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Association of Telehealth with Short-Interval Follow-Up.
Chavez, Augustine; Pullins, Christopher; Yennie, Julia; Singh, Charanjit; Kosiorek, Heidi.
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  • Chavez A; From Department of Family Medicine, Mayo Clinic, Scottsdale, AZ (AC, JY, CS); Department of Family Medicine, Mayo Clinic, Glendale, AZ (CP); Department of Quantitative Health Sciences, Mayo Clinic, Scottsdale, AZ (HK). Chavez.augustine@mayo.edu.
  • Pullins C; From Department of Family Medicine, Mayo Clinic, Scottsdale, AZ (AC, JY, CS); Department of Family Medicine, Mayo Clinic, Glendale, AZ (CP); Department of Quantitative Health Sciences, Mayo Clinic, Scottsdale, AZ (HK).
  • Yennie J; From Department of Family Medicine, Mayo Clinic, Scottsdale, AZ (AC, JY, CS); Department of Family Medicine, Mayo Clinic, Glendale, AZ (CP); Department of Quantitative Health Sciences, Mayo Clinic, Scottsdale, AZ (HK).
  • Singh C; From Department of Family Medicine, Mayo Clinic, Scottsdale, AZ (AC, JY, CS); Department of Family Medicine, Mayo Clinic, Glendale, AZ (CP); Department of Quantitative Health Sciences, Mayo Clinic, Scottsdale, AZ (HK).
  • Kosiorek H; From Department of Family Medicine, Mayo Clinic, Scottsdale, AZ (AC, JY, CS); Department of Family Medicine, Mayo Clinic, Glendale, AZ (CP); Department of Quantitative Health Sciences, Mayo Clinic, Scottsdale, AZ (HK).
J Am Board Fam Med ; 35(3): 485-490, 2022.
Article en En | MEDLINE | ID: mdl-35641054
BACKGROUND: The COVID-19 pandemic led to wide adoption of telehealth in primary care. The impact of telehealth on subsequent follow-up visit volume is mixed. This study examines the association of newly expanded telehealth with short-interval follow-up visits during the COVID-19 pandemic in an academic primary care practice. METHODS: Scheduling data were used to compare rates of 0 to 60-day follow-up visits after telehealth and in-person visits before and after onset of the COVID-19 pandemic. RESULTS: Compared with in-person visits, telehealth visits were associated with significantly higher rates of total short-interval follow-ups and higher rates of first short-interval follow-ups occurring in 0 to 15 days. DISCUSSION: Higher rates of short-interval follow-up may be due to inefficiencies created by rapid expansion of telehealth including suboptimal scheduling algorithms, pandemic-related safety considerations, and discomfort with the visit modality. Short-interval follow-ups have potential negative impacts on practice access, patient-centered outcomes, and sustainability of telehealth in primary care. CONCLUSION: Newly expanded telehealth visits conducted in the year after the onset of the COVID-19 pandemic resulted in higher rates and sooner first occurrence of short-interval follow-up visits. Future research should identify optimal scheduling processes for telehealth visits to minimize short-interval follow-ups.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Telemedicina / COVID-19 Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: J Am Board Fam Med Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Telemedicina / COVID-19 Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: J Am Board Fam Med Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos