| 结论 |
- Live video telehealth, typically telebehavioral health, was the most prevalent type of telehealth among FQHCs in the sample; however, FQHCs also engaged in store-and-forward telehealth and remote patient monitoring (RPM).
- The telehealth policies of the seven state Medicaid programs in the study varied across numerous dimensions.
- FQHC stakeholders identified multiple barriers beyond reimbursement, including infrastructure issues (e.g., insufficient broadband), technology costs, telehealth as a cost center, billing challenges, lack of buy-in among FQHC providers, challenges specific to the patient population (e.g., elderly patients, homeless patients), complexities in adjusting clinic workflow, inadequate supply of specialists to provide telehealth services to FQHC patients, complex and time-consuming logistics around credentialing and licensing, and challenges in working with remote providers.
- FQHC stakeholders described a range of planned changes to expand or modify the implementation of telehealth services.
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