Telemedicine and eConsults for Hospitalized Patients During COVID-19

Gadzinski, Adam J.; Andino, Juan J.; Odisho, Anobel Y.; Watts, Kara; Gore, John L.; Ellimoottil, Chad

doi:10.1016/j.urology.2020.04.061

Cited by 52 publications

(60 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…To our knowledge, this is one of the first studies to describe the implementation of video visits during COVID-19 in the primary care setting. There have been studies describing the implementation of video visits pre-COVID-19 across a range of clinical specialties (20) as well as three studies describing the implementation of video visits during COVID-19, one among an inpatient urology consultation service (21), one among an obstetrics practice (22), and another in urgent care (23). A recent NEJM Catalyst article (3) qualitatively described the experiences of four primary care practices who have gone "virtual" since COVID-19.…”

Section: Discussionmentioning

confidence: 99%

Implementation of Video Visits During COVID-19: Lessons Learned From a Primary Care Practice in New York City

Sinha

Kern

Gingras

et al. 2020

Front. Public Health

View full text Add to dashboard Cite

Background: During the height of the coronavirus (COVID-19) pandemic, there was an unprecedented demand for "virtual visits," or ambulatory visits conducted via video interface, in order to decrease the risk of transmission. Objective: To describe the implementation and evaluation of a video visit program at a large, academic primary care practice in New York, NY, the epicenter of the COVID-19 pandemic. Design and participants: We included consecutive adults (age > 18) scheduled for video visits from March 16, 2020 to April 17, 2020 for COVID-19 and non-COVID-19 related complaints. Intervention: New processes were established to prepare the practice and patients for video visits. Video visits were conducted by attendings, residents, and nurse practitioners. Main measures: Guided by the RE-AIM Framework, we evaluated the Reach, Effectiveness, Adoption, and Implementation of video visits. Key results: In the 4 weeks prior to the study period, 12 video visits were completed. During the 5-weeks study period, we completed a total of 1,030 video visits for 817 unique patients. Of the video visits completed, 42% were for COVID-19 related symptoms, and the remainder were for other acute or chronic conditions. Video visits were completed more often among younger adults, women, and those with commercial insurance, compared to those who completed in-person visits pre-COVID (all p < 0.0001). Patients who completed video visits reported high satisfaction (mean 4.6 on a 5-point scale [SD: 0.97]); 13.3% reported technical challenges during video visits. Conclusions: Video visits are feasible for the delivery of primary care for patients during the COVID-19 pandemic.

show abstract

Section: Discussionmentioning

confidence: 99%

Implementation of Video Visits During COVID-19: Lessons Learned From a Primary Care Practice in New York City

Sinha

Kern

Gingras

et al. 2020

Front. Public Health

View full text Add to dashboard Cite

show abstract

“…[11][12][13][14] The telehealth landscape experienced ''dramatic'' changes because of the coronavirus (COVID-19) pandemic as steps were undertaken to reduce the risk of contact for both patients and health care professionals (HCPs). 15,16 In terms of policy, the Centers for Medicare & Medicaid Services (CMS) announced on March 6, 2020 that HCPs may provide telehealth services to treat COVID-19 and for other ''medically reasonable purposes.'' 17 Further, CMS granted payment parity between telehealth and in-person visits for Medicare.…”

Section: Introductionmentioning

confidence: 99%

“…19 From the providers' perspective, HCPs cancelled nonemergency procedures and started using telehealth in lieu of in-person visits. 15 HCPs also proactively revised best practices to evaluate and care for patients using telemedicine. 15 Telemedicine and telehealth also were used as a critical part of the COVID response, including screening, monitoring athome patients, triaging at-risk or high-risk patients, and reducing health care provider burden by accessing quarantined HCPs.…”

Section: Introductionmentioning

confidence: 99%

“…15 HCPs also proactively revised best practices to evaluate and care for patients using telemedicine. 15 Telemedicine and telehealth also were used as a critical part of the COVID response, including screening, monitoring athome patients, triaging at-risk or high-risk patients, and reducing health care provider burden by accessing quarantined HCPs. 20 Given the circumstances of the COVID-19 pandemic, the changes in policy for use of telehealth, and changes in provider practices to switch to telehealth, one would expect a rise in telehealth use.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Health Inequalities in the Use of Telehealth in the United States in the Lens of COVID-19

Jaffe¹,

Lee

Huynh

et al. 2020

Population Health Management

200

172

View full text Add to dashboard Cite

The use of remote health care services, or telehealth, is a promising solution for providing health care to those unable to access care in person easily and thus helping to reduce health inequalities. The COVID-19 pandemic and resulting stay-at-home orders in the United States have created an optimal situation for the use of telehealth services for non-life-threatening health care use. A retrospective cohort study was performed using Kantar's ClaritisÔ database, which links insurance claims encounters (Komodo Health) with patient-reported data (Kantar Health, National Health & Wellness Survey). Logistic regression models (odds ratios [OR], 95% confidence intervals [CI]) examined predictors of telehealth versus in-person encounters. Adults ages ‡18 years eligible for payer-complete health care encounters in both March 2019 and March 2020 were identified (n = 35,376). Telehealth use increased from 0.2% in 2019 to 1.9% in 2020. In adjusted models of respondents with ‡1 health care encounter (n = 11,614), age, marital status, geographic residence (region; urban/rural), and presence of anxiety or depression were significant predictors of telehealth compared with in-person use in March 2020. For example, adults 45-46 years versus 18-44 years were less likely to use telehealth (OR 0.684, 95% CI: 0.561-0.834), and respondents living in urban versus rural areas were more likely to use telehealth (OR 1.543, 95% CI: 1.153-2.067). Substantial increases in telehealth use were observed during the onset of the COVID-19 pandemic in the United States; however, disparities existed. These inequalities represent the baseline landscape that population health management must monitor and address during this pandemic.

show abstract

“…o audio (teléfono); puede ser sincrónica (en tiempo real texto, video o audio) o asincrónica (por correo electrónico), y puede involucrar a varios individuos (paciente-médico, médico-médico, trabajador sanitario-paciente o trabajador sanitario-médico). Para poder llevar a cabo telemedicina entre paciente y personal sanitario se necesita: consentimiento verbal, motivo de consulta, disponibilidad de historia clínica, recomendaciones y registro de tiempo invertido en la consulta y en el análisis de los datos de la historia clínica 2 .…”

Section: Telemedicina Aplicada a Covid-19unclassified

Telemedicina aplicada a COVID-19

Ena

2020

Revista Clínica Española

View full text Add to dashboard Cite

Telemedicine and eConsults for Hospitalized Patients During COVID-19

Cited by 52 publications

References 7 publications

Implementation of Video Visits During COVID-19: Lessons Learned From a Primary Care Practice in New York City

Implementation of Video Visits During COVID-19: Lessons Learned From a Primary Care Practice in New York City

Health Inequalities in the Use of Telehealth in the United States in the Lens of COVID-19

Telemedicina aplicada a COVID-19

Contact Info

Product

Resources

About