Telehealth vs In-Person Palliative Care: Guests Joseph Greer, Lynn Flint, Simone Rinaldi, and Vicki Jackson
episode
GeriPal - A Geriatrics and Palliative Medicine Podcast
51 min
3 speakers
8 chapters
transcribed 9 hours ago
Transcript
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Transcript generated automatically by AI and may contain errors.
What is the premise of the telehealth vs. in‑person palliative‑care battle royale?
Hey Jerry Powell listeners, before we start this podcast, we just want to make a big shout out to this HPA, HPM, Denver Annual Assembly. And Alex, what's going on on Thursday night?
We are doing a camp miss event, the Jerry Powell Pub Crawl Thursday night. Please bring your friends. Please come yourself. It's a great way to see the city. Eric, where are we starting?
We're gonna start at 8 PM at the Celtic or Celtic. It depends on kind of where you live, how you wanna pronounce that. Details can be found on the Jerry Powell website. Just Google HPM Party Denver JerryPal. It should be the first thing that shows up. And on with the show. Welcome to the Jerry Pal podcast. This is Eric Widera. This is
Alex
Smith. And Alex, today is a battle royale on the Jerry Pal Podcast. Yes. In one corner. One corner weighing in with decades of experience. Known for heavy hits of bedside assessments, strong patient family relationships, and a knockout punch of interprofessional collaboration. We have in person palliative care, Alex.
Yeah, go in person, okay.
On the other, we have the young upstart. Telehealth delivered palliative care. It could reach far distances, Alex. Long reach. Long reach. All in the comfort of it wearing its pajamas, which is pretty impressive. Um, we have telehealth delivered palliative care. Who is going to emerge victorious, Alex? Who is gonna be answering that question for us?
Answering that question today, we have Joe Greer, who's a psychologist and associate professor of psychology at MGH and Harvard Medical School. Joe, welcome to the JerryPal podcast. Thanks so much for having me. And we have Simone Ronaldi, who's a palliative care nurse practitioner and director of nursing for the MGH Division of Palliative Care and Geriatric Medicine. Simone, welcome to JerryPal.
I am so glad to be here.
And returning guest, Vicki Jackson, who's a palliative care doc, chief of the division of palliative care and geriatric medicine at MGH, professor at Harvard Medical School, and co-director of the Harvard Medical School Center for Palliative Care. Vicky, welcome back to JerryPal.
It's a pleasure to be here.
And in the room with us today we have Lynn Flint, who's an outpatient palliative care doc, frequent guest host at JerryPal and professor at UCSF in the Division of Geriatrics. Lynn, welcome back.
Thank you
very much. So Joe, Simone, and Vicky were all authors of a great telehealth versus in person palliative care study published in Jamma. Jamma? I had to Jamma New England Journal. Jamma. Jamma, that was just published not too long ago. Before we get into the results of those studies and what they did, somebody has a song request for Alex.
Indeed. Yes, we thought hello by Adele would be thematic for our conversation today.
Perfect. Is it just because it sounds like a telephone call?
There's layers of meaning in those lyrics if you really you can dig deep. All right. Let's hear it, Alex.
Hello. It's me. I was wondering if after all these years
you'd
like to meet. Oh. Time's supposed to heal ya. I ain't done much healing. Hello? Him.
California dream About who we used to be when we were younger. And free. I've forgotten how it felt before the world fell at our feet. There's such a difference between us. Amen. Hello
from the other side. I must have called a thousand times to tell you I'm sorry. That
I've
done, but when
I call you never seem to be whole. Hello from the outside. At least I can say that I've tried I had to tell you I'm sorry. Really doesn't tear you apart anymore.
Uh that was fun.
That was intense.
Well, I'm trying to get some other people to sing, but some people refuse to sing along. How can you not sing along with Adele? Have you seen the Saturday Night Live where the family's arguing and one is like very Republican, the other is it's Thanksgiving dinner, but then somebody plays Adele and everybody
Hello
One day Zoom will get it so we can all sing together.
Who are the expert guests and what roles do they play in the study?
That's right.
That's right.
Without a lag. That's what I'm waiting for, Alex. You get that going? And then maybe probably at least did one thing. Okay. Let's talk about who is victorious in person consultations versus telehealth.
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Chapters
8 chapters
1
What is the premise of the telehealth vs. in‑person palliative‑care battle royale?
0:00–5:11
2
Who are the expert guests and what roles do they play in the study?
5:11–12:25
3
Why was the Telehealth vs. In‑Person early palliative‑care trial originally designed?
12:25–18:58
4
How were patients selected and randomized across the 22 study sites?
18:58–26:09
5
What methodological challenges (e.g., COVID‑19, video‑visit contamination) did the team face?
26:09–32:29
6
What were the primary quality‑of‑life results and were the two modalities equivalent?
32:29–39:19
7
How did caregiver participation differ between video and in‑person visits, and why does it matter?
39:19–45:44
8
What are the future implications for hybrid palliative‑care models and clinical practice?
45:44–51:13
Speakers
3 identifiedMore from GeriPal - A Geriatrics and Palliative Medicine Podcast
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