Visit and Between-Visit Interaction Frequency Before and After COVID-19 Telehealth Implementation

Letter Medicine, General & Internal

Association Between Billing Patient Portal Messages as e-Visits and Patient Messaging Volume

A. Jay Holmgren et al.

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2023)

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Article Medicine, General & Internal

Changes in In-Person, Audio-Only, and Video Visits in California’s Federally Qualified Health Centers, 2019-2022

Lori Uscher-Pines et al.

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2023)

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Article Medicine, General & Internal

Patient Characteristics Associated With Being Offered or Choosing Telephone vs Video Virtual Visits Among Medicare Beneficiaries

Ishani Ganguli et al.

Summary: This survey study of Medicare beneficiaries found that 17% of respondents who received care from practices offering both video and telephone visits reported being offered telephone visits only. Furthermore, 43% of those who were personally offered both video and telephone visits chose telephone visits. Factors associated with being offered and choosing telephone visits included less technology access and lack of video experience.

JAMA NETWORK OPEN (2023)

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Article Endocrinology & Metabolism

5. Facilitating Behavior Change and Well-being to Improve Health Outcomes: Standards of Medical Care in Diabetes-2022

Summary: The American Diabetes Association (ADA) Standards of Medical Care in Diabetes is a set of clinical practice recommendations that provides guidelines and evaluation tools for diabetes care. It is updated annually by the ADA Professional Practice Committee, and readers are invited to comment on the standards on the professional website.

DIABETES CARE (2022)

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Article Health Care Sciences & Services

Understanding The Use Of Medicare Procedure Codes For Advance Care Planning: A National Qualitative Study

Keren Ladin et al.

Summary: This study conducted case studies and interviews at eleven health systems to explore the barriers and facilitators to the use of Medicare's new CPT codes for advance care planning. The findings indicate that code-based constraints, ethical concerns, and the need for institutional support and training hinder the use of these codes, while increased reimbursement and streamlined workflow could improve their utilization.

HEALTH AFFAIRS (2022)

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Article Health Care Sciences & Services

Primary Care Physician Gender and Electronic Health Record Workload

Eve Rittenberg et al.

Summary: Previous research has shown that female physicians spend more time than male physicians in the electronic health record (EHR). This study aimed to examine gender differences in EHR usage among primary care physicians and identify potential causes for those differences. The findings indicate that female primary care physicians spend more time working in the EHR and receive more staff and patient messages compared to their male colleagues.

JOURNAL OF GENERAL INTERNAL MEDICINE (2022)

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Article Computer Science, Information Systems

Assessing the impact of the COVID-19 pandemic on clinician ambulatory electronic health record use

A. Jay Holmgren et al.

Summary: The study found that during the COVID-19 pandemic, clinicians spent less time on EHR per day at first, but had recovered to higher levels by July 2020. Time spent actively working on EHR after hours showed similar trends. Additionally, the number of In-Basket messages received also increased compared to before the pandemic.

JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION (2022)

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Article Health Care Sciences & Services

Organizational and External Factors Associated with Video Telehealth Use in the Veterans Health Administration Before and During the COVID-19 Pandemic

Josephine Jacobs et al.

Summary: This study identified organizational and external factors associated with medical center video telehealth uptake before and early in the COVID-19 pandemic. Despite the significant increase in uptake during the pandemic, there was considerable variation across medical centers, highlighting the need for equitable access to video telehealth.

TELEMEDICINE AND E-HEALTH (2022)

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Article Health Care Sciences & Services

Policy Considerations To Ensure Telemedicine Equity

Elaine C. Khoong

Summary: Telemedicine has experienced a surge in usage over the past two years, but without sufficient attention to disparities in various factors. To address equity, the design of permanent telehealth policies needs to consider unknown factors in implementing telemedicine to improve health, overcome barriers to equity, and reassess the purpose and value of telemedicine.

HEALTH AFFAIRS (2022)

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Article Health Care Sciences & Services

Medicare Beneficiaries In Disadvantaged Neighborhoods Increased Telemedicine Use During The COVID-19 Pandemic

Sanuja Bose et al.

Summary: This study shows that the waiver policy has increased access to telemedicine for Medicare populations, especially for those residing in disadvantaged neighborhoods. However, the likelihood of using telemedicine remains lower with increasing age, indicating the need for targeted interventions to improve its utilization.

HEALTH AFFAIRS (2022)

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Article Health Care Sciences & Services

Primary Care Appointment Completion Rates and Telemedicine Utilization Among Black and Non-Black Patients from 2019 to 2020

Rebecca E. Anastos-Wallen et al.

Summary: This study investigated the changes in primary care appointment completion rates between Black and non-Black patients in 2020 during the COVID-19 pandemic. The results showed that the differences in completion rates improved in all time periods and telemedicine may be an important tool for improving access to primary care for Black patients.

TELEMEDICINE AND E-HEALTH (2022)

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Article Medicine, General & Internal

Association Between Primary Care Practice Telehealth Use and Acute Care Visits for Ambulatory Care-Sensitive Conditions During COVID-19

Kathleen Y. Li et al.

Summary: During the COVID-19 pandemic, many primary care practices adopted telehealth in place of in-person care. However, the association between primary care practice's level of telehealth use and the rate of acute care visits for ambulatory care-sensitive conditions is uncertain.

JAMA NETWORK OPEN (2022)

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Article Health Care Sciences & Services

Care Management For Patients With Type 2 Diabetes: The Roles Of Nurses, Pharmacists, And Social Workers

Thomas S. Bodenheimer et al.

Summary: Managing patients with type 2 diabetes is time-consuming, and primary care clinicians often lack sufficient time for it. Planned visits by diabetes care managers can assist clinicians and lead to improved glycemic control. However, there are several barriers to widespread implementation of diabetes care management, including a shortage of trained care managers, limitations in their scope of practice, and financial models that do not support care management. Policies are needed to address these barriers, particularly payment reform.

HEALTH AFFAIRS (2022)

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Letter Medicine, General & Internal

Reduced In-Person and Increased Telehealth Outpatient Visits During the COVID-19 Pandemic

Aaron Baum et al.

ANNALS OF INTERNAL MEDICINE (2021)

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Article Health Care Sciences & Services

Rapid Increase in Telemental Health Within the Department of Veterans Affairs During the COVID-19 Pandemic

Samantha L. Connolly et al.

Summary: During the COVID-19 pandemic, there was a rapid growth in TMH-V appointments within the Department of Veterans Affairs, with 77.5% of patients being first-time users. The growth rate of TMH-V appointments was higher than telephone appointments, while in-person appointments decreased significantly. The existing telehealth infrastructure in VA played a key role in facilitating the rapid expansion of TMH-V appointments during the pandemic.

TELEMEDICINE AND E-HEALTH (2021)

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Letter Medicine, General & Internal

Trends in Outpatient Care Delivery and Telemedicine During the COVID-19 Pandemic in the US

Sadiq Y. Patel et al.

Summary: This cohort study investigates the trends of telemedicine and in-person outpatient visits in 2020 among a national sample of 16.7 million individuals with commercial or Medicare Advantage insurance.

JAMA INTERNAL MEDICINE (2021)

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Article Public, Environmental & Occupational Health

Who Is (and Is Not) Receiving Telemedicine Care During the COVID-19 Pandemic

Jonathan H. Cantor et al.

Summary: The COVID-19 pandemic has significantly increased the utilization of telehealth for patient-provider interactions, with disparities in usage rates observed among patients of different age groups and in areas with varying levels of poverty and urbanicity.

AMERICAN JOURNAL OF PREVENTIVE MEDICINE (2021)

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Article Health Care Sciences & Services

Disparities In Telehealth Use Among California Patients With Limited English Proficiency

Jorge A. Rodriguez et al.

Summary: The study found that patients with limited English proficiency have lower rates of telehealth use and that telehealth use is associated with increased emergency department use. Policy makers and clinicians need to focus on limited English proficiency as an important dimension to promote telehealth equity and decrease digital divides.

HEALTH AFFAIRS (2021)

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Article Health Care Sciences & Services

Provider Teams Outperform Solo Providers In Managing Chronic Diseases And Could Improve The Value Of Care

Maximilian J. Pany et al.

Summary: The study shows that in US primary care practices, provider teams outperform solo providers in terms of care management and biomarker outcomes for chronic diseases. There is little difference in performance between physicians and nonphysicians when working solo. Therefore, policy makers should consider both provider type and team-based care when contemplating scope-of-practice changes.

HEALTH AFFAIRS (2021)

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Letter Medicine, General & Internal

Trends in Electronic Health Record Inbox Messaging During the COVID-19 Pandemic in an Ambulatory Practice Network in New England

Bidisha Nath et al.

JAMA NETWORK OPEN (2021)

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Letter Medicine, General & Internal

Assessment of Changes in US Veterans Health Administration Care Delivery Methods During the COVID-19 Pandemic

Liam Rose et al.

JAMA NETWORK OPEN (2021)

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Letter Endocrinology & Metabolism

Primary Care Health Care Use for Patients With Type 2 Diabetes During the COVID-19 Pandemic

Anita D. Misra-Hebert et al.

DIABETES CARE (2021)

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Article Urology & Nephrology

Patient Satisfaction with Telephone Versus Video-Televisits: A Cross-Sectional Survey of an Urban, Multiethnic Population

Ariel Z. Allen et al.

Summary: This study found that the majority of patients were satisfied with telephone and video telehealth visits in a general urology practice. While telephone and video visits were similar in terms of patient characteristics and visit outcomes, the use of an interpreter, lab orders, and female patient gender were significantly associated with satisfaction. Efforts to expand access and coverage of telehealth, particularly telephone visits, should continue beyond the COVID-19 pandemic.

UROLOGY (2021)

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Article Endocrinology & Metabolism

Update on Approaches to Improve Delivery and Quality of Care for People with Diabetes

Michele Heisler et al.

ENDOCRINOLOGY AND METABOLISM CLINICS OF NORTH AMERICA (2021)

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Article Computer Science, Information Systems

Virtual care expansion in the Veterans Health Administration during the COVID-19 pandemic: clinical services and patient characteristics associated with utilization

Jacqueline M. Ferguson et al.

Summary: During the early phase of the COVID-19 pandemic, virtual care saw a significant increase within Veterans Affairs, particularly among patients with higher clinical or social needs. However, older, homeless, and rural Veterans were less likely to utilize video care, indicating potential access barriers that need to be addressed to prevent exacerbating disparities.

JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION (2021)

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Article Computer Science, Information Systems