William Gonzalez, MD
PHYSICIAN | CLIMATE CHANGE AND HEALTH ADVOCATE
For over a decade Dr. Gonzalez has been providing primary care services in traditional and virtual settings.
An eConsult is a form of asynchronous telehealth that enables primary care providers to consult with specialists remotely. The uses of eConsults in the primary care setting include provider telementoring, identifying whether the patient's needs can be met in the primary care setting, improving preparedness before a specialist visit, and/or increasing the ability to provide medical care aligned with the urgency of the patient's need.
Asynchronous telehealth can be beneficial for healthcare providers by increasing productivity, improving documentation, decreasing barriers to access and creating more inclusivity. However, if an asynchronous telehealth program is not properly managed, it can create a vicious cycle of reactive work and unproductivity for providers, and this must be considered when designing an asynchronous telehealth program.
Asynchronous telehealth can be a winning strategy for value-based care — leading to improved outcomes, increased access to care, and reduced healthcare costs
Telemedicine in surgery can facilitate the education and training of surgeons and increase access to specialized services in remote, underdeveloped regions. Newer telecommunication technologies, more telemedicine-friendly legislation and advancements in robotics can help remove some of the barriers.
COVID-19 highlighted issues surrounding telehealth and digital divide. As society turns to the internet for civic and business transactions, those without internet access — or without the skills to use this access — are at a disadvantage.
January is Cervical Health Awareness Month. Cervical cancer is a leading cause of death for women in the United States, and almost all cervical cancer cases are linked to infections with high-risk strains of HPV virus. mHealth interventions can be used to educate patients and send reminders about screenings, and to increase HPV vaccine education. Also, tele-colposcopy can be used to increase access to specialized gynecological services.
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Dr. William Gonzalez’s participation in the Listening Session on the Digital Divide with Vice President Kamala Harris.