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University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository

Specialty

Primary Care

Advisor

Victoria Beloy, DMSc, PA-C

Abstract

ABSTRACT

To obtain access to benefits and health care services, veterans are required to go through the Veterans Affairs (VA) Compensation and Pension (C&P) disability evaluation process. Traditionally, these evaluations have occurred in person; however, as a result of the COVID-19 pandemic, the number of telehealth evaluations has increased significantly, creating questions about the reliability and accuracy of telehealth evaluations. This narrative review summarizes current evidence comparing telehealth and in-person disability evaluations for veterans based on diagnostic accuracy, patient experience, access to care, and evaluation of system-level factors that contribute to each type of evaluation. Existing research suggests that telehealth evaluations can yield similar results to in-person evaluations when standardized protocols, appropriate technology, and clinicians with sufficient training are utilized. Nonetheless, many complex physical examinations will likely require an in-person evaluation. Additional barriers that could impact telehealth disability evaluations, such as a lack of internet access and digital literacy, and steps to mitigate their effects, including provider training, must be addressed and implemented. Overall, telehealth represents a practical and sustainable option when thoughtfully integrated into the VA disability evaluation system.

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