For all of the unfortunate ways that COVID-19 has amplified disparities in health, I am hopeful that increased telemedicine efforts will reduce disparities related to access to care #sharethemicnowpublichealth (@DrSteShi)
An example near and dear to me is maternal health. I've often wondered why insurance doesn't cover an at-home blood pressure cuff for pregnant women. It's inexpensive and could potentially catch currently missed conditions related to adverse outcomes #sharethemicnowpublichealth
(@DrSteShi) 1. My story - elevated bp at 32 weeks taken by home cuff on a Monday. Scheduled ultrasound next day Tues, with bp taken at my request (bp check not usu part of ultrasound visit). Checked into hospital immediately and induced by Wed evening after steroids.
(@DrSteShi) 2. My next scheduled prenatal visit wasn't until the following Friday. I hate to think about what would have happened if I'd waited until Friday for that next bp check. @preeclampsia often comes suddenly and severely, and at home bp monitoring could aid prevention.
(@DrSteShi) I've seen articles that measured effects of at-home monitoring postpartum, but no randomized studies of at home bp monitoring + standard of care vs standard of care for prenatal care. #sharethemicnowpublichealth
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