Research Articles and Papers
Browse our library of telehealth research studies.
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Telehealth and delivery of alcohol use disorder treatment in the Veterans Health Administration
This study investigates telehealth utilization among Veterans Health Administration patients receiving treatment for alcohol use disorder (AUD) during the COVID-19 pandemic. Findings indicate that while telehealth, particularly video visits, is associated with increased psychotherapy visits and medication coverage days for AUD treatment, certain patient groups, such as older individuals and those with specific substance use disorders or mental health conditions, are less likely to utilize video telehealth, highlighting the importance of maintaining multiple treatment modalities to ensure equitable access to care.
Listening to Black Pregnant and Postpartum People: Using Technology to Enhance Equity in Screening and Treatment of Perinatal Mental Health and Substance Use Disorders
This study explored the experiences of Black pregnant and postpartum individuals using a text/phone-based screening and referral program for perinatal mood and anxiety disorders, perinatal substance use disorders, and intimate partner violence. Findings highlighted the program's ease of use, convenience, and reduction in perceived judgment, contributing to increased comfort in discussing mental health and substance use concerns, ultimately addressing racial disparities in screening and treatment attendance.
Changes in telemedicine use and ambulatory visit volumes at a multispecialty cardiovascular center during the COVID-19 pandemic
This study investigates the adoption of telemedicine in cardiology clinics during the COVID-19 pandemic, revealing a substantial increase in usage. With variations across subspecialties, higher telemedicine utilization correlated with larger increases in new patient visits, highlighting its potential to increase access to cardiovascular care.
Text And Telephone Screening And Referral Improved Detection And Treatment Of Maternal Mental Health Conditions
In a randomized controlled trial comparing a text- and telephone-based screening program with usual in-person screening and referral care, participants in the program were three times more likely to be screened. Among those screened, program participants were more likely to screen positive, be referred to treatment, and attend treatment compared to those receiving usual care.
Telehealth Use and Health Equity for Mental Health and Substance Use Disorder During the COVID-19 Pandemic: An Updated Systematic Review
This brief is an updated systematic review on health equity and the use of telehealth for patients with mental health conditions and substance use disorders (SUD). Findings continue to reveal lower telehealth utilization among disadvantaged groups. This update included more studies looking at short-term clinical secondary outcomes and telehealth for alcohol-use disorder and SUD treatment.
Large-Scale Telemedicine Implementation for Outpatient Clinicians
This study introduces a learning collaborative designed to facilitate telemedicine implementation among outpatient clinicians in the early stages of the COVID-19 pandemic. The collaborative involved a diverse group, with participants from primary care (71%), rural settings (51%), and community health centers (28%). This collaborative demonstrated a model to rapidly disseminate knowledge during emergencies.
Antibiotic Receipt for Pediatric Telemedicine Visits With Primary Care vs Direct-to-Consumer Vendors
This study compared antibiotic prescribing practices for pediatric acute respiratory tract infection visits between telehealth with primary care practitioners and commercial direct-to-consumer telemedicine companies. Results showed that telemedicine integrated within primary care had lower rates of antibiotic prescribing and follow-up care compared to direct-to-consumer telemedicine companies.
Telephone-Based Rehabilitation Intervention to Optimize Activity Participation After Breast Cancer: A Randomized Clinical Trial
This study aimed to determine if a telephone-based coaching rehabilitation intervention could improve activity participation in breast cancer survivors post-treatment. While the intervention didn't show significant differences in overall participation measures compared to a control group, participants reported greater improvements in self-selected activity satisfaction and performance.
Adapting telehealth to address health equity: Perspectives of primary care providers across the United States
This research investigates how Federally Qualified Health Centers (FQHCs) utilized telehealth during the COVID-19 pandemic to address the health care needs of underserved populations, including those experiencing homelessness, individuals with disabilities, and non-English speakers. Through clinician interviews, the study reveals innovative strategies such as deploying telehealth in shelters, distributing mobile devices, and adapting group therapy sessions. The study emphasizes the crucial role of telehealth in promoting health equity.
Racial and Ethnic Differences in Telemedicine Use
This study investigated telehealth use among traditional Medicare enrollees from March 2020 to February 2022. While initially, Black, Hispanic, and other racial groups had more telemedicine visits than White individuals, after adjusting for various factors such as geographic region, they received fewer telemedicine visits, indicating persistent disparities in access to telemedicine among racial and ethnic minorities.
Telehealth Treatment for Opioid Use Disorder During Pregnancy
This study investigated pregnant patients receiving opioid use disorder (OUD) treatment via a telehealth program. The study found that most patients received continuous care throughout pregnancy, with high retention rates and medication adherence.
Telemedicine vs Telephone Consultations and Medication Prescribing Errors Among Referring Physicians: A Cluster Randomized Crossover Trial
This research study compared rates of emergency department (ED) physician-related medication errors among critically ill children receiving either video telemedicine or telephone consultations. The results indicated no statistically significant differences in medication errors between the two consultation methods.
The association between rurality, dual Medicare/Medicaid eligibility and chronic conditions with telehealth utilization: An analysis of 2019-2020 national Medicare claims
This study reveals widening disparities in telehealth utilization among Medicare beneficiaries from 2019 to 2020, particularly among minority groups, rural residents, and dual Medicare/Medicaid eligible beneficiaries, with differences increasing as the number of chronic conditions rises. These findings underscore the challenge of ensuring equitable access to telehealth services, as those with the greatest health care needs may face barriers to utilization.
Care Partner Engagement in Secure Messaging Between Patients With Diabetes and Their Clinicians: Cohort Study
Patient engagement through secure messaging in digital patient portals is linked to improved diabetes outcomes, yet disparities in use exist among older patients and racial and ethnic underserved groups. This study explored whether involving care partners could address disparities. The study found that those with care partners tend to use secure messaging more frequently and initiate messaging earlier.
Availability of Mental Telehealth Services in the US
This study examined the availability and characteristics of telehealth for major depressive disorder, general anxiety disorder, and schizophrenia across mental health treatment facilities in the US. The findings reveal that while telehealth availability did not differ by clinical condition or patient demographics, variations were observed at the facility, county, and state levels.
Telehealth Use and Health Equity for Mental Health and Substance Use Disorder During the COVID-19 Pandemic: A Systematic Review
This research study explored clinical effectiveness and telehealth utilization for mental health and substance use disorder management, particularly for underrepresented groups. Findings reveal disparities in telehealth utilization, notably among rural residents, older individuals, and Black/African American minorities.
Patient Characteristics Associated With Phone and Video Visits at a Tele-Urgent Care Center During the Initial COVID-19 Response: Cross-Sectional Study
This study examines the utilization of telemedicine modalities, particularly phone and video visits, in an urgent care setting during the COVID-19 pandemic. Findings suggest significant differences in utilization based on patient demographics.
Exploring telemental health practice before, during, and after the COVID-19 pandemic
This study examined the impact of the COVID-19 pandemic on the utilization of telemedicine among mental health providers. Findings reveal a significant increase in daily telemedicine use during the pandemic, with more than half of providers' caseloads being served remotely. The study highlights a general increase in comfort with telemedicine and provider expectation for continued use post-pandemic.
Use of in-network insurance benefits is critical for improving retention in telehealth-based buprenorphine treatment
This study examined the relationship between insurance status and 6-month retention among patients with opioid use disorder receiving care through a telehealth. Findings indicate that patients with in-network insurance coverage were more likely to be retained compared to cash-pay patients, suggesting that insurance status plays a significant role in treatment retention.
Assessment of Pregnancy-Related Telehealth Interventions in the United States: A 10-Year Scoping Review
This scoping review examines pregnancy-related telehealth interventions, indicating a growing body of literature on the subject since 2011. While most studies focused on synchronous interaction between providers and patients, outcomes primarily assessed maternal/infant health, patient satisfaction, and attendance/compliance. The study highlighted the need for further research on telehealth's impact on patient satisfaction, health disparities, and cost-benefit in pregnancy-related care.
Chronic Disease Management through Clinical Video Telehealth on Health Care Utilization, and Mortality in the Veterans Health Administration: A Retrospective Cohort Study
This study investigated the impact of clinical video telehealth on health care utilization and mortality among older Veterans with chronic conditions like congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), and diabetes mellitus (DM). Clinical video telehealth was associated with increased emergency department visits across all conditions but its association with inpatient admissions and mortality varied.
An mHealth Design to Promote Medication Safety in Children with Medical Complexity
This study worked to identify medication safety challenges for children with medical complexity and to develop requirements for a mobile health app to address the challenges. Future steps include piloting the tools to evaluate usability and effectiveness in reducing medication errors.
Gaps in internet use narrowed among older adults with Medicare during the COVID-19 pandemic but persist
This research explores internet usage among older adults with Medicare. The study reveals disparities in internet access, with higher rates among White individuals, younger age groups, those with higher education levels and better health and lower usage among minority groups, older individuals, and those with limited income and assets.
Telemedicine use and decrements to type 2 diabetes and hypertension care during the COVID-19 pandemic
This research study investigates the impact of telemedicine use on the quality of care for adults with type 2 diabetes and/or hypertension. Telemedicine use was associated with lower odds of hemoglobin A1c (HbA1c) monitoring for adults with type 2 diabetes and lower odds of blood pressure testing for those with type 2 diabetes and/or hypertension. The study suggests that additional measures may be necessary to ensure high-quality care.
Enhancing access and impact of the Medicare Diabetes Prevention Program using telehealth: a narrative review
This review looked at telehealth in diabetes prevention programs for older adults. The study found that diabetes prevention programs using telehealth are beneficial for increasing program reach, program impact, and social support, including for underserved populations.
Exploring Telehealth to Improve Discharge Outcomes in Children
This research study aims to address the inpatient to outpatient transition by proposing a telehealth follow-up visit after hospital discharge and evaluating beliefs of this approach. Through interviews with pediatric hospitalists, senior residents, and caregivers, the study identified three primary themes: the potential benefits of telehealth follow-up visit after hospital discharge, the need for it to enhance current practices rather than replace them, and concerns about workflow challenges and resource limitations.
Telehealth Delivery in Part C Early Intervention: Provider and Caregiver Perspectives
The study investigates the impact of the shift to telehealth for Part C early intervention EI services at the beginning of the COVID-19 pandemic. All surveyed providers reported changes in service aspects and approximately half of surveyed caregivers reported that satisfaction with services remained the same.
Temporal Trends in Telehealth Availability in Mental Health Treatment Settings: Differences in Growth by State Rurality, 2015-2020
This research investigates the growth of telehealth availability in outpatient mental health treatment facilities across the US from 2015 to 2020, examining differences by state urbanicity and rurality. The study found that telehealth adoption increased rapidly during this period, with more significant growth in urban areas compared to rural. There were substantial variations among states, suggesting a need for tailored approaches to address the unique challenges faced by different populations and regions.
Implementation Considerations for Family-Based Telehealth Interventions for Youth in Foster Care: Focus Group Study With Child Welfare System Professionals
This study investigated child welfare professionals' perspectives on providing family-based interventions through telehealth to foster youth in out-of-county placements. The professionals identified various factors influencing intervention delivery including environmental, predisposing, enabling, and need.
Adaptation of the Tele-Harm Reduction intervention to promote initiation and retention in buprenorphine treatment among people who inject drugs: a retrospective cohort study
This study examined buprenorphine initiation and retention among people who inject drugs with opioid use disorder who received a telehealth intervention in a harm reduction setting. There was a 58.7% three-month retention rate for buprenorphine among participants. This study found that harm reduction settings may be a suitable venue for telehealth interventions.
Use of a Mobile-Assisted Telehealth Regimen to Increase Exercise in Transplant Candidates: A Home-Based Prehabilitation Pilot and Feasibility Trial
This study used a home-based exercise intervention, including telehealth sessions and personal activity trackers, to enhance physical fitness for liver transplant candidates. Results showed significant improvements in the Liver Frailty Index and the 6-minute walk test, demonstrating the potential benefits of telehealth for liver transplant candidates.
Clinician Perceptions of Barriers and Facilitators for Delivering Early Integrated Palliative Care via Telehealth
This study explores telehealth for delivering early integrated palliative care (EIPC) to patients with advanced lung cancer. A survey of palliative care clinicians highlights positive perceptions of telehealth, with many agreeing that telehealth enhances access. Clinicians noted some barriers to telehealth use at the patient, organization, and system level.
Understanding rural-urban differences in veterans' internet access, use and patient preferences for telemedicine
This study examines telemedicine utilization among rural and urban veterans receiving care from the Veterans Health Administration (VA), finding that while most patients have internet access, rural patients are less likely to have had a telemedicine visit. Both rural and urban patients recommend technology training to improve telemedicine access.
A Community-Based Pre-Exposure Prophylaxis Telehealth Program Focused on Latinx Sexual Minority Men
This research describes the development and implementation of a community-based organization pre-exposure prophylaxis (CBO-PrEP) telehealth program to address barriers faced by Latinx sexual minority men. The program established protocols for referrals, insurance coverage, and appointments. The results indicate that CBO-PrEP successfully engaged the target population, with a high percentage undergoing laboratory testing and receiving PrEP prescriptions, showcasing the potential impact of collaborative approaches.
Socioeconomic Determinants of Remote Patient Monitoring Implementation Among Rural and Urban Hospitals
This study investigated the relationship between social determinants of health and the adoption of remote patient monitoring (RPM) for chronic disease management. The study found that both rural and urban hospitals near households with lower middle socioeconomic status are less likely to have adopted RPM when compared with their counterparts near households with the highest socioeconomic status. The findings underscore the importance of addressing disparities in access to RPM services.
Completion of Recommended Tests and Referrals in Telehealth vs In-Person Visits
This retrospective cohort study conducted at a large urban hospital-based primary care practice and an affiliated community health center aimed to assess the association of diagnostic loop closure (completion of recommended tests and specialty referrals) for telehealth visits compared to in-person visits. The findings revealed that rates of diagnostic loop closure were low across all visit modalities with patients with telehealth visits less likely to close the loop compared to those with in-person visits.
Association of Remote Patient Monitoring with Mortality and Healthcare Utilization in Hypertensive Patients: a Medicare Claims-Based Study
This study evaluated the association between remote patient monitoring (RPM) use and patient outcomes among Medicare beneficiaries aged 65 years and older with hypertension. RPM use was associated with reduced hazards of mortality and hospitalizations. However, there was an increase in cardiovascular-related outpatient visits, suggesting potential benefits and trade-offs of RPM implementation in managing hypertension in older adults.
Adapting Connect for Health pediatric weight management program for telehealth in response to the COVID-19 pandemic
This study focused on telehealth experiences for a primary care, pediatric weight management intervention. The results highlight the importance of a combination of in-person and virtual visits to align with patient and provider preferences, with specific considerations for those with limited English proficiency.
Telehealth utilization in gynecologic oncology clinical trials
This study assesses the safety and feasibility of implementing telehealth and remote clinical trial operations in gynecologic oncology during the COVID-19 pandemic. The study found virtual provider visits and off-site laboratory testing increased during the telehealth period. While minor protocol deviations increased, major deviations and adverse events remained of low incidence and did not differ.
Use of Telemedicine and Quality of Care Among Medicare Enrollees With Serious Mental Illness
This cohort study investigates the impact of telemedicine use during the COVID-19 pandemic on mental health care for Medicare beneficiaries with serious mental illnesses. The study categorizes practices based on telemedicine use and compares changes in care patterns and quality metrics. The findings indicate that practices with higher telemedicine use saw an increase in mental health visits per year compared with prepandemic levels, with no significant changes observed in other quality metrics.
Evaluating the association between expanded coverage of direct-to-consumer telemedicine and downstream utilization and quality of care for urinary tract infections and sinusitis
This study compares direct-to-consumer (DTC) telemedicine and in-person visits for urinary tract infections (UTIs) and sinusitis, analyzing rates of testing, follow-up care, and quality. The study finds that DTC telemedicine coverage is associated with reductions in antibiotics for sinusitis and laboratory tests for UTI, without changes in overall office and outpatient visits or emergency department visits.
Persistence of Telemedicine Usage for Breast and Prostate Cancer after the Peak of the COVID-19 Pandemic
This study investigates utilization of telemedicine for breast and prostate cancer patients. The findings underscore specific contexts where providers and patients use telehealth.
Telemedicine Buprenorphine Initiation and Retention in Opioid Use Disorder Treatment for Medicaid Enrollees
This retrospective cohort study examined the outcomes of telemedicine versus in-person care for initiating transmucosal buprenorphine treatment of opioid use disorder (OUD) during the COVID-19 pandemic. The study found that telemedicine initiation was associated with better 90-day retention in buprenorphine treatment and was not associated with an increased risk of opioid-related nonfatal overdose.
Remote Monitoring Compared With In-Office Surveillance of Blood Pressure in Patients With Pregnancy-Related Hypertension: A Randomized Controlled Trial
This study looked at individuals with hypertensive disorders or pregnancy and compared blood pressure ascertainment within 10 days of postpartum discharge using in-office blood pressure assessment versus remote patient monitoring. The study found that those using remote monitoring showed significantly higher rates of blood pressure ascertainment compared to the in-office group. Remote monitoring had no significant differences in readmission rates or initiation of antihypertensive medications post-discharge, suggesting that remote monitoring has the potential to enhance postpartum care.
Financial performance of rural hospitals persistently lacking or having telehealth technology
This study analyzed the adoption of telehealth by rural hospitals and its impact on their financial performance from 2009 to 2019. Findings suggest that telehealth adoption was influenced by hospital and community characteristics, with factors such as hospital ownership, patient demographics, and insurance status playing significant roles. The study found that rural hospitals adopting telehealth exhibited better financial performance over the 11-year period compared to non-adopters, indicating potential benefits for sustainability and service provision in rural health care settings.
Sociodemographic disparities in the use of cardiovascular ambulatory care and telemedicine during the COVID-19 pandemic
This research study investigated the association of patient and visit characteristics with telehealth modality in cardiology clinics during the COVID-19 pandemic. The study found disparities in video-based telehealth for older patients, Black patients, those with limited English proficiency, and Medicaid recipients. Further research is needed to understand barriers and outcomes related to telehealth among diverse populations.
Mobile Health Intervention in Patients With Type 2 Diabetes: A Randomized Clinical Trial
The study investigated the impact of clinical pharmacists and health coaches utilizing telehealth on hemoglobin A1c (HbA1c) levels for African American and Latinx patients with type 2 diabetes. The study found that, among participating patients, HbA1c levels improved, suggesting that this telehealth intervention can improve blood glucose levels in the studied populations.
Older Veterans' Experiences of a Multicomponent Telehealth Program: Qualitative Program Evaluation Study
This study focuses on addressing the multifaceted needs of older veterans with multiple health conditions through a telehealth program. Qualitative interviews with program participants identified areas for improvement and adaptation.
Researcher Experience and Comfort With Telemedicine and Remote Patient Monitoring in Cancer Treatment Trials
This research focused on the integration of telemedicine and remote patient monitoring (RPM) in oncology practices since the onset of COVID-19, particularly in treatment trials. A survey was conducted to assess experience and comfort levels with telemedicine and RPM. The findings suggest that while telemedicine and RPM has been increasingly used in cancer treatment trials, there is a higher level of researcher comfort compared to real-world experience.
Telemedicine Critical Care-Mediated Mortality Reductions in Lower-Performing Patient Diagnosis Groups: A Prospective, Before and After Study
This study evaluated the impact of implementing telemedicine critical care on risk-adjusted mortality in adult intensive care units at academic medical centers. The study found that, overall, there was a slight decrease in risk-adjusted mortality after telemedicine critical care implementation, although not statistically significant. However, a subgroup of patients with a history of lower performance in ICU care experienced a significant reduction in standardized mortality ratio and risk-adjusted mortality, while the higher-performing patient group showed no significant changes.
Telemedicine Visits in US Skilled Nursing Facilities
This cohort study investigated the telehealth use in skilled nursing facilities (SNFs) during the COVID-19 pandemic. The study revealed that telehealth adoption in SNFs significantly increased in early 2020 and gradually stabilized at a higher rate than before the pandemic. Importantly, higher telemedicine use in SNFs was linked to improved access to psychiatry visits.
Telehealth and In-Person Mental Health Service Utilization and Spending, 2019 to 2022
This study examines trends in mental health service utilization and spending before and during the COVID-19 pandemic. During the acute phase of the pandemic, in-person visits decreased and telehealth visits increased. In the post-acute phase, telehealth visits stabilized and in-person visits increased, resulting in overall mental health service utilization being higher than before the pandemic by August 2022.
Telehealth use and perceptions among prostate cancer survivors
This study investigated telehealth disparities among prostate cancer survivors. One-third of survivors had used telehealth, with 10% considering it comparable to in-person visits. Those with lower education were less likely to use telehealth and less likely to feel inclined to use it, highlighting the importance of addressing these disparities.
Comparing the Discussion of Telehealth in Two Social Media Platforms: Social Listening Analysis
This study compared telehealth-related discussions on social media before and during the COVID-19 pandemic. Both of the platforms reviewed exhibited a surge in discussions related to telehealth during the pandemic, with one focusing more on news and services and one involving more user discussions and inquiries about using telehealth for therapy or counseling. The findings highlight the evolving discourse on telehealth in social media and suggest platform-specific differences in how telehealth is perceived and discussed by users.
Telemedicine in Primary Care: Lessons Learned About Implementing Health Care Innovations During the COVID-19 Pandemic
This research study examines the experiences of primary care clinicians with telemedicine during the first two years of the COVID-19 pandemic. Respondents noted initial telehealth implementation challenges due to infrastructure and reimbursement issues. Over time, clinicians' attitudes toward telemedicine improved, with many considering it an important tool alongside in-person care.
Why U.S. Patients Declined Hospital-at-Home during the COVID-19 Public Health Emergency: An Exploratory Mixed Methods Study
This study aimed to understand patient refusals of hospital-at-home during the COVID-19 Public Health Emergency. The study highlights the need to improve education about hospital-at-home and to address domestic barriers and diagnostic challenges.
Use of Medication for Opioid Use Disorder Among Adults With Past-Year Opioid Use Disorder in the US, 2021
This study examines the prevalence of medication for opioid use disorder (MOUD) receipt among US adults with past-year opioid use disorder (OUD). The study found that despite guidelines recommending MOUD, around 1 in 5 adults with past-year OUD received any form of MOUD. Disparities were identified, particularly among Black adults, women, the unemployed, and those in nonmetropolitan areas, who were less likely to receive MOUD. Those who used telehealth for substance use treatment were more likely to have received MOUD.
Towards a conceptual framework for addressing state-level barriers to decentralized clinical trials in the U.S.
This article proposes a framework to identify barriers to decentralized clinical trials, including those related to policies and regulations governing virtual care.
Telehealth Lifestyle Redesign Occupational Therapy for Diabetes: Preliminary Effectiveness, Satisfaction, and Engagement
This research evaluates telehealth delivery in an occupational therapy intervention for young adults with diabetes. Preliminary results suggest that telehealth clients experienced significant improvements in occupational performance, satisfaction, and health management, with high levels of satisfaction.
State Medicaid Telehealth Coverage Policy Decisions Since the COVID-19 Public Health Emergency
This report analyzes state Medicaid telehealth policy changes during the COVID-19 pandemic through May 2022. The study reviews both temporary and permanent state Medicaid telehealth policies to provide insight into the evolving landscape of telehealth regulation.
Changes in Telehealth Experienced by Advanced Practice RNs During COVID-19
This research study investigates advanced practice RNs' experiences with telehealth before and during the COVID-19 pandemic. A survey found that while a majority of respondents did not use telehealth before the pandemic, half of them began using it daily during the pandemic. The study highlights the challenges and benefits of telehealth adoption and suggests that telehealth is likely to remain an integral part of health care, emphasizing the need for recommendations for advanced practice RN.
Factors Associated with Remote Patient Monitoring Services Provision by Hospitals and Health Care Systems in the United States
This research study investigates factors influencing the provision of remote patient monitoring (RPM), finding that 40% of hospitals reviewed offered RPM. Positive associations were observed with hospital participation in clinically integrated networks and private, non-profit ownership, while negative associations were noted with critical access hospital designation, for-profit ownership, and location in the South.
Variations in Physician Telemedicine Provision
This research study examines the variation in telemedicine adoption among primary care physicians. While overall telemedicine use declined over time, about 32.5% of physicians continued to provide relatively high rates of telemedicine services. Physician preferences had an impact on telemedicine adoption, with individual physicians explaining 7.7% of the variation in telemedicine use, highlighting the role of physician behavior in patient access to telehealth services.
Assessment Fidelity of Parents Implementing a Standardized Telehealth Infant Autism Screener
The research demonstrates that telehealth is effective for pediatric occupational therapy and that remote parent coaching provides benefits for parents and infants. The study evaluated telehealth-delivered observational autism screening tool for infants, with parents achieving an 82% adherence rate to the fidelity checklist. This study suggests that a parent coaching telehealth approach may be valid for pediatric telehealth assessments.
Federal telehealth policy changes during the COVID-19 public health emergency: Associations with telemental health use among rural and urban Medicare beneficiaries
Medicare beneficiaries faced increased mental health concerns with limited access to mental health services during the COVID-19 pandemic. This study compared rural and urban Medicare fee-for-service beneficiary use of telemental health from 2019 to 2020. The analysis found a significant rise in telemental health use for both groups, with urban residents benefiting disproportionately. Among rural beneficiaries, older age was linked to lower telemental health use, indicating a need to address barriers.
Rural-Urban Disparities in Video Telehealth Use During Rapid Mental Health Care Virtualization Among American Indian/Alaska Native Veterans
This research focuses on the differences in utilization of video telehealth for mental health care among American Indian/Alaska Native veterans and non-American Indian/Alaska Native veterans. The study reveals increased telehealth use across all veteran groups but noted a significant difference in telehealth use among rural and urban populations, especially among American Indian/Alaska Native veterans.
Telehealth Utilization Among Occupational Therapists in Oncology: Results From a National Survey
This study aimed to explore the prevalence and perceptions of telehealth services among occupational therapy practitioners (OTPs) in oncology. The findings indicate that despite limited access prior to the COVID-19 pandemic, a majority of OTPs in oncology settings support telehealth use, with the highest endorsement relating to accessibility. Telehealth-delivered occupational therapy treatments in oncology were considered well-suited for areas such as education, quality of life, and psychosocial interventions.
Prevalence and appropriateness of in-person versus not-in-person ambulatory antibiotic prescribing in an integrated academic health system: A cohort study
This study examines ambulatory antibiotic prescribing in an integrated health delivery system from 2016 to 2019. The study reveals the need for ambulatory stewardship interventions focused on all antibiotic prescribing.
Changes in Telehealth Experienced by Advanced Practice RNs During COVID-19: US Survey Results
The article examines the impact of the COVID-19 pandemic on advanced practice registered nurses (APRNs) and their use of telehealth. While a majority of APRNs did not utilize telehealth before the pandemic, its use significantly increased during the pandemic, with half of the respondents incorporating telehealth into their daily practice. The findings highlight both the barriers faced, such as limited access to technology for certain populations, and the benefits observed, including improved patient access to care. The study emphasizes the need for enhanced APRN education, policy, and practice to ensure expanded health care access.
Telehealth Services for Primary Care and Urgent Care to Support Rural Schools and Students
This study looked at students receiving primary care or urgent care services from school-based telehealth programs. Of the students seeking primary care telehealth services, 67.7% did not have a primary care provider outside of the school. The availability of both primary care and urgent care telehealth services in the school allowed most students to return to the classroom without the need for further follow-up.
Updated Medicare FFS Telehealth Trends by Beneficiary Characteristics, Visit Specialty, and State, 2019-2021
This research examines Medicare fee-for-service (FFS) use of telehealth from 2019 to 2021 by beneficiary characteristic, visit specialty, and geography. This report found telehealth use among Medicare FFS beneficiaries in 2021 continued to be far above pre-pandemic levels, but lower than at the peak of 2020. Telehealth use in 2021 remained highest for behavioral health compared to non-behavioral health among Medicare FFS beneficiaries. The analysis found audio-only eligible telehealth comprised about one quarter of Medicare FFS telehealth in both 2020 and 2021. This report notes a wide variation across states in use of telehealth for Medicare FFS beneficiaries.
Expansion of Telehealth Availability for Mental Health Care After State-Level Policy Changes From 2019 to 2022
This study aimed to investigate the associations between state policies and the availability of telehealth services at outpatient mental health treatment facilities. The state policies studied, payment parity, reimbursement for audio-only, participation in the Interstate Medical Licensure Compact, and participation in the Psychology Interjurisdictional Compact, were associated with expansion of telehealth availability for mental health care at mental health treatment facilities.
Postpartum Care up to 1 Year After Pregnancy: A Systematic Review and Meta-analysis
This systematic review evaluates postpartum care within the first year after pregnancy, focusing on alternative health care delivery strategies and extension of health insurance coverage. Findings suggest that certain factors, such as where health care was provided (by telephone or in clinic), may not impact depression or anxiety symptoms. More research is needed to improve postpartum care, especially for individuals at higher risk of complications.
The use of telehealth-supported stewardship activities in acute-care and long-term care settings: An implementation effectiveness trial
This study assessed the implementation of telehealth-supported stewardship activities in Veterans' Administration medical centers acute-care and long-term care units. The program resulted in reductions in antibiotic use in long-term care units but not in smaller acute-care units.
Telepsychiatry Use Before and During the COVID-19 Pandemic Among Children Enrolled in Medicaid
This study investigated the utilization of telepsychiatry among children enrolled in Medicaid before and during the COVID-19 pandemic. Findings revealed a significant increase in telehealth usage, while overall mental health service utilization declined.
Management of Postpartum Hypertensive Disorders of Pregnancy
This research study examines management strategies for postpartum hypertensive disorders of pregnancy, emphasizing home blood pressure (BP) monitoring, pharmacological treatment, and magnesium sulfate regimens. Results show that home blood pressure monitoring likely improves BP measurement adherence and decreases disparities between non-Black and Black patients in adherence to recommended BP surveillance.
Primary Care Telemedicine Use among Assisted Living Residents with Dementia during COVID-19: Race and Dual Enrollment Status
Telehealth services expanded to help primary care providers connect to assisted living facility residents with dementia during the COVID-19 pandemic. This study found that while Black and Hispanic assisted living facility residents and those in assisted living facilities with a higher proportion of duals were less likely to use telehealth early in the pandemic these racial and ethnic or socioeconomic differences did not persist.
Postdischarge Noninvasive Telemonitoring and Nurse Telephone Coaching Improve Outcomes in Heart Failure Patients With High Burden of Comorbidity
The purpose of this research is to investigate the effectiveness of noninvasive telemonitoring and nurse telephone coaching as a post-discharge strategy for heart failure patients, with a focus on how comorbidity burden influences its impact. The study reveals that noninvasive telemonitoring and nurse telephone coaching improved survival among heart failure patients with a high comorbidity burden.
Telehealth Use to Address Cardiovascular Disease and Hypertension in the United States: A Systematic Review and Meta-Analysis, 2011-2021
This review explored the utilization of telehealth for hypertension and cardiovascular disease management, with a specific emphasis on social determinants of health and health disparities. The findings suggest that telehealth is comparable to in-person care for blood pressure and cardiovascular disease management.
Digital health and telehealth in cancer care: a scoping review of reviews
This research conducted a scoping review of reviews on digital health and telehealth interventions in cancer care. The results showed that while many reviews summarized interventions for cancer patients, there were notable gaps in addressing older adults, bereavement, and sustainability, as well as limited comparisons between telehealth and in-person care.
Effect of Chronic Disease Home Telehealth Monitoring in the Veterans Health Administration on Healthcare Utilization and Mortality
This study investigates the impact of home telehealth monitoring on hospitalizations, emergency department (ED) visits, and mortality in veterans aged 65 and older with congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), or diabetes mellitus (DM). The results show that the initiation of home telehealth monitoring was associated with increased ED visits but no change in hospitalizations. Those with CHF or DM had lower all-cause mortality while those with COPD had higher health care utilization and all-cause mortality.
Care coordination between rural primary care and telemedicine to expand medication treatment for opioid use disorder: Results from a single-arm, multisite feasibility study
This study focuses on the feasibility of implementing a care coordination model involving telemedicine for medication treatment of opioid use disorder (MOUD) in rural settings. The intervention involved establishing referral and coordination between rural clinics and a telemedicine provider. Results indicated that implementing the care coordination model led to an increase in patient-days on MOUD, particularly in clinics with limited MOUD capacity. This suggests that the model is most effective in expanding access to MOUD in rural areas where resources for MOUD are limited.
Telehealth Use, Care Continuity, and Quality: Diabetes and Hypertension Care in Community Health Centers Before and During the COVID-19 Pandemic
This research study explores the relationship between care continuity and the quality of diabetes and hypertension care in community health centers (CHCs) both before and during the COVID-19 pandemic, with a focus on the mediating effect of telehealth. The study found that higher care continuity is associated with telehealth use and A1c testing.
Updated National Survey Trends in Telehealth Utilization and Modality (2021-2022)
This report includes trends in national telehealth utilization from 2021 to 2022. Results show that while overall telehealth use remains steady, disparities in video telehealth use exist among different populations and insurance types.
Telemental health in emergency care settings: A qualitative analysis of considerations for sustainability and spread
The study examines the barriers and facilitators for the sustainability and expansion of a model of telehealth care, telemental health video. The findings showed overall satisfaction, with increased comfort for patients in discussing difficult topics, and benefits for clinicians in terms of cross-coverage and safety. Adequate infrastructure and workforce capacity are crucial to ensure successful uptake of this model.
Telehealth for management of chronic non-cancer pain and opioid use disorder in safety net primary care
This study qualitatively assesses the benefits and challenges of telehealth for managing chronic non-cancer pain, opioid use disorder, and multi-morbidity in urban safety net primary care patients. Factors such as patient burden, communication and technology challenges, pain control, opioid misuse, and medical complexity should be considered when making decisions about continuing or expanding telehealth services.
Trends in Telehealth Visits During Pregnancy, 2018 to 2021
This study analyzed trends in prenatal telehealth visits during pregnancy and identified patient characteristics associated with the number of prenatal telehealth visits. The findings showed prenatal telehealth utilization increased significantly during the COVID-19 pandemic.
Association between broadband capacity and telehealth utilization among Medicare Fee-for-service beneficiaries during the COVID-19 pandemic
This study used county-level data to assess the association between broadband access and telehealth utilization in the United States during the COVID-19 pandemic. The findings show decreased telehealth utilization in rural areas and indicates the importance of broadband access for health care access.
Comparison of Telehealth and In-person Behavioral Health Services and Payment in a Large Rural Multisite Usual Care Study
This study compared behavioral health services for in-person and telehealth cohorts and examined relative value units (RVU) and payment. Behavioral health services provided by telehealth used services with lower RVUs than behavioral health services provided in-person, on average, even after adjusting for patient demographics and diagnosis.
Remote Cardiovascular Hypertension Program Enhanced Blood Pressure Control During the COVID-19 Pandemic
The study assessed the impact of the COVID-19 pandemic on a remote hypertension management program. The study found that the remote clinical management program delivered significant improvements in blood pressure control and increased home blood pressure monitoring despite disruptions in traditional care.
Telehealth and In-Person Behavioral Health Services in Rural Communities Before and During the COVID-19 Pandemic: Multisite Prospective Cohort Study
This research study examines the changes in patient and treatment characteristics in telehealth and in-person behavioral health services. The study found health care providers adjusted both telehealth and in-person service delivery during the COVID-19 pandemic.
Whole Health coaching to rural Veterans through telehealth: Advantages, gaps, and opportunities
This study examines how Whole Health coaches adapted to using telehealth to engage rural Veterans during the COVID-19 pandemic, identifying advantages and gaps. Findings emphasize the need for a blended approach that integrates virtual, in-person, and lower-tech options.
Utilization of Remote Patient Monitoring Within the United States Health Care System: A Scoping Review
This scoping review examines remote patient monitoring (RPM) studies and reimbursement policies in the United States. Findings show a significant increase in RPM-related literature from 2015 to 2021, with cardiovascular diseases among the most studied. Future research on RPM should focus on outcomes and trends in reimbursement policies.
Implementation of a women's reproductive behavioral health telemedicine program: a qualitative study of barriers and facilitators in obstetric and pediatric clinics
This study focuses on the implementation of a telemedicine program for perinatal mood and anxiety disorders and substance use disorders in community obstetric and pediatric clinics. Barriers to implementation included practical challenges such as staffing, space, and technology support, while facilitators included the high demand for mental health and substance use disorder services and the commitment of clinics to address these health concerns. The study highlights the importance of addressing resource and technology needs, while leveraging clinics' commitment to women's health, to ensure successful implementation of telemedicine programs.
Association of Receipt of Opioid Use Disorder-Related Telehealth Services and Medications for Opioid Use Disorder With Fatal Drug Overdoses Among Medicare Beneficiaries Before and During the COVID-19 Pandemic
This study examined the association between receipt of telehealth services and medications for opioid use disorder (OUD) and fatal drug overdoses before and during the COVID-19 pandemic among Medicare beneficiaries. The study found that the receipt of OUD-related telehealth services, receipt of medications for OUD from opioid treatment programs, and receipt of buprenorphine in office-base settings were all associated with reduced risk for fatal drug overdose.
Patient Characteristics Associated With Being Offered or Choosing Telephone vs Video Virtual Visits Among Medicare Beneficiaries
This goal of this study was to understand the characteristics of Medicare beneficiaries who received telephone-only telehealth visits when both telephone and video options were available. Results show Medicare beneficiaries often reported being offered or choosing telephone-only visits even when video visits were available.
Use of Telemedicine among Office-Based Physicians, 2021
Telemedicine adoption gradually rose prior to the COVID-19 pandemic, but the field saw a significant increase during the pandemic as a way for physicians to provide health services while limiting patient exposure to the virus. The widespread use of telemedicine could impact the quality, cost, and accessibility of health care, so it's important to understand its usage. This data brief documents rates of telemedicine use by office-based physicians, the types of tools used, physician characteristics, satisfaction levels, and plans to continue using telemedicine beyond the pandemic.
Parent-Reported Use of Pediatric Primary Care Telemedicine: Survey Study
The COVID-19 pandemic resulted in the widespread availability of telemedicine services for children from primary care practices. This study is specifically focused on children who typically receive medical services in person while identifying factors that are linked to the usage of telemedicine services provided by primary care providers. Research outcomes reveal that promoting access to primary care, ensuring payment for primary care telemedicine, and removing obstacles in non-metropolitan areas can all contribute to the equitable use of primary telemedicine care for children.
Racial and Ethnic Disparity in 4Ms among Older Adults Among Telehealth Users as Primary Care
This study investigates the quality of primary care delivered via telehealth in relation to equity among older adults across race and ethnicity in provider-shortage urban areas. The study examines the documentation of 4M (what matters, mobility, medication, and mentation) and self-reported racial and ethnic backgrounds in Southern Nevada. The findings indicate disparities, such as reduced documentation for what matters among Asian/Hawaiian/Pacific Islanders and mobility among Black individuals.
Inequitable access to general and behavioral healthcare in the US during the COVID-19 pandemic: A role for telehealth?
The COVID-19 pandemic had extensive consequences, including increased psychological distress and alcohol consumption, which created heightened challenges particularly for disadvantaged communities. To mitigate the impact of lockdowns, medical office closures, and fear of transmission, telehealth services were expanded early in the pandemic to provide continued access to health care. This study investigates the accessibility of general and behavioral health care services and disparities during the first year of the pandemic.
Telemedicine along the cascade of care for substance use disorders during the COVID-19 pandemic in the United States
The way healthcare services are provided has transformed because of the COVID-19 pandemic, which created an opportunity to advance telemedicine by formalizing clinical guidance. In this study, researchers aim to outline the delivery of substance use disorder (SUD) treatments and services through telemedicine along the continuum of care in the United States since the onset of the COVID-19 pandemic. This review summarizes telemedicine-based delivery, including screening/assessment, prescription, monitoring, recovery support and other related services.
Telemedicine Use and Quality of Opioid Use Disorder Treatment in the US During the COVID-19 Pandemic
There is limited understanding and knowledge about the potential consequences of the rapid shift to telehealth for opioid use disorder (OUD) treatment during the COVID-19 pandemic. The purpose of this study is to investigate the correlation between telemedicine utilization during the COVID-19 pandemic and indicators of OUD treatment quality. The results of this study indicate that patients who were treated by clinicians with both high and low levels of telemedicine usage had comparable clinical outcomes during the COVID-19 pandemic, which suggests that telemedicine is a viable substitute for in-person OUD care.
Use of Telehealth During the COVID-19 Era
This study focuses on the use of telehealth during the peak of the COVID-19 pandemic, highlighting the clinical outcomes and characteristics of patients who utilized digital health services. Patients utilizing telehealth and telemedicine services are more likely to be young to middle-aged, female, White, of higher socioeconomic status, and living in urban settings.
Federally Qualified Health Centers Use of Telehealth to Deliver Integrated Behavioral Health Care During COVID-19
During the COVID-19 pandemic, Federally Qualified Health Centers (FQHCs) providing integrated behavioral health (IBH) services shifted to deliver care via telehealth. FQHC administrators reported that telehealth was essential and addressed workforce issues but noted concerns around payment parity and reimbursement and the impact on core components of IBH.
A mixed-methods analysis of telehealth implementation in nursing homes amidst the COVID-19 pandemic
Nursing homes implemented telehealth services to adapt to the COVID-19 pandemic. This study found an increase in telehealth adoption. Training, integrated equipment, and staff presence during visits was identified as telehealth facilitators. Barriers included smartphone usage, billing issues, interoperability, and staffing challenges.
Comparison of in-person vs. telebehavioral health outcomes from rural populations across America
The goal of this research is to examine the outcomes in patient symptoms of anxiety and depression. Results show no clinical or statistical difference in depression or anxiety symptoms between patients treated via telehealth and in-person.
Evaluation of Telehealth Visit Attendance After Implementation of a Patient Navigator Program
With the expansion and increase of telehealth during the COVID-19 pandemic, clinicians and patients faced the challenge of acclimating to virtual care through video visits. The study investigates the visit attendance for patients, comparing outcomes of those who received navigator outreach to those who did not. The results show visit attendance improvement for video visits after telehealth navigator outreach.
Telehealth-guided provider-to-provider communication to improve rural health: A systematic review
Rural health care is an ongoing research focal point as remote care, remote patient monitoring, and telehealth services continue to expand nationwide. This study assesses health care disparities, benefits, and the utilization of telehealth-supported provider-to-provider communication in rural populations through a systemic review of observational studies. Researchers assessed trials and observational studies from several medical databases to determine barriers for rural provider-to-provider collaboration, evidence gaps, and the key takeaways from their findings.
State Medicaid Telehealth Policies Before and During the COVID-19 Public Health Emergency: 2022 Update
This research highlights that state Medicaid programs have significant discretion in services delivered via telehealth. During the COVID-19 pandemic, all states and the District of Columbia utilized telehealth flexibilities provided by the Centers for Medicare & Medicaid Services. Some states made telehealth flexibilities permanent, while others let them expire. Additional research is needed to assess the impact of increased telehealth utilization in Medicaid on access to care, utilization rates, and quality of care.
Racial/Ethnic Differences in Children’s Mental Health Services Use Before and During the COVID-19 Pandemic Issue Brief
This research brief provides a comprehensive analysis of the disparities in children's mental health services utilization across racial and ethnic groups. The report finds an increase in telehealth for mental health care during the COVID-19 pandemic. This increase was not large enough to combat the overall decrease in mental health care, which disproportionately affected minority children.
Digital Health Technologies in Pediatric Trials
This research study explores the potential of using miniaturized sensors and other technologies to collect physiological and functional data directly from pediatric patients participating in clinical trials. The review discusses the advantages and disadvantages of these technologies in various pediatric diseases, highlighting the need for more reports on their use in this population. While the objective and frequent measurements provided by digital health technology offer opportunities to enhance drug evaluation in infants and young children, challenges remain in selecting the appropriate design, metrics, and sensors for each disease.
Low-Volume Emergency Departments are More Likely to Use Telehealth for Sepsis Care in a National Rural Telehealth Network
Pre-Pandemic Telehealth Use among Children in Medicaid Managed Care and Fee-for-Service Programs
Telehealth and Public Health Practice in the United States- Before, During and After the COVID-19 Pandemic
In 2020, the Centers for Disease Control and Prevention (CDC) established a telehealth unit as part of its COVID-19 emergency response and a CDC telehealth workgroup. The workgroups identified ways that telehealth can benefit public health including increasing access to reduce health disparities, enhancing disease management and preventative care, and triaging care to ensure appropriate use of health services.
Association Between In-Person vs Telehealth Follow-up and Rates of Repeated Hospital Visits Among Patients Seen in the Emergency Department
Association of Adequacy of Broadband Internet Service with Access to Primary Care in the Veterans Health Administration Before and During the COVID-19 Pandemic
Quality of Telehealth-Delivered Inpatient Palliative Care During the Early COVID-19 Pandemic
Receipt of Telehealth Services, Receipt and Retention of Medications for Opioid Use Disorder, and Medically Treated Overdose Among Medicare Beneficiaries Before and During the COVID-19 Pandemic
Targeted Telehealth Education Increases Interest in Using Telehealth among a Diverse Group of Low-Income Older Adults
Telehealth has the potential to empower older adults to have more autonomy over their health, but they are less likely to use telehealth. This research study focuses on an education program targeting vulnerable, low-income, minority older adults. Results show that the program increased their confidence in accessing and using telehealth, resulting in improved health promotion and achieving the aim of promoting telehealth use among this population.
Transitioning to telehealth? A guide to evaluating outcomes
This research study addresses the need for comprehensive evaluation of telehealth outcomes and performance, considering access to care, cost, experience, and effectiveness. The study emphasizes the understudied aspects of telehealth accessibility and accommodations and highlights the importance of establishing an evaluation system for telehealth outcomes.
Certain Medicare Beneficiaries, Such as Urban and Hispanic Beneficiaries, Were More Likely Than Others to Use Telehealth During the First Year of the COVID-19 Pandemic
Effect of a Comprehensive Telehealth Intervention vs Telemonitoring and Care Coordination in Patients With Persistently Poor Type 2 Diabetes Control
This study addresses poorly controlled type 2 diabetes by comparing simple and comprehensive telehealth interventions. The trial shows that comprehensive telehealth is more effective than telemonitoring and care coordination, improving outcomes for patients at a reasonable cost. These findings suggest that implementing comprehensive telehealth could enhance diabetes care.
Transgender Individuals and Digital Health
Age and Racial Disparities in Telehealth Use Among People with HIV During the COVID-19 Pandemic
This research study analyzed HIV care appointments at an urban tertiary hospital to assess the uptake of telehealth and sociodemographic variations in utilization among people with HIV. The findings indicated age and racial differences in terms of in-person versus telehealth appointments.
Adoption of telemedicine in a rural United States cancer center amidst the COVID-19 pandemic: A qualitative study
Assessing Technical Feasibility and Acceptability of Telehealth Palliative Care in Nursing Homes
The goal of this study is to assess the technical feasibility and acceptability of using telehealth for palliative care consultations in nursing homes. The findings demonstrated that palliative care video visits were well-received, with participants expressing comfort, improved communication, and potential future use, highlighting the value of telehealth as a cost-effective means to enhance access to palliative care services in nursing homes.
Mindfulness-Based Smoking Cessation Delivered Through Telehealth and Text Messaging for Low-Income Smokers: Protocol for a Randomized Controlled Trial
Telehealth for the Longitudinal Management of Chronic Conditions: Systematic Review
This systematic review looked for studies that compare use and outcomes of in-person and telehealth care for chronic care management of congestive heart failure, chronic obstructive pulmonary disease, and type 2 diabetes mellitus.
The future of telehealth in type 1 diabetes
Telehealth services have been utilized in type 1 diabetes (T1D) clinical care for years, but the COVID-19 pandemic accelerated adoption and sparked interest in long-term integration into routine care. This review examines the existing literature on telemedicine in T1D care, highlighting its benefits and barriers. The findings indicate that telehealth can effectively contribute to improved glycemic control and long-term outcomes in T1D and it is anticipated that future care models will adopt a hybrid approach combining both in-person and telehealth visits.
"I was Unsure at First": A Qualitative Evaluation of Patient Perceptions of VA Clinical Video Telehealth Visits in the V-IMPACT Program
Adapting PCIT-Health for Telehealth Delivery: A Case Study
Association between state payment parity policies and telehealth usage at community health centers during COVID-19
Broadband access and telemedicine adoption for opioid use disorder treatment in the United States
COVID-19 Telemedicine and Vaccination at an Urban Safety Net HIV Medicine Clinic
Expanding access to substance use services and mental health care for people with HIV in Alabama, a technology readiness assessment using a mixed methods approach
Improving heart failure care and guideline-directed medical therapy through proactive remote patient monitoring-home telehealth and pharmacy integration
Managing innovation: a qualitative study on the implementation of telehealth services in rural emergency departments
This study focuses on the integration of telehealth services for emergency departments in rural areas and highlights gaps in the implementation and long-term utilization. Researchers administered semi-structured interviews from six U.S. health care systems that provided emergency telehealth services. Results include necessary implementation factors in strategies, capability, relationships, financials, protocols, environment, service characteristics, and accountability.
The impact of the COVID-19 pandemic on people who inject drugs accessing harm reduction services in an rural American state
Emergency Departments' Uptake of Telehealth for Stroke Versus Pediatric Care: Observational Study
The study aimed to investigate the discrepancy in the adoption of telestroke and pediatric telehealth services in emergency departments. The researchers hypothesized that differences in financial incentives, prehospital routing policy, and certification requirements could have contributed to the uneven adoption. The study shows the most frequently indicated reason for adoption of telehealth services was related to clinical care.
Association Between Telemedicine Use in Nonmetropolitan Counties and Quality of Care Received by Medicare Beneficiaries With Serious Mental Illness
Behavioral healthcare organizations' experiences related to use of telehealth as a result of the COVID-19 pandemic: an exploratory study
Clinical Appropriateness of Telehealth: A Qualitative Study of Endocrinologists' Perspectives
Evaluation of an experiential clinical learning option during pandemic teaching suspensions
Factors influencing uptake of telemental health via videoconferencing at high and low adoption sites within the Department of Veterans Affairs during COVID-19: a qualitative study
Long-term Effects of Remote Patient Monitoring in Patients Living with Diabetes: A Retrospective Look at Participants of the Mississippi Diabetes Telehealth Network Study
Parent satisfaction with the parent-provider partnership and therapy service delivery for children with disabilities during COVID-19: Associations with sociodemographic variables
Perception of Telehealth During the COVID-19 Pandemic Among Survivors of Gynecologic Cancer
This study aimed to understand the preferences of gynecologic cancer survivors for telehealth cancer care. Over half preferred in-person visits. Many noted concerns about missing out on physical examination during telehealth visits. The study highlights the need for careful evaluation of patient concerns and education to develop future care models that include telehealth elements for gynecologic cancer survivors.
Perceptions and Use of Telehealth Among Mental Health, Primary, and Specialty Care Clinicians During the COVID-19 Pandemic
Predictors of telemedicine use during the COVID-19 pandemic in the United States-an analysis of a national electronic medical record database
Although telehealth utilization has rapidly increased within the past years, disadvantaged groups still face barriers to access. This is a retrospective study that analyzes outpatient medical encounters for patients using a national electronic medical record database from March 1 to December 31, 2020. Findings show that older and non-Hispanic Black patients had significantly lower levels of telehealth utilization than other patient groups.
Public health implications of adapting HIV pre-exposure prophylaxis programs for virtual service delivery in the context of the COVID-19 pandemic: a systematic review
Schedule of Visits and Televisits for Routine Antenatal Care
Strategies to Ensure Continuity of Care Using Telemedicine with Older Adults during COVID-19: A Qualitative Study of Physicians in Primary Care and Geriatrics
Telehealth for Women's Preventative Services
The Lack of a Physical Exam During New Patient Telehealth Visits Does Not Impact Plans for Office and Operating Room Procedures
The Role of Telehealth and Clinical Informatics in Data Driven Primary Care Redesign
Using Implementation Science to Understand Teledermatology Implementation Early in the COVID-19 Pandemic: Cross-sectional Study
Addressing Hypertension Outcomes Using Telehealth and Population Health Managers: Adaptations and Implementation Considerations
An Economic and Health Outcome Evaluation of Telehealth in Rural Sepsis Care: A Comparative Effectiveness Study
Describing Changes in Telebehavioral Health Utilization and Services Delivery in Rural School Settings in Pre- and Early Stages of the COVID-19 Public Health Emergency
Due to significant provider shortages, challenges exist for patients attempting to receive behavioral health services especially in light of the COVID-19 pandemic. In this study, researchers collected data from students in fifteen school-based telehealth programs in rural areas nationwide. Results of the study show increased utilization and implementation of telebehavioral services in school-based programs as a direct response to the effects of the COVID-19 pandemic.
Evaluation of Mental Health Mobile Applications
Postpartum during a pandemic: Challenges of low-income individuals with healthcare interactions during COVID-19
Telehealth: Current Definitions and Future Trends
Telemedicine versus in-Person Primary Care: Impact on Visit Completion Rate in a Rural Appalachian Population
The Potential of Telecommunication Technology to Address Racial/Ethnic Disparities in HIV PrEP Awareness, Uptake, Adherence, and Persistence in Care: A Review
Defining Telehealth for Research, Implementation, and Equity
The COVID-19 pandemic made telehealth an essential service for health care access which led to the development of temporary policies with varying definitions and regulations by state and organization. Currently, more permanent guidelines are being established which has provided an opportunity to re-evaluate how telehealth is integrated into regular health care delivery. By defining a clear understanding of telehealth and its components, the clinical care can improve and more precise control and expectations for researchers, patients and providers can be implemented.
Primary care telemedicine during the COVID-19 pandemic: patient’s choice of video versus telephone visit
This study investigates how patient characteristics influenced the choice between video and audio-only telehealth appointments. The analysis of almost one million patient-scheduled primary care telehealth visits found that 39% were video visits. Patients who were Black or Hispanic, living in lower socioeconomic status or areas with limited internet access, were less likely to opt for video visits. Patients aged 65 or older, those with previous video visit experience or mobile portal access, or those seeing their own provider were more inclined to choose video visits. The research highlights a digital divide and underscores the importance of maintaining telephone telemedicine options.
Defining Telehealth for Research, Implementation, and Equity
Temporary telehealth policies were developed by various organizations and states during the COVID-19 emergency, with varying definitions, regulations, and coverage. As these policies are being replaced with more permanent guidelines, there is an opportunity to form a consensus in definitions to set a standard of care.
Defining Telehealth for Research, Implementation, and Equity
Direct and indirect effects of a Project ECHO longitudinal clinical tele-mentoring program on viral suppression for persons with HIV: a population-based analysis
Tele-urgent Care for Low-Acuity Conditions: A Systematic Review
Telemedicine Use in Disasters: A Scoping Review
Disasters of all scales are a recurring issue and challenge for the health care systems, especially for providers and hospitals nationwide. The utilization of telemedicine is a direct response to improve access to health care during disasters, which is referred to as disaster telemedicine. This study focuses on literature that provides insight and response recommendations into the current use of disaster telemedicine for the most common barriers in regional disaster health.
Telestroke Infrastructure, Processes and Support Needs: A Survey of Hospitals in Five States
Child Health, Vulnerability, and Complexity: Use of Telehealth to Enhance Care for Children and Youth With Special Health Care Needs
Deploying a telemedicine collaborative care intervention for posttraumatic stress disorder in the U.S. Department of Veterans Affairs: A stepped wedge evaluation of an adaptive implementation strategy
mHealth Interventions for Self-management of Hypertension: Framework and Systematic Review on Engagement, Interactivity, and Tailoring
The prevention or management of hypertension is an area of interest for researchers. This systematic review explores user engagement for hypertension-focused mobile health (mHealth) interventions as well as tailoring and interactivity for mHealth users. Digital behavior change interventions require engagement to be effective for users.
Telehealth During COVID-19: Suicide Prevention and American Indian Communities in Montana
Telehealth Use Among Older Adults During COVID-19: Associations with Sociodemographic and Health Characteristics, Technology Device Ownership, and Technology Learning
Telemedicine and visit completion among people with HIV during the COVID-19 pandemic compared to pre-pandemic
Empowerment through technology: A systematic evaluation of the content and quality of mobile applications to empower individuals with cancer
Mobile health application availability has increased for cancer patients due to a focus on patient empowerment. This systematic review evaluates and summarizes the evidence of mobile health apps and their characteristics and qualities. The evaluation found that cancer patient apps should be designed for usability and usefulness for a diverse group.
Evaluation of Online Patient Portal vs Text-Based Blood Pressure Monitoring Among Black Patients With Medicaid and Medicare Insurance Who Have Hypertension and Cardiovascular Disease
National Survey Trends in Telehealth Use in 2021: Disparities in Utilization and Audio vs. Video Services
Telehealth Exercise Intervention in Older Adults With HIV: Protocol of a Multisite Randomized Trial
Telehealth Utilization During the COVID-19 Pandemic: A Preliminary Selective Review
Understanding Caregiver Satisfaction with a Telediagnosis Assessment of Autism Spectrum Disorder
A Pilot Study Examining Access to and Satisfaction with Maternal Mental Health and Substance Use Disorder Treatment via Telemedicine
Evaluation of a telemedicine pilot program for the provision of HIV pre-exposure prophylaxis in the Southeastern United States
Experiences with Telemedicine for HIV Care During the COVID-19 Pandemic: A Mixed-Methods Study
Patient Experience with In-Person and Telehealth Visits Before and During the COVID-19 Pandemic at a Large Integrated Health System in the United States
Rapid Implementation of a Telemedicine Program in a Ryan White–Funded HIV Clinic During a Global Pandemic
Tele-Audiology: Current State and Future Directions
The Changing Nature of Telehealth Use by Primary Care Physicians in the United States
Use of Telehealth Services for Prenatal Care in Mississippi: Comparison of Pre-COVID-19 Pandemic and Pandemic Obstetric Management
Brief Report: Supporting Access to HIV Care for Children and Youth During the COVID-19 Pandemic With Telemedicine and Rideshare
Medicare Beneficiaries’ Use of Telehealth in 2020: Trends by Beneficiary Characteristics and Location
Patient and Provider Perspectives on Pediatric Telemedicine During the COVID-19 Pandemic
Technology Support Challenges and Recommendations for Adapting an Evidence-Based Exercise Program for Remote Delivery to Older Adults: Exploratory Mixed Methods Study
Telehealth for HIV Care Services in South Carolina: Utilization, Barriers, and Promotion Strategies During the COVID-19 Pandemic
Bringing Iowa TelePrEP to Scale: A Qualitative Evaluation
Development and Preliminary Feasibility of iByte4Health: A Mobile Health (mHealth) Pediatric Obesity Prevention Intervention to Engage Parents with Low-Income of Children 2-9 Years
Georgia Leverages Telehealth to Expand HIV Care Management in Underserved Areas
Implementation of Telehealth Services in Rural Schools: A Qualitative Assessment
Telehealth Competencies for Nursing Education and Practice
Trends in Outpatient Telemedicine Utilization Among Rural Medicare Beneficiaries, 2010-2019
In a study of 10.4 million rural Medicare beneficiaries, researchers discovered continuous growth in telemedicine use among Medicare beneficiaries with a disproportionate share of all telemedicine visits for serious mental illness (e.g., bipolar disorder) between 2010 and 2019 – especially for care provided by nurse practitioners and other non-physician clinicians.
Employing telehealth within HIV care: advantages, challenges, and recommendations
State Medicaid Telehealth Policies Before and During the COVID-19 Public Health Emergency
Keeping Pace With 21st Century Healthcare: A Framework for Telehealth Research, Practice, and Program Evaluation in Occupational Therapy
Telehealth for HIV Care Services in South Carolina: Utilization, Barriers, and Promotion Strategies During the COVID-19 Pandemic
Telehealth for the Treatment of Serious Mental Illness and Substance Use Disorders
This guide reviews the research on the effectiveness of using telehealth for serious mental illness and substance abuse disorders. It makes recommendations for practice and provides examples of how practitioners use these practices in their programs.
Seeing the Value of Video: A Qualitative Study on Patient Preference for Using Video in a Veteran Affairs Telemental Health Program Evaluation
Comparative effects of telephone versus in-office behavioral counseling to improve HIV treatment outcomes among people living with HIV in a rural setting
Evaluation of an Intrahospital Telemedicine Program for Patients Admitted With COVID-19: Mixed Methods Study
Use of Telehealth in Substance Use Disorder Services During and After COVID-19: Online Survey Study
This study investigated the widespread adoption of telephone and video technologies for delivering treatment for substance use disorders (SUDs) during the COVID-19 pandemic. The study looked at the acceptance and intent to use telehealth among service providers beyond the pandemic. Findings revealed high utilization rates of telehealth services across different SUD treatment modalities, with organizations expressing intent to continue using telehealth post-pandemic. The study highlighted the influence of perceived usefulness and ease of use on the acceptance of telehealth, emphasizing their potential for sustained application in SUD care.
Evaluation of Pragmatic Telehealth Physical Therapy Implementation During the COVID-19 Pandemic
The goal of this study is to evaluate the implementation of telehealth physical therapy in response to COVID-19 and identify strategies to maintain and scale up its use in a large urban academic medical center. The results indicate that telehealth physical therapy was utilized and accessible during the COVID-19 pandemic, providing guidance for future initiatives to expand its use and study in physical therapy through health policy, quality improvement, and implementation science efforts.
HRSA's Evidence-Based Tele-Emergency Network Grant Program: Multi-site Prospective Cohort Analysis Across Six Rural Emergency Department Telemedicine Networks
The Future of Telehealth in School-Based Health Centers: Lessons from COVID-19
The Provision of Counseling to Patients Receiving Medications for Opioid Use Disorder: Telehealth Innovations and Challenges in the Age of COVID-19
Patient Characteristics Associated With Telemedicine Access for Primary and Specialty Ambulatory Care During the COVID-19 Pandemic
Telemedicine use has expanded since the onset of the COVID-19 pandemic, and the purpose of this study was to evaluate what inequities may exist in its design. Among patients scheduled for primary care and ambulatory telemedicine visits, differences were seen in rates of telemedicine and video use.
Maternal Telehealth Access Project (MTAP) Report on Community Grant Program
The Maternal Telehealth Access Project (MTAP) was launched to ensure that quality telehealth prenatal and postpartum services are accessible and available in underserved communities during the COVID-19 public health emergency. Increased access to perinatal services and support via telehealth, including clinical care, care coordination, support, and doulas/community health workers leads to improved clinical outcomes for moms and babies.
Telebehavioral Health Use Among Rural Medicaid Beneficiaries: Relationships with Telehealth Policies
Telehealth Use in a Rural State: A Mixed Methods Study Using Maine's All-Payer Claims Database
Environmental Scan on Telehealth in the Context of Alternative Payment Models (APMs) and Physician-Focused Payment Models (PFPMs)
This publication explores the integration of telehealth within Medicare's alternative payment models (APMs) and physician-focused payment models (PFPMs). The study examines the evolution of telehealth coverage and reimbursement policies under Medicare and Medicaid, discusses the effectiveness of telehealth interventions across various clinical settings, and identifies key issues and opportunities for optimizing telehealth integration within APMs and PFPMs, including challenges related to billing, interoperability, and patient-centered care.
Leveraging Digital Platforms to Scale Health Care Workforce Development: The Career 911 Massive Open Online Course
Telepsychiatric Consultation as a Training and Workforce Development Strategy for Rural Primary Care
Averted Transfers in Rural Emergency Departments Using Telemedicine: Rates and Costs Across Six TeleED Networks
Outcomes of a Rapid Adolescent Telehealth Scale-Up During the COVID-19 Pandemic
A telehealth lifestyle intervention to reduce excess gestational weight gain in pregnant women with overweight or obesity (GLOW): a randomised, parallel-group, controlled trial
Process of Identifying Measures and Data Elements for the HRSA School-Based Telehealth Network Grant Program
Project Moxie: Results of a Feasibility Study of a Telehealth Intervention to Increase HIV Testing Among Binary and Nonbinary Transgender Youth
Telehealth with remote blood pressure monitoring compared with standard care for postpartum hypertension
Emergency Department Telemedicine Consults are Associated with Faster Time-to-ECG and Time-to-Fibrinolysis for Myocardial Infarction Patients
PrEPTECH: a telehealth-based initiation program for human immunodeficiency virus pre-exposure prophylaxis in young men of color who have sex with men. A pilot study of feasibility.
Provider-to-Provider Telemedicine Improves Adherence to Sepsis Bundle Care in Community Emergency Departments
Treatment of Opioid Use Disorder in Pregnant Women via Telemedicine: A Nonrandomized Controlled Trial
Emergency Department Telemedicine Consults Decrease Time to Interpret Computed Tomography of the Head in a Multi-Network Cohort
Tele-Emergency Behavioral Health in Rural and Underserved Areas
A Postpartum Remote Hypertension Monitoring Protocol Implemented at the Hospital Level
The Use of Telehealth in School-Based Health Centers
School-based telehealth programs can expand health care access to rural and underserved youth by eliminating barriers to access, such as transportation. This article describes characteristics of School-Based Telehealth Centers using technology to add to the access of care beyond onsite providers for underserved communities.
Development of a tailored, telehealth intervention to address chronic pain and heavy drinking among people with HIV infection: integrating perspectives of patients in HIV care
The Use of and Experiences With Telelactation Among Rural Breastfeeding Mothers: Secondary Analysis of a Randomized Controlled Trial
Telehealth and texting intervention to improve HIV care engagement, mental health and substance use outcomes in youth living with HIV: a pilot feasibility and acceptability study protocol
Cell Phone Counseling Improves Retention of Mothers With HIV Infection in Care and Infant HIV Testing in Kisumu, Kenya: A Randomized Controlled Study
Randomized Controlled Trial of a Mobile Health Intervention to Promote Retention and Adherence to Preexposure Prophylaxis Among Young People at Risk for Human Immunodeficiency Virus: The EPIC Study
Text Messages Can Encourage Patients to Discuss and Receive HIV Testing in Primary Care
Pediatric tele-emergency care: A study of two delivery models
The Third National Telemedicine & Telehealth Service Provider Showcase Conference: Advancing Telehealth Partnerships
Feasibility and acceptability of an online positive affect intervention for those living with comorbid HIV depression
Implementation Strategies for Telestroke: A Qualitative Study of Telestroke Networks in North Carolina
Telestroke Adoption Among Community Hospitals in North Carolina: A Cross-Sectional Study
Telemedicine Use Decreases Rural Emergency Department Length of Stay for Transferred North Dakota Trauma Patients