Table 3. Facilitators and barriers to the implementation of telemedicine in the United States^[53] .

Facilitators

Barriers

Patient engagement, including patient access to technology, education, family support, and interpreter services Organizational readiness, including workflow planning for remote visits, appointing, check-on, and standardized templates for documentation Regulatory and policy changes, including reimbursement parity as noted above

Patient limitations, including access to smartphones, computers, and broadband Internet, technology capability, and comfort with telehealth visits Clinical care issues including unavoidable deviations from clinical standards of care (such as patients rather than healthcare professionals taking vital signs, limited ability to do physical exams) Technology availability and training, weak information technology infrastructure, and inadequate reimbursement for non-clinical care costs