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  4. Provision of care through telemedicine during a natural disaster: a case study

Provision of care through telemedicine during a natural disaster: a case study

Spinal Cord Series and Cases, 2020 · DOI: https://doi.org/10.1038/s41394-020-0309-2 · Published: June 17, 2020

Spinal Cord InjuryTraumaTelehealth & Digital Health

Simple Explanation

This case study describes how telemedicine was used to provide clinical care to an individual with a spinal cord injury (SCI) affected by the California Valley Fire in 2015. The individual with SCI lost their home and most of their adaptive devices due to the fire. Telemedicine was used to address medical concerns and facilitate the replacement of medical supplies and equipment. The study highlights the importance of telemedicine as an effective tool to meet the medical needs of individuals with SCI during disasters, providing continuity of care and mitigating the impact of such events.

Study Duration
Not specified
Participants
One adult with spinal cord injury
Evidence Level
Case Study

Key Findings

  • 1
    Telemedicine (teleSCI) provided continuity of care to an individual with SCI affected by the Valley Fire, addressing both emergent and existing medical needs.
  • 2
    Telemedicine facilitated the swift replacement of essential durable medical equipment (DME) and supplies lost in the fire, ensuring the participant's basic needs were met.
  • 3
    The existing telemedicine infrastructure allowed for timely and responsive care, demonstrating the benefit of having telemedicine programs established before a disaster occurs.

Research Summary

This case report illustrates the successful use of telemedicine to provide care to an individual with SCI during and after the Valley Fire, a major natural disaster in California. The participant, who lost their home and essential medical equipment, received continuous care through telemedicine, which addressed immediate medical concerns and facilitated the replacement of necessary supplies. The study emphasizes the importance of incorporating telemedicine into disaster preparedness and mitigation plans to improve outcomes for individuals with disabilities.

Practical Implications

Disaster Preparedness

Telemedicine should be integrated into disaster preparedness plans to ensure individuals with SCI and other disabilities receive timely and continuous care during crises.

Healthcare Delivery

Telemedicine can serve as a crucial tool for healthcare delivery in extreme conditions, especially when traditional healthcare systems are overwhelmed or inaccessible.

Policy and Reimbursement

Policies should support the expansion of telemedicine services and ensure adequate reimbursement to facilitate its widespread adoption and integration into healthcare systems.

Study Limitations

  • 1
    Single case study limits generalizability
  • 2
    Lack of comparative data on outcomes without telemedicine
  • 3
    Specific to individuals with access to technology and internet

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