Video Teleconferencing for Disease Prevention, Diagnosis, and Treatment

Albritton, Jordan; Ortiz, Alexa; Wines, Roberta; Booth, Graham; DiBello, Michael; Brown, Stephen L.; Gartlehner, Gerald; Crotty, Karen

doi:10.7326/m21-3511

Cited by 25 publications

(19 citation statements)

References 52 publications

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“… 7 , 25 , 26 Findings from this survey suggest that clinician and perhaps leadership decision-making has been influenced by these data. There is less literature regarding telehealth effectiveness in PC and SC, but publication of high-quality studies has increased since the start of the pandemic 27 ; this work will be critical in informing PC and SC clinicians’ and leadership’s decision-making regarding the choice of care modalities.…”

Section: Discussionmentioning

confidence: 99%

Perceptions and Use of Telehealth Among Mental Health, Primary, and Specialty Care Clinicians During the COVID-19 Pandemic

et al. 2022

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Key Points Question Are clinician perceptions of telehealth quality associated with use? Findings In this survey study of 866 mental health (MH), primary care (PC), and specialty care (SC) clinicians, MH clinicians rated the quality of video care the highest and were more likely to prefer video over phone when providing care for patients remotely; PC and SC clinicians were more likely to endorse challenges of video care. Findings aligned with utilization rates, with MH clinicians conducting significantly more video visits than PC and SC clinicians. Meaning These findings suggest that specialty-specific differences in clinician perceptions of telehealth were associated with actual use.

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Section: Discussionmentioning

confidence: 99%

Perceptions and Use of Telehealth Among Mental Health, Primary, and Specialty Care Clinicians During the COVID-19 Pandemic

et al. 2022

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“…Evidence indicates that telehealth can be used effectively as an adjunctive or supplemental approach to in-person care. A recent review by Albritton et al [ 18 ] examined the impact of video teleconferencing visits on prevention and management of chronic illness. Results from that review indicated that video teleconferencing resulted in similar clinical effectiveness as in-person care for certain diseases [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

“…A recent review by Albritton et al [ 18 ] examined the impact of video teleconferencing visits on prevention and management of chronic illness. Results from that review indicated that video teleconferencing resulted in similar clinical effectiveness as in-person care for certain diseases [ 18 ]. The results from our review differ in indicating clinical effectiveness of telehealth from those of Albritton et al [ 18 ] owing to several differences in the review type (systematic vs rapid review), date limitations, search strategies, databases searched, and operationalization of telehealth.…”

Section: Discussionmentioning

confidence: 99%

“…Results from that review indicated that video teleconferencing resulted in similar clinical effectiveness as in-person care for certain diseases [ 18 ]. The results from our review differ in indicating clinical effectiveness of telehealth from those of Albritton et al [ 18 ] owing to several differences in the review type (systematic vs rapid review), date limitations, search strategies, databases searched, and operationalization of telehealth. Our approach to identify relevant telehealth papers was broad and more comprehensive, which resulted in a large number of articles to review.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, CHF and T2DM typically require physical assessment to establish disease status and assess the presence and extent of exacerbations. However, the effects of telehealth as a replacement for in-person health care delivery for CHF, T2DM, and other chronic illnesses remain uncertain [ 10 , 17 , 18 ] Before the COVID-19 pandemic, many patients with chronic medical conditions, such as CHF, chronic obstructive pulmonary disease (COPD), and T2DM, uniformly received in-person evaluation. During the pandemic, these patients often received telehealth to unknown effect.…”

Section: Introductionmentioning

confidence: 99%

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Telehealth for the Longitudinal Management of Chronic Conditions: Systematic Review

Lewinski¹,

Walsh²,

Rushton³

et al. 2022

J Med Internet Res

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Background Extensive literature support telehealth as a supplement or adjunct to in-person care for the management of chronic conditions such as congestive heart failure (CHF) and type 2 diabetes mellitus (T2DM). Evidence is needed to support the use of telehealth as an equivalent and equitable replacement for in-person care and to assess potential adverse effects. Objective We conducted a systematic review to address the following question: among adults, what is the effect of synchronous telehealth (real-time response among individuals via phone or phone and video) compared with in-person care (or compared with phone, if synchronous video care) for chronic management of CHF, chronic obstructive pulmonary disease, and T2DM on key disease-specific clinical outcomes and health care use? Methods We followed systematic review methodologies and searched two databases (MEDLINE and Embase). We included randomized or quasi-experimental studies that evaluated the effect of synchronously delivered telehealth for relevant chronic conditions that occurred over ≥2 encounters and in which some or all in-person care was supplanted by care delivered via phone or video. We assessed the bias using the Cochrane Effective Practice and Organization of Care risk of bias (ROB) tool and the certainty of evidence using the Grading of Recommendations Assessment, Development, and Evaluation. We described the findings narratively and did not conduct meta-analysis owing to the small number of studies and the conceptual heterogeneity of the identified interventions. Results We identified 8662 studies, and 129 (1.49%) were reviewed at the full-text stage. In total, 3.9% (5/129) of the articles were retained for data extraction, all of which (5/5, 100%) were randomized controlled trials. The CHF study (1/5, 20%) was found to have high ROB and randomized patients (n=210) to receive quarterly automated asynchronous web-based review and follow-up of telemetry data versus synchronous personal follow-up (in-person vs phone-based) for 1 year. A 3-way comparison across study arms found no significant differences in clinical outcomes. Overall, 80% (4/5) of the studies (n=466) evaluated synchronous care for patients with T2DM (ROB was judged to be low for 2, 50% of studies and high for 2, 50% of studies). In total, 20% (1/5) of the studies were adequately powered to assess the difference in glycosylated hemoglobin level between groups; however, no significant difference was found. Intervention design varied greatly from remote monitoring of blood glucose combined with video versus in-person visits to an endocrinology clinic to a brief, 3-week remote intervention to stabilize uncontrolled diabetes. No articles were identified for chronic obstructive pulmonary disease. Conclusions This review found few studies with a variety of designs and interventions that used telehealth as a replacement for in-person care. Future research should consider including observational studies and studies on additional highly prevalent chronic diseases.

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The impact of the COVID‐19 pandemic and related policy responses on non‐COVID‐19 healthcare utilization in China

Huang

Liu

2022

Health Economics

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We investigate the impact of the COVID‐19 pandemic and related policy responses on non‐COVID‐19 healthcare utilization (i.e., different types of outpatient care) up to October 2020 in China. Using an administrative database from a large prefecture‐level city, we find that both direct exposure to the COVID‐19 pandemic and the strict containment policy responses led to reductions in outpatient care utilization. The largest decline during the lockdown was observed in preventive care visits, which nevertheless recovered to pre‐pandemic levels 2 months after the lockdown. The disruptions in prenatal care visits could not be offset by the recovery later on. Chronic care and emergency department visits had not returned to pre‐pandemic levels as of October 2020, which may be driven by extended days' supply of prescription medication, increased use of telemedicine, and improved health‐protective behaviors. In the reopening period, there were increases in visits for mental and sleep disorders, especially among children, and for medical abortion. Among health facilities at all levels, primary care facilities saw the least reductions in total outpatient visits. Our results emphasize the need for strategies to ensure access to urgent or essential care services when managing the current epidemiologic transition and future crises.

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Video Teleconferencing for Disease Prevention, Diagnosis, and Treatment

Cited by 25 publications

References 52 publications

Perceptions and Use of Telehealth Among Mental Health, Primary, and Specialty Care Clinicians During the COVID-19 Pandemic

Perceptions and Use of Telehealth Among Mental Health, Primary, and Specialty Care Clinicians During the COVID-19 Pandemic

Telehealth for the Longitudinal Management of Chronic Conditions: Systematic Review

The impact of the COVID‐19 pandemic and related policy responses on non‐COVID‐19 healthcare utilization in China

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