully changed trust in physicians, despite numerous efforts that generally had modest effects. “A better understanding of groups exhibiting particularly low trust, and the factors associated with that diminished trust, may be valuable in guiding future intervention development and deployment,” the researchers suggested. These findings contrast sharply with the early stages of the pandemic, including the COVID-19 vaccine rollout when public health experts touted doctors as among the most trusted COVID-19 messengers. The study could not pinpoint a specific reason for the loss of patient trust, noting that it was not linked to political affiliation nor fully explained by a lack of trust in science. This indicates that there was something particular about healthcare itself that contributed to the decline in trust during the pandemic. Further research is necessary to uncover more trends among individuals whose trust levels decreased during the pandemic, the researchers recommended. Like Related Posts Salesforce OEM AppExchange Expanding its reach beyond CRM, Salesforce.com has launched a new service called AppExchange OEM Edition, aimed at non-CRM service providers. Read more Salesforce Jigsaw Salesforce.com, a prominent figure in cloud computing, has finalized a deal to acquire Jigsaw, a wiki-style business contact database, for Read more Service Cloud with AI-Driven Intelligence Salesforce Enhances Service Cloud with AI-Driven Intelligence Engine Data science and analytics are rapidly becoming standard features in enterprise applications, Read more Health Cloud Brings Healthcare Transformation Following swiftly after last week’s successful launch of Financial Services Cloud, Salesforce has announced the second installment in its series Read more

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