{"title":"讨论影响阿巴拉契亚地区宽带扩展和远程医疗的联邦政策。","authors":"Deborah A Kirkland, Lisa C Lindley","doi":"10.1080/10376178.2024.2351902","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>There have been 188 rural hospital closures in the United States since 2010 with approximately 20% of these in Appalachia. Telehealth has become a way that nurses can reach rural patients who might not otherwise receive health care.</p><p><strong>Objectives: </strong>The purpose of this paper is to (1) outline the federal policies enacted during COVID-19 for broadband expansion; and (2) suggest how advanced practice nursing care might be affected by broadband expansion and telehealth in the region.</p><p><strong>Methods: </strong>A search of PubMed was conducted in January 2023, using the search words, \"policy\", \"telehealth\", \"broadband\", and \"Appalachia\".</p><p><strong>Findings: </strong>New laws appropriated funds to expand broadband infrastructure that made it possible for telehealth to be used by nurses to deliver health care to rural patients.</p><p><strong>Conclusion: </strong>This discussion paper found that broadband legislation was instrumental in expanding telecommunications and telehealth by NPs. There is a great need for broadband to continue to expand and for trained nurses to provide care via telehealth.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"318-326"},"PeriodicalIF":0.0000,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Discussion of federal policies affecting broadband expansion and telehealth in Appalachia.\",\"authors\":\"Deborah A Kirkland, Lisa C Lindley\",\"doi\":\"10.1080/10376178.2024.2351902\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>There have been 188 rural hospital closures in the United States since 2010 with approximately 20% of these in Appalachia. Telehealth has become a way that nurses can reach rural patients who might not otherwise receive health care.</p><p><strong>Objectives: </strong>The purpose of this paper is to (1) outline the federal policies enacted during COVID-19 for broadband expansion; and (2) suggest how advanced practice nursing care might be affected by broadband expansion and telehealth in the region.</p><p><strong>Methods: </strong>A search of PubMed was conducted in January 2023, using the search words, \\\"policy\\\", \\\"telehealth\\\", \\\"broadband\\\", and \\\"Appalachia\\\".</p><p><strong>Findings: </strong>New laws appropriated funds to expand broadband infrastructure that made it possible for telehealth to be used by nurses to deliver health care to rural patients.</p><p><strong>Conclusion: </strong>This discussion paper found that broadband legislation was instrumental in expanding telecommunications and telehealth by NPs. There is a great need for broadband to continue to expand and for trained nurses to provide care via telehealth.</p>\",\"PeriodicalId\":93954,\"journal\":{\"name\":\"Contemporary nurse\",\"volume\":\" \",\"pages\":\"318-326\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Contemporary nurse\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1080/10376178.2024.2351902\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/5/12 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Contemporary nurse","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/10376178.2024.2351902","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/5/12 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
Discussion of federal policies affecting broadband expansion and telehealth in Appalachia.
Background: There have been 188 rural hospital closures in the United States since 2010 with approximately 20% of these in Appalachia. Telehealth has become a way that nurses can reach rural patients who might not otherwise receive health care.
Objectives: The purpose of this paper is to (1) outline the federal policies enacted during COVID-19 for broadband expansion; and (2) suggest how advanced practice nursing care might be affected by broadband expansion and telehealth in the region.
Methods: A search of PubMed was conducted in January 2023, using the search words, "policy", "telehealth", "broadband", and "Appalachia".
Findings: New laws appropriated funds to expand broadband infrastructure that made it possible for telehealth to be used by nurses to deliver health care to rural patients.
Conclusion: This discussion paper found that broadband legislation was instrumental in expanding telecommunications and telehealth by NPs. There is a great need for broadband to continue to expand and for trained nurses to provide care via telehealth.
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