What are the Pros and Cons to telehealth?
How will you approach and perform a telehealth assessment?
What are the limits to telehealth?
What is the difference between the provider's need for a successful telehealth visit versus the Patient's perspective?
Sample Answer
Pros and ❌ Cons of Telehealth
Pros (Benefits)
Increased Access: Provides healthcare to patients in rural or underserved areas and those with mobility issues, overcoming geographic barriers.
Convenience and Efficiency: Reduces patient costs and time lost from work (no travel/parking). It can also reduce clinic "no-show" rates.
Reduced Infection Risk: Minimizes exposure to contagious illnesses for both patients and staff.
Improved Chronic Care Management: Enables remote monitoring and real-time data collection (e.g., blood pressure, blood glucose) for timely intervention.
Cons (Drawbacks)
Technology Barriers (Digital Divide): Requires reliable internet and digital literacy, potentially excluding older or low-income populations.
Physical Exam Limitations: Prevents hands-on assessment (palpation, auscultation, deep reflexes).
Pre-Visit Setup:
Verify Identity and Location: Confirm the patient's identity and their exact address in case an emergency intervention is needed.
Technical Check: Ensure strong audio/video connection and that the patient is in a private, well-lit space.
Subjective Assessment (Interview): This is the core element.
Use standard history-taking techniques, focusing on detailed descriptions of symptoms, pain quality, and timing, since observation is the primary tool.
Objective Assessment (Virtual Exam): This relies on observation and instruction.
Directed Observation: Inspect appearance, breathing effort, skin color, and mental status.
Patient-Assisted Exam: Instruct the patient on how to demonstrate function (e.g., "Show me the range of motion in your shoulder," or "Hold your phone up close to show me that rash").