Impact of Telemedicine Modality on Quality Metrics in Diverse Settings : Implementation Science-Informed Retrospective Cohort Study
©Danielle Rome, Alyssa Sales, Talea Cornelius, Sujata Malhotra, Jessica Singer, Siqin Ye, Nathalie Moise. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 26.07.2023..
BACKGROUND: Video-based telemedicine (vs audio only) is less frequently used in diverse, low socioeconomic status settings. Few prior studies have evaluated the impact of telemedicine modality (ie, video vs audio-only visits) on clinical quality metrics.
OBJECTIVE: The aim of this study was to assess telemedicine uptake and impact of visit modality (in-person vs video and phone visits) on primary care quality metrics in diverse, low socioeconomic status settings through an implementation science lens.
METHODS: Informed by the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework, we evaluated telemedicine uptake, assessed targeted primary care quality metrics by visit modality, and described provider-level qualitative feedback on barriers and facilitators to telemedicine implementation.
RESULTS: We found marginally better quality metrics (ie, blood pressure and depression screening) for in-person care versus video and phone visits; de-adoption of telemedicine was marked within 2 years in our population.
CONCLUSIONS: Following the widespread implementation of telemedicine during the COVID-19 pandemic, the impact of visit modality on quality outcomes, provider and patient preferences, as well as technological barriers in historically marginalized settings should be considered.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:25 |
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| Enthalten in: |
Journal of medical Internet research - 25(2023) vom: 26. Juli, Seite e47670 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Rome, Danielle [VerfasserIn] |
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| Links: |
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| Themen: |
Adoption |
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| Anmerkungen: |
Date Completed 27.07.2023 Date Revised 12.08.2023 published: Electronic Citation Status MEDLINE |
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| doi: |
10.2196/47670 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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NLM359942180 |
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| 520 | |a ©Danielle Rome, Alyssa Sales, Talea Cornelius, Sujata Malhotra, Jessica Singer, Siqin Ye, Nathalie Moise. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 26.07.2023. | ||
| 520 | |a BACKGROUND: Video-based telemedicine (vs audio only) is less frequently used in diverse, low socioeconomic status settings. Few prior studies have evaluated the impact of telemedicine modality (ie, video vs audio-only visits) on clinical quality metrics | ||
| 520 | |a OBJECTIVE: The aim of this study was to assess telemedicine uptake and impact of visit modality (in-person vs video and phone visits) on primary care quality metrics in diverse, low socioeconomic status settings through an implementation science lens | ||
| 520 | |a METHODS: Informed by the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework, we evaluated telemedicine uptake, assessed targeted primary care quality metrics by visit modality, and described provider-level qualitative feedback on barriers and facilitators to telemedicine implementation | ||
| 520 | |a RESULTS: We found marginally better quality metrics (ie, blood pressure and depression screening) for in-person care versus video and phone visits; de-adoption of telemedicine was marked within 2 years in our population | ||
| 520 | |a CONCLUSIONS: Following the widespread implementation of telemedicine during the COVID-19 pandemic, the impact of visit modality on quality outcomes, provider and patient preferences, as well as technological barriers in historically marginalized settings should be considered | ||
| 650 | 4 | |a Journal Article | |
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| 700 | 1 | |a Moise, Nathalie |e verfasserin |4 aut | |
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