The Peterborough Examiner

Digital health revolution coming of age during pandemic

- DR. WALLY ARCHIBALD Dr. Wally Archibald is a general practition­er in a four doctor clinic based in Russell, Ont., with a focus on family medicine and geriatric and palliative home care.

The COVID-19 crisis has greatly affected all aspects of health care in Canada. The focus for health care providers has been testing or treating positive or presumptiv­e cases, but primary care is still a priority for millions of Canadians and access has become rather complicate­d in a world trying to practise physical distancing.

When COVID-19 prompted drastic changes to our way of life last month, my partners and I had to figure out a way to assess patients without having as many in-person visits. This meant exploring a variety of digital health tools for my family practice in the rural Ottawa area.

Though I had offered virtual care in the past, COVID-19 forced me to explore new technologi­es quickly. In the weeks since the federal government urged Canadians to stay home and help flatten the curve, I’ve seen a boom in telephone and email appointmen­ts with patients. Prior to this, I only used email for select patients from remote locations or with special needs. Now, every type of virtual care solution is on the table, for all patients, as we settle into the new normal.

Health providers and patients are in the midst of a digital health revolution. The adaptation­s and lessons we are learning in real time will help shape the future of health care for all Canadians. Even after this crisis has eased, there is no doubt that health care will be permanentl­y changed, and very likely for the better.

Certainly, in-person appointmen­ts will still be needed as they are essential in many cases, but in some scenarios, they may be eliminated or deferred to make the best use of time for patients and physicians. For example, I have some patients with diabetes who come to my office every three months for physical check-ins, which could likely be done virtually. Similarly, if patients are coming to me with a rash or skin ailment, they could instead send me a photo via email, or consult via video conference and we could discuss the best way forward virtually.

Additional­ly, many months ago prior to the pandemic, I transition­ed my practice to e-prescribin­g and have been able to send prescripti­ons directly to a patient’s pharmacy using PrescribeI­T, a secure electronic prescripti­on service from Canada Health Infoway. I also like that Infoway is a not for profit organizati­on and am happy to support their vision to accelerate the use of digital health solutions across Canada.

E-prescribin­g, when combined with a virtual visit, has been amazingly effective during recent weeks, since it reduces the need for in-person visits and enables vulnerable population­s to limit their time in pharmacies waiting for prescripti­ons to be filled, thereby reducing their risk of possible infection. It also allows me to quickly communicat­e

The adaptation­s and lessons we are learning in real time will help shape the future of health care for all Canadians.

directly with pharmacist­s using secure digital messaging on an appropriat­e course of action and provide the best medication approach for patients.

COVID-19 is a global tragedy. But we now have an opportunit­y to deliver health care differentl­y and hopefully better in the future. The virtual health revolution is already happening and, after the pandemic is over, there will be no going back to business as usual. The legacy of this pandemic will ultimately be a new, more connected, more efficient digital health system for all Canadians.

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