Video Telemedicine Experiences In COVID-19 Were Positive, But Physicians And Patients Prefer In-Person Care For The Future

SteelFisher, Gillian K.; McMurtry, Caitlin L.; Caporello, Hannah; Lubell, Keri; Koonin, Lisa M.; Neri, Antonio; Ben‐Porath, Eran N.; Mehrotra, Ateev; McGowan, Ericka; Espino, Laura C; Barnett, Michael L.

doi:10.1377/hlthaff.2022.01027

Cited by 26 publications

(19 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Previous assessments of physician perspectives on telemedicine have found that most intend to continue offering virtual services. However, findings from both our study and a recent survey study suggest waning physician use of telemedicine, largely due to the lack of physical examinations. Although our findings may not generalize to other health care systems or specialties outside of primary care, our study highlights a nontrivial share of physicians who do not reflect this decreasing pattern and instead exhibit persistently high rates of telemedicine use, suggesting generous telemedicine provision may be a differentiator for these physicians.…”

Section: Discussioncontrasting

confidence: 71%

“…Increased use of telemedicine during the COVID-19 pandemic has been well documented, including recent evidence of lower but steady use . Given that telemedicine is likely to remain a staple of the US health care system, several studies have sought to profile the patient populations that use telemedicine most consistently. However, observed telemedicine use is a function of both patient demand and physician supply.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Variations in Physician Telemedicine Provision

et al. 2023

View full text Add to dashboard Cite

show abstract

Section: Discussioncontrasting

confidence: 71%

Section: Introductionmentioning

confidence: 99%

Variations in Physician Telemedicine Provision

et al. 2023

View full text Add to dashboard Cite

show abstract

“…It is unclear how telemedicine-only clinicians will navigate new Medicare and Medicaid requirements for in-person care. While clinicians and patients may prefer in-person care, 5 introducing in-person requirements for visits and prescribing could cause care interruptions, particularly for conditions such as opioid use disorder. 6 Our analysis is limited to clinicians treating patients with commercial insurance or Medicare Advantage and therefore may lack generalizability.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of Mental Health Specialists Who Shifted Their Practice Entirely to Telemedicine

Hailu,

Huskamp,

Busch

et al. 2024

JAMA Health Forum

Self Cite

View full text Add to dashboard Cite

show abstract

“…4,5 Several studies have shown patient willingness and desire to use video telemedicine; between 36% to 67% of patients would like to seek care using telemedicine in the future. [6][7][8][9] Despite patients' continued interest in telemedicine, equitable access remains a concern. [9][10][11][12][13][14][15][16] Telemedicine offers the promise of improving access by removing financial and logistical barriers associated with transportation, work coverage, and childcare.…”

Section: Introductionmentioning

confidence: 99%

Patient Characteristics and Telemedicine Use in the US, 2022

Chang,

Penfold,

Berkman

2024

JAMA Netw Open

View full text Add to dashboard Cite

ImportanceTelemedicine use was common during the COVID-19 pandemic, expanding many patients’ approaches to accessing health care. Of concern is whether telemedicine access was poorer among higher-needs and disadvantaged populations.ObjectiveTo assess patient characteristics associated with telemedicine use and telemedicine mode and describe telemedicine visit experiences by telemedicine mode.Design, Setting, and ParticipantsThis cross-sectional study included data from the 2022 Health Information National Trends Survey and included US adults with a health care visit. Data were analyzed from May to September 2023.ExposurePatient characteristics.Main Outcomes and MeasuresAny telemedicine visits vs in-person visits only; telemedicine mode (video vs audio-only). Multivariable logistic models assessed patient characteristics associated with telemedicine visits and mode. Bivariate analyses compared telemedicine experiences by mode.ResultsThe study included 5437 adult patients (mean [SE] age, 49.4 [0.23] years; 3136 females [53.4%]; 1928 males [46.6%]). In 2022, 2384 patients (43%) had a telemedicine visit; 1565 (70%) had a video visit while 819 (30%) had an audio-only visit. In multivariable models, older age (≥75 years: adjusted odds ratio [aOR], 0.63; 95% CI, 0.42-0.94), no internet use (aOR, 0.62; 95% CI, 0.48-0.81), and living in the Midwest (aOR, 0.50; 95% CI, 0.35-0.70) were negatively associated with having telemedicine visits. Female sex (aOR, 1.43; 95% CI, 1.12-1.83), having chronic conditions (aOR, 2.13; 95% CI, 1.66-2.73), and multiple health care visits (2-4 visits: aOR, 1.77; 95% CI, 1.23-2.54; ≥5 visits: aOR, 3.29; 95% CI, 2.20-4.92) were positively associated. Among individuals who used telemedicine, older age (65-74 years: aOR, 2.13; 95% CI, 1.09-4.14; ≥75 years: aOR, 3.58; 95% CI, 1.60-8.00), no health insurance (aOR, 2.84; 95% CI, 1.42-5.67), and no internet use (aOR, 2.11; 95% CI, 1.18-3.78) were positively associated with having audio-only visits. We observed no significant differences in telemedicine use or mode by education, race and ethnicity, or income. Patients’ experiences using telemedicine were generally similar for video and audio-only except more individuals who used audio-only had privacy concerns (20% vs 12%, P = .02).Conclusions and RelevanceIn this cross-sectional study of adults with health care visits, many patients, including those with the greatest care needs, chose telemedicine even after in-person visits were available. These findings support continuing this care delivery approach as an option valued by patients. Differences were not observed by most common measures of socioeconomic status. Continued monitoring of telemedicine use is needed to ensure equitable access to health care innovations.

show abstract

Video Telemedicine Experiences In COVID-19 Were Positive, But Physicians And Patients Prefer In-Person Care For The Future

Cited by 26 publications

References 16 publications

Variations in Physician Telemedicine Provision

Variations in Physician Telemedicine Provision

Characteristics of Mental Health Specialists Who Shifted Their Practice Entirely to Telemedicine

Patient Characteristics and Telemedicine Use in the US, 2022

Contact Info

Product

Resources

About