Administrative Health Care Annotated Bibliography

Al-Samarraie, H., Ghazal, S., Alzahrani, A. I., & Moody, L. (2020). Telemedicine in Middle Eastern countries: Progress, barriers, and policy recommendations. International Journal of Medical Informatics, 141, 104232. https://doi.org/10.1016/J.IJMEDINF.2020.104232

This paper presents a systematic review of peer-reviewed articles on adopting Telemedicine across Middle Eastern countries. The systematic review aimed to identify the progress achieved so far, the barriers to the use of telemedicine in these countries, and provide recommendations on policies to support telemedicine adoption. The authors reviewed 43 articles published between 2010 and 2020.

The review found that although some progress has been achieved in incorporating and utilizing telemedicine in care delivery in some countries, such as Saudi Arabia and Iran, it has remained insufficient in most countries. Common barriers were identified in the review across all Middle Eastern countries. The major barriers included cultural, financial, organizational, poor infrastructure, provider resistance to the use of telemedicine, technological, health care system-related barriers, and lack of IT competencies among staff. The review identified the lack of clear legal and regulatory frameworks on the use of telemedicine as a major challenge to the full implementation and use of the technology in health care services delivery.

The findings of this research article have significant legal and regulatory impacts; it points out how the lack of a legal and regulatory framework can slow the progress of adopting healthcare technologies such as telemedicine.

Courtemanche, C., Marton, J., Ukert, B., Yelowitz, A., & Zapata, D. (2018). Early Effects of the Affordable Care Act on Health Care Access, Risky Health Behaviors, and Self-Assessed Health. Southern Economic Journal, 84(3), 660–691. https://doi.org/10.1002/SOEJ.12245

This study article aimed to identify how the Affordable Care Act (ACA) has impacted the accessibility of healthcare, risky health behaviors, and self-assessed health during its early days of implementation. ACA was implemented to improve universal health insurance coverage using various mandates and subsidies, strengthening the health insurance marketplace and expanding Medicaid coverage. The authors reviewed the Behavioral Risk Factor Surveillance System for data compiled on the ACA after two years of inception, focusing on how it impacted access to healthcare, risky health behaviors, and self-assessed health within the two-year period. Due to variations in healthcare utilization across states, the lack of uniformity in the expansion of Medicaid across states, and variations in the rates of uninsurance before the ACA, the authors estimated the impacts of ACA using the difference-in-difference-in-differences model.

Analysis of the data found that ACA significantly improved the population’s access to healthcare services regardless of whether a state had expanded its Medicaid or not. Additionally, significant improvements in healthcare access were identified in states that adopted Medicaid expansion programs. The findings of this research paper show how healthcare-targeted legal and regulatory requirements can significantly impact healthcare, including the accessibility of care services and improved population health outcomes.

Kaplan, B. (2020). Revisiting Health Information Technology Ethical, Legal, And Social Issues and Evaluation: Telehealth/Telemedicine and Covid-19. International Journal of Medical Informatics, 143, 104239. https://doi.org/10.1016/J.IJMEDINF.2020.104239

This article conducted a literature synthesis of 19 peer-reviewed articles from the EU region and existing EU and professional organizations’ guidelines with the aim of identifying the existing ethical, legal, and social issues related to the use of health information technology in health care delivery. The research article was motivated by the issues and informatics needs within the EU region highlighted by the COVID-19 pandemic.

The evaluation of the literature identified multiple concerns on the use of technologies in health care, including concerns over usability, reliability, responsibility, access to said technologies, and most of all, ethical, legal, policy, and regulatory concerns. There is a need to update the EU guidelines on telemedicine and for new evidence to support policymakers on tech use in healthcare.

This research significantly impacts the legal and regulatory requirements for the use of health information technology in health care as it identifies how a broader scope of ethical, legal, and social issues is needed to support the ethical integration of telehealth and telemedicine in the delivery of care.

Nittari, G., Khuman, R., Baldoni, S., Pallotta, G., Battineni, G., Sirignano, A., Amenta, F., & Ricci, G. (2020). Telemedicine Practice: Review of the Current Ethical and Legal Challenges. Telemedicine and E-Health, 26(12), 1427–1437. https://doi.org/10.1089/TMJ.2019.0158/ASSET/IMAGES/LARGE/TMJ.2019.0158_FIGURE1.JPEG

This article reviewed full-text English literature published between 2010 and 2019 with the aim of identifying the existing ethical and legal challenges in the utilization of telemedicine and telehealth across various healthcare and medical settings. The review considered aspects of implementing telemedicine such as ethical considerations, privacy, malpractices, the legality of practices, liability, and other telemedicine-related regulations.

The review found significant differences in how the current legislation, legislators, service providers, medical services, and patient interaction viewed telemedicine in health care, especially in matters of ethics, consent, liability, and the use of that data. The laws and regulations on the use of telemedicine were found to be a great barrier to adoption as they affected licensure of use.

The findings of this research article have significant legal and regulatory impacts as the authors have evidently identified the existing ethical, legal, and regulatory gaps guiding the implementation and use of telemedicine. The identified gaps can be utilized to improve the legal and regulatory guidelines and requirements for the use of telemedicine and improve the progress toward full implementation across all healthcare settings.

References

Kaplan, B. (2020). Revisiting Health Information Technology Ethical, Legal, and Social Issues and Evaluation: Telehealth/Telemedicine and Covid-19. International Journal of Medical Informatics, 143, 104239. https://doi.org/10.1016/J.IJMEDINF.2020.104239

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Question

Search the University Library for peer-reviewed research articles related to the impact of legal and regulatory requirements in health care. Incorporate the following requirements:

Choose research articles that describe a research study, not an editorial or brief.
Prioritize research studies based in the United States from 2010 to the present day.
Select health topics of interest to you or your job with no complex statistical analyses.

Administrative Health Care Annotated Bibliography

Select at least 4 peer-reviewed research articles to use to complete an annotated bibliography. The 4 peer-reviewed research articles can be based on the same or different topics, provided there is a focus on the legal and regulatory requirements in health care.

Prepare an annotated bibliography of the 4 peer-reviewed research articles you selected from the University Library. For each of the 4 peer-reviewed research articles:

Write a 150- to 200-word summary of each research article in your own words.
Describe the major areas of the research article, such as the sample, geographic location, and outcome. Remember, annotations must not include any direct quotes or in-text citations.
Explain the legal or regulatory impact of the research study described in the research article.

University Library: https://library.phoenix.edu/home

Administrative Health Care Annotated Bibliography

Administrative Health Care Annotated Bibliography

References

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