Abstract：
INTRODUCTION:The global pandemic has raised awareness of the need for alternative ways to deliver care, notably telehealth. Prior to this study, research has been mixed on its effectiveness and impact on downstream utilization, especially for seniors. Our multi-institution study of more than 300,000 telehealth visits for seniors evaluates the clinical and utilization outcomes for urgent and non-emergent symptoms. METHODS:We conducted a retrospective cohort study from November 2015 to March 2019, leveraging different models of telehealth from three health systems, comparing them to in-person visits for urgent and non-emergent needs of seniors based on International Classification of Diseases, 10th edition diagnoses. The study population was adults aged 60 years or older who had access to telehealth, and were affiliated with and resided in the geographic region of the healthcare organization providing telehealth. The primary outcomes of interest were visit resolution and episodes of care for those that required follow-up. RESULTS:In total, 313,516 telehealth visits were analysed across three healthcare organizations. Telehealth encounters were successful in resolving urgent and non-emergent needs in 84.0-86.7% of cases. When visits required follow-up, over 95% were resolved in less than three visits for both telehealth and in-person cohorts. DISCUSSION:While in-person visits have traditionally been the gold standard, our results suggest that when deployed within the confines of a patient's existing primary care and health system provider, telehealth can be an effective alternative to in-person care for urgent and non-emergent needs of seniors without increasing downstream utilization.
journal_name
J Telemed Telecarejournal_title
Journal of telemedicine and telecareauthors
Bernstein P,Ko KJ,Israni J,Cronin AO,Kurliand MM,Shi JM,Chung J,Borgo L,Reed A,Kosten L,Chang AM,Sites FD,Funahashi T,Agha Zdoi
10.1177/1357633X20985389subject
Has Abstractpub_date
2021-01-18 00:00:00pages
1357633X20985389eissn
1357-633Xissn
1758-1109pub_type
杂志文章abstract：:The Medical College of Georgia (MCG) Sickle Cell Center in Augusta, Georgia, USA, provides consultation and (in some cases) primary-care services to more than 1000 patients with sickle cell disease (SCD). Three SCD telemedicine clinic sites were established in rural areas of middle and southern Georgia, based on clini...
journal_title：Journal of telemedicine and telecare
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abstract：:Patients are interested in secure electronic communication with their health-care providers, but physicians have been slow to adopt the technique into their practice. We have therefore reviewed the literature on secure patient messaging. Relevant studies were identified by Medline search which produced 1065 publicatio...
journal_title：Journal of telemedicine and telecare
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journal_title：Journal of telemedicine and telecare
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abstract：:The clinical effectiveness and costs of telemedicine in improving the referral process from primary to secondary care were examined in an eight-month prospective, comparative study with one-year follow-up. The internal-medicine outpatient clinics of two Finnish district hospitals were compared--Peijas Hospital (PH) wi...
journal_title：Journal of telemedicine and telecare
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abstract：:Between 1996 and 2003, a network of 85 telehealth videoconference sites was implemented in Western Australia (WA), together with 19 teleradiology facilities. Telehealth services have been growing steadily, and in 2002 there were over 30,000 teleradiology transmissions and 1250 clinical occasions of service via videoco...
journal_title：Journal of telemedicine and telecare
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abstract：:A tele-ultrasound survey was distributed to clinicians and sonographers in regional and rural sites throughout Queensland. In all, 28 centres were invited to complete a profile questionnaire, and 27 centres were invited to complete a case-log. Twenty-five of the 28 questionnaires were returned (89% response rate). Twe...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章,多中心研究
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abstract：:Thirty nursing auxiliaries at a Brazilian hospital were trained in intramuscular injection at the ventrogluteal site in a lecture delivered by videoconference (over an IP connection at up to 512 kbit/s). Participants were able thereafter to practise on the same manikins used for demonstration during the lecture, until...
journal_title：Journal of telemedicine and telecare
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abstract：INTRODUCTION:Patients with inflammatory bowel disease (IBD) require long-term secondary care with periodic specialist follow-up. This can be especially challenging for patients living in remote areas. One possible solution is the implementation of videoconference (VC) clinics as a distance-management tool. Here we asse...
journal_title：Journal of telemedicine and telecare
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journal_title：Journal of telemedicine and telecare
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abstract：:Objective We evaluated the impact of telemedicine-delivered behaviour activation treatment (BAT) on glycemic control in a subgroup of older adults with diabetes who participated in a randomized controlled trial for depression. Research design and methods We randomized older adults with major depression to same-room or...
journal_title：Journal of telemedicine and telecare
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abstract：:Chronic heart failure (CHF) remains a common cause of disability. We have investigated the use of home-based telecardiology (HBT) in CHF patients. Four hundred and twenty-six patients were enrolled in the study: 230 in the HBT group and 196 in the usual-care group. HBT consisted of trans-telephonic follow-up and elect...
journal_title：Journal of telemedicine and telecare
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更新日期：2004-01-01 00:00:00
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journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章,随机对照试验
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更新日期：2015-06-01 00:00:00
abstract：:A free iPhone app was designed to help parents in Ontario track their children's vaccination records. It was launched in the iTunes app store on 20 November 2012. There were 4867 downloads in the following 12 months. We observed that downloads of the app were correlated with media coverage. Usage of the app was measur...
journal_title：Journal of telemedicine and telecare
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更新日期：2014-12-01 00:00:00
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更新日期：1996-01-01 00:00:00
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journal_title：Journal of telemedicine and telecare
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更新日期：2008-01-01 00:00:00
abstract：INTRODUCTION:Visual acuity (VA) testing is a vital screening tool for the assessment of ocular function. The coronavirus 2019 pandemic has caused an immediate need for synchronous telemedicine in all specialties, including ophthalmology. While a plethora of mobile VA applications exist, there is no consensus as to what...
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journal_title：Journal of telemedicine and telecare
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journal_title：Journal of telemedicine and telecare
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abstract：:A portable nuclear medicine (NM) processing system was established in Kalgoorlie and an acute myocardial perfusion scintigraphy (MPS) service was provided for the local regional hospital. After scanning the patient, the data were processed on a laptop computer and JPEG images were transmitted to a secure Web server. A...
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