Tiffiny Shockley
In this commentary, I examine the issues faced by rural communities in the 21st century as they relate to the use of telehealth in the context of achieving the Quadruple Aim for the betterment of providers and rural populations. Rural communities face unique challenges resulting in some of the worst health outcomes in America and these challenges are expected to be exacerbated in 21st century due to changes in our climate. Coupled with these challenges are the changes and impediments associated with current healthcare ecosystems and infrastructures. In this commentary I assert that these changes and challenges require healthcare leaders to be less reactive and more adaptive in the development and implementation of telehealth solutions.