Telehealth Challenges, Opportunities, and Policy Recommendations for Rural Older Adults Living with HIV in the United States.
Over one million people in the United States (U.S.) are living with HIV. People living with HIV in the rural South experience delayed HIV treatment and increased mortality risks. Access challenges and HIV stigma exacerbate care disengagement for rural people living with HIV (PLH). This study examine...
| Publicado en: | Journal of Aging & Social Policy Vol. 37; no. 6; pp. 1339 - 1358 |
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| Autores principales: | , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Taylor & Francis Ltd
2025
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=188897297&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 188897297 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 08959420 DAP jtl: Journal of Aging & Social Policy issn: 08959420 maglogo: N pubinfo: dt: 2025 vid: 37 iid: 6 pid: 377 pub: Taylor & Francis Ltd artinfo: ui: 188897297 10.1080/08959420.2024.2422658 ppf: 1339 ppct: 19 formats: tig: atl: Telehealth Challenges, Opportunities, and Policy Recommendations for Rural Older Adults Living with HIV in the United States. aug: au: O'Neil, Andrew M. Quinn, Katherine G. Algiers, Olivia H. John, Steven A. Hirshfield, Sabina Kallies, Kara J. Petroll, Andrew E. Walsh, Jennifer L. affil: Center for AIDS Intervention Research, Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, USA Department of Medicine, STAR Program, SUNY Downstate Health Sciences University, Brooklyn, USA Institute for Health and Equity, Medical College of Wisconsin, Milwaukee, USA Division of Infectious Diseases, Department of Medicine, Medical College of Wisconsin, Milwaukee, USA su: United States Health services accessibility Internet access Patient compliance Qualitative research Health policy Interviewing Sound recordings Computer literacy Patient satisfaction Drugs Patients' attitudes Old age Rural Americans Research funding Statistical sampling Judgment sampling Psychology of HIV-positive persons Telemedicine Thematic analysis Attitudes of medical personnel Research methodology Data analysis software sug: subj: Health services accessibility Internet access Patient compliance Qualitative research Health policy Interviewing Sound recordings Computer literacy Patient satisfaction Drugs Patients' attitudes Old age United States Pharmaceuticals and pharmacy supplies merchant wholesalers Drugs and Druggists' Sundries Merchant Wholesalers Pharmaceutical and medicine manufacturing Administration of Public Health Programs Marketing Research and Public Opinion Polling Integrated Record Production/Distribution Record Production Sound recording merchant wholesalers Rural Americans Research funding Statistical sampling Judgment sampling Psychology of HIV-positive persons Telemedicine Thematic analysis Attitudes of medical personnel Research methodology Data analysis software keyword: Broadband internet older adults living with HIV rural telehealth Broadband internet older adults living with HIV rural telehealth ab: Over one million people in the United States (U.S.) are living with HIV. People living with HIV in the rural South experience delayed HIV treatment and increased mortality risks. Access challenges and HIV stigma exacerbate care disengagement for rural people living with HIV (PLH). This study examines the applicability and feasibility of telehealth to provide HIV care for older adults in the rural U.S. South. Semi-structured interviews were conducted with 27 key informants with expertise in HIV care and community engagement in high rural HIV burden states. Results indicate that telehealth challenges exist for older rural PLH to receive HIV care, such as lack of internet access and low technology literacy. Phone calls can be a simple and effective telehealth option for older rural PLH, as they align with their care preferences, mitigate care barriers, and show promise increasing care engagement. When warranted, complex telehealth options for older rural PLH require tailored approaches, such as portable medical instruments allowing real-time data sharing during home visits or tablet distribution from the clinic. Findings suggest that policy makers and providers support the reimbursement and use of audio-only telehealth services, expand broadband infrastructure and affordability in rural areas, and implement tailored telehealth interventions. Highlights: HIV service providers feel audio-only telehealth is effective and feasible for rural older adults living with HIV. Adequate broadband access is essential to implement complex telehealth modalities, such as video visits, for rural older adults living with HIV. The Centers for Medicare and Medicaid Services should continue to reimburse audio-only telehealth services beyond the end of 2024. The United States Federal government should invest further in broadband infrastructure and affordability in rural areas to support telehealth services. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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