Comparison of telehealth and traditional face-to-face model during COVID-19 pandemic

Isasti, Guillermo; Fernández, José Francisco Díaz

doi:10.1016/j.medcle.2020.06.020

Cited by 5 publications

(2 citation statements)

References 3 publications

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“…In response to the COVID-19 pandemic, the Centers for Medicare and Medicaid Services and many commercial health plans have waived co-pays for telehealth visits to encour- Initially, telehealth was limited to primary care services but there is now a strong trend toward the use of telehealth in specialized care. This new trend is exemplified in a few ophthalmology practices that have effectively incorporated the use of telehealth for routine screening of diabetic retinopathy and other routine ophthalmic care [20][21][22][23][24][25][26]. It is well known that telehealth decreases the risk of infectious disease transmission, and therefore could lead to a decrease in the spread and morbidity/mortality of COVID-19 in the hospital setting.…”

Section: Discussionmentioning

confidence: 99%

Improving Access to Cardiovascular Care Through Telehealth: A Single-Center Experience

et al. 2023

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Background: Historically, access to healthcare has been a serious shortcoming of our healthcare system. Approximately 14.5% of US adults lack readily available access to health care and this has been worsened by the coronavirus disease 2019 (COVID-19) pandemic. There are limited data on the use of telehealth in cardiology. We share our single-center experience in improving access to care via telehealth at the University of Florida, Jacksonville cardiology fellows' clinic.Methods: Demographic and social variables were collected 6 months before and 6 months after the initiation of telehealth services. The effect of telehealth was determined via Chi-square and multiple logistic regression while controlling for demographic covariates. Results:We analyzed 3,316 cardiac clinic appointments over 1 year. Of these, 1,569 and 1,747 were before and after the start of telehealth, respectively. Fifteen percent (272 clinical encounters) out of the 1,747 clinic visits during the post-telehealth era were through telehealth, completed via audio or video consultation. Overall, there was a 7.2 % increase in attendance after the implementation of telehealth (P value < 0.001). Patients who attended their scheduled follow-up had significantly greater odds of being in the post-telehealth group while controlling for marital status and insurance type (odds ratio (OR): 1.31, 95% confidence interval (CI): 1.07 -1.62). Patients who attended had higher odds of having City-Contract insurance -an institution-specific indigenous care plan (OR: 3.51, 95% CI: 1.79 -6.87) compared to private insurance. Patients who attended also had higher odds of being previously married (OR: 1.34, 95% CI: 1.05 -1.70) or married/dating (OR: 1.39, 95% CI: 1.05 -1.82) compared to patients who were single. Surprisingly, telehealth did not lead to an increase in the use of Mychart, our electronic patient portal (P value = 0.55). Conclusions:Telehealth enhanced patients' access to care by improving appointment show-rate in a cardiology fellows' clinic during the COVID-19 pandemic. Telehealth as a resource adjunct to traditional care in cardiology fellows' clinic should be further explored.

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Section: Discussionmentioning

confidence: 99%

Improving Access to Cardiovascular Care Through Telehealth: A Single-Center Experience

et al. 2023

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“…4 Numerous specialty clinics utilized telehealth during the pandemic to continue to provide care. 6,7 Telehealth has been shown in some care settings to be equivalent to in-person care, and patient satisfaction has previously been shown to be high. [8][9][10] Telehealth may decrease barriers to access to primary care services (e.g.…”

Section: Introductionmentioning

confidence: 99%

Comparing telehealth to traditional office visits for patient management in the COVID-19 pandemic: A cross-sectional study in a respiratory assessment clinic

et al. 2021

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Introduction The aim of this study was to examine whether telehealth is as safe and effective as traditional office visits in assessing and treating patients with symptoms consistent with COVID-19. Methods In this retrospective cross-sectional study, the primary outcome was any 14-day related healthcare follow-up event(s). Secondary outcomes were the type of 14-day related follow-up event including hospital admission, emergency department visit, office visit, telehealth visit and/or multiple follow-up visits. Individual visit types were identified due to the significant difference between a hospital admission and an office visit. Logistic regressions were done using the predictors of visit type, age, gender and comorbidities and the primary outcome variable of a related follow-up visit and then by follow-up type: hospital admission, emergency department visit or office visit. Results Of 1305 visits, median age was 42.3 years and 65.8% were female. Traditional office visits accounted for 741 (56.8%) of initial visits, while 564 (43.2%) visits occurred via telehealth. One hundred and forty-six (25.9%) of the telehealth visits resulted in a 14-day related healthcare follow-up visit versus 161 (21.7%) of the office visits (adjusted odds ratio (OR) 1.22, 95% CI 0.94–1.58). Discussion There was no significant difference in related follow-ups of initial telehealth visits compared to initial office visits including no significant difference in hospital admission or emergency department visits. These findings suggest that based on follow up healthcare utilization, telehealth may be a safe and effective option in assessing and treating patients with respiratory symptoms as the COVID-19 pandemic continues.

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Telemedicine Service Adoption During the COVID-19 Pandemic: Physicians' Experience from Nigeria

Iliyasu,

Garba,

Bashir

et al. 2024

Telemedicine and e-Health

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Comparison of telehealth and traditional face-to-face model during COVID-19 pandemic

Cited by 5 publications

References 3 publications

Improving Access to Cardiovascular Care Through Telehealth: A Single-Center Experience

Improving Access to Cardiovascular Care Through Telehealth: A Single-Center Experience

Comparing telehealth to traditional office visits for patient management in the COVID-19 pandemic: A cross-sectional study in a respiratory assessment clinic

Telemedicine Service Adoption During the COVID-19 Pandemic: Physicians' Experience from Nigeria

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