Transforming gastroenterology care with telemedicine
Abstract
Health care is changing rapidly, so we must change with the times to develop more efficient, practical, cost-effective, and, importantly, high-quality methods to care for patients. We teach medical students that optimal patient care requires face-to-face interaction to collect information on the patient's history and perform the physical examination. However, management of many patients-especially those with chronic diseases-does not always require physical examination. Telemedicine offers an opportunity to take advantage of technology while leveraging the progressive push toward efficiency and value but also requires the belief that excellent patient care is not always provided in person. Telemedicine can include a variety of aspects of patient care adapted to be performed remotely, such as telemonitoring, tele-education, teleconsultation, and telecare. All of these have been evaluated in gastroenterology practice and have demonstrated feasibility and patient preference but have produced mixed results regarding patient outcomes. By combining telemedicine tools and new care models, we can redesign chronic disease management to include fewer in-person visits when patients are well yet increase access for patients who need to be seen. This change could lead to higher-value care by improving the experience of care, decreasing costs, and improving the health of the population. Barriers include reimbursement, licensing, and fear of litigation. However, if we hope to meet the needs of patients within our changing health care system, telemedicine should be incorporated into our strategy.
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Previous pain management interventions in CP have focused almost exclusively on pharmacological and surgical approaches.
“Given that previous pain management interventions in CP have focused almost exclusively on pharmacological and surgical approaches (e.g., (30,31)), applying CBT for painful CP is very novel.”
From Internet Cognitive-Behavioral Therapy for Painful Chronic Pancreatitis: A Pilot Feasibility Randomized Controlled Trial (2021) · cites this paper as [31]
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- Authors
- Siegel, C. A.
- Affiliations
- Dartmouth–Hitchcock Medical Center (US)
- Corresponding author
- Siegel, Corey A.
- ORCID
- Siegel, Corey A.
- Venue
- Gastroenterology
- Publisher
- Elsevier BV
- Published
- 2017-04
- Volume
- 152
- Issue
- 5
- Pages
- 958-963
- ISSN
- 0016-5085 (ISSN-L)
- OpenAlex
- W2587007203
- Cited by
- 71
- References
- 46
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 2 · 2023: 5 · 2022: 8 · 2021: 18 · 2020: 11 · 2019: 6 · 2018: 6 · 2017: 6
- FWCI
- 1.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Gastroenterology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Healthcare Systems and Technology
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Keywords
- telemedicine, gastroenterology care, remote patient monitoring, teleconsultation, telecare, distance education, chronic disease management, value-based care, health care access, reimbursement barriers, physician licensing, litigation risk, patient preferences, cost reduction
- MeSH terms
- Chronic Disease, Delivery of Health Care, Gastroenterology, Humans, Licensure, Reimbursement Mechanisms, Liability, Legal, Health Care Costs, Outcome Assessment, Health Care, Telemedicine, Remote Consultation, Patient Preference
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