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Telehealth as a Strategy for Health Equity: A Scoping Review of Telehealth in India During and Following the COVID-19 Pandemic for People with Disabilities.
George, Emma; Jameel, Sarah; Attrill, Stacie; Tetali, Shailaja; Watson, Erin; Yadav, Lalit; Sood, Sanjay; Srinivasan, Varadharajan; Murthy, Gudlavalleti Venkata Satyanarayana; John, Oommen; Grills, Nathan.
Afiliación
  • George E; School of Allied Health Science and Practice, University of Adelaide, Adelaide, Australia.
  • Jameel S; Indian Institute of Public Health, Hyderabad, India.
  • Attrill S; School of Allied Health Science and Practice, University of Adelaide, Adelaide, Australia.
  • Tetali S; Indian Institute of Public Health, Hyderabad, India.
  • Watson E; Griffith Asia Institute, Griffith University, Nathan, Australia.
  • Yadav L; Australian Institute of Health Innovation, Macquarie University, Sydney, Australia.
  • Sood S; Adelaide Medical School, University of Adelaide, Adelaide, Australia.
  • Srinivasan V; College of Nursing and Health Sciences Flinders University, Adelaide, Australia.
  • Murthy GVS; eSanjeevani (National Telemedicine Service), Centre for Development of Advanced Computing, Mohali, India.
  • John O; The George Institute for Global Health, New Delhi, India.
  • Grills N; Indian Institute of Public Health, Hyderabad, India.
Telemed J E Health ; 30(6): e1667-e1676, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38436592
ABSTRACT

Introduction:

Telehealth in India is growing rapidly and represents a strategy to promote affordable, inclusive, timely and safe access to healthcare. Yet there is a risk that telehealth increases inequity due to the digital divide and existing poor health literacy.

Methods:

A scoping review was conducted to explore use of telehealth in India during and following the COVID-19 pandemic by people with disabilities to inform strategies to increase equity of telehealth for people with disabilities. Of 1966 studies from the initial search in four databases and three specific telehealth journals, 20 sources met the inclusion criteria, limited to a focus on physical disability in India.

Results:

Findings showed examples of how people with disabilities can exercise increased control in the timing of appointments, convenience of receiving services from home and not having to travel to clinics or hospitals, and platform preference through tools and applications already familiar to them. Carers and families of people with disabilities were described as highly valued stakeholders with important roles in the uptake and effectiveness of telehealth for people with disabilities. The identified benefits of telehealth resulted in high levels of user satisfaction due to increased control and convenience, however, systemic barriers for accessibility remain.

Conclusion:

This review suggested that if telehealth is not designed intentionally to change the status quo for people with disabilities and prioritize equity, then the benefits may not be sustainable. Recommendations for telehealth India are provided, based on both findings from the literature and analysis of results.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Telemedicina / Personas con Discapacidad / Equidad en Salud / SARS-CoV-2 / COVID-19 / Accesibilidad a los Servicios de Salud Límite: Humans País/Región como asunto: Asia Idioma: En Revista: Telemed J E Health Asunto de la revista: INFORMATICA MEDICA / SERVICOS DE SAUDE Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Telemedicina / Personas con Discapacidad / Equidad en Salud / SARS-CoV-2 / COVID-19 / Accesibilidad a los Servicios de Salud Límite: Humans País/Región como asunto: Asia Idioma: En Revista: Telemed J E Health Asunto de la revista: INFORMATICA MEDICA / SERVICOS DE SAUDE Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Estados Unidos