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Research Studies is a compilation of published research articles funded by ´óÏóÊÓƵor authored by ´óÏóÊÓƵresearchers.

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1 to 25 of 315 Research Studies Displayed
Wagner L, Foster T, Bonnet K
Identifying the unique determinants influencing rural families' engagement with an existing tele-assessment approach for autism identification: a qualitative study.
This study’s goal was to understand how rural families view tele-assessment as a method for autism identification. The authors held focus groups with caregivers of children with autism and local service providers in the Southeastern U.S. They met with 22 caregivers and 10 providers. They analyzed the discussions and found four key attitudes: (1) questions about whether autism assessment can really be done online; (2) level of trust in the evaluation process, especially tele-assessment; (3) beliefs about whether tele-assessment is practical for families; and (4) worries about privacy. They concluded that there is a need to improve tele-assessment by better supporting everyone involved at different stages of the tele-assessment process. It also highlighted important areas for improvement to provide fair access to tele-assessment for rural families.
AHRQ-funded; HS026395.
Citation: Wagner L, Foster T, Bonnet K . Identifying the unique determinants influencing rural families' engagement with an existing tele-assessment approach for autism identification: a qualitative study. Autism 2025 Jun; 29(6):1458-68. doi: 10.1177/13623613241307078..
Keywords: Telehealth, Health Information Technology (HIT), Rural Health, Access to Care
Guettabi M, Arnold RI, Ferucci ED
On telemedicine and healthcare spending.
The purpose of this study was to evaluate how telemedicine affects healthcare spending patterns. Using de-identified data from the Alaska Tribal Health System and Medicaid, researchers compared healthcare expenditures between telemedicine users and a matched sample of non-users. Results showed that individuals who used telemedicine services incurred lower healthcare spending compared to the control group after their first exposure to telemedicine. The researchers' preferred estimates indicated a 1.14% decrease in spending for the Medicaid sample and a 0.7% decrease for the Alaska Tribal Health System sample. These findings contribute to our understanding of telemedicine's potential economic benefits as its use continues to increase worldwide, raising important questions about its effects on health outcomes, utilization rates, and healthcare costs.
AHRQ-funded; HS026208.
Citation: Guettabi M, Arnold RI, Ferucci ED . On telemedicine and healthcare spending. Int J Circumpolar Health 2025 Dec; 84(1):2489195. doi: 10.1080/22423982.2025.2489195.
Keywords: Telehealth, Health Information Technology (HIT), Healthcare Costs, Medicaid
Olfson M, McClellan C, Zuvekas SH
´óÏóÊÓƵAuthor: McClellan C, Zuvekas SH
Use of telemental health care by children and adolescents in the United States.
In this AHRQ-authored study, researchers examined national patterns of telemental health service usage by civilian, non-institutionalized children and adolescents. Data on outpatient mental health care was taken from the 2021 Medical Expenditure Panel Survey (MEPS). Nearly one-third received one or more visits via videoconference; however, the findings suggested that this modality may pose logistical barriers for lower income, publicly insured, and rural children and adolescents.
AHRQ-authored.
Citation: Olfson M, McClellan C, Zuvekas SH . Use of telemental health care by children and adolescents in the United States. https://www.pubmed.ncbi.nlm.nih.gov/39810556.
Keywords: Medical Expenditure Panel Survey (MEPS), Children/Adolescents, Behavioral Health, Telehealth, Health Information Technology (HIT)
Rudin RS, Plombon S, Sulca Flores J
Between-visit asthma symptom monitoring with a scalable digital intervention: a randomized clinical trial.
The objective of this randomized clinical trial was to assess the effect of a scalable symptom monitoring intervention on asthma outcomes. Intervention group patients used a mobile health app to complete symptom questionnaires and view educational information. The results indicated that increase in asthma-related quality of life did not reach the threshold for a minimally important change; however, exploratory analyses suggested possible benefits for patients with low levels of activation.
AHRQ-funded; HS026432.
Citation: Rudin RS, Plombon S, Sulca Flores J . Between-visit asthma symptom monitoring with a scalable digital intervention: a randomized clinical trial. JAMA Netw Open 2025 Apr 1; 8(4):e256219. doi: 10.1001/jamanetworkopen.2025.6219.
Keywords: Asthma, Respiratory Conditions, Telehealth, Health Information Technology (HIT)
Huang J, Lieu TA, Gopalan A
Patient photo attachments and telemedicine visit effectiveness: is a picture worth a thousand words?
Researchers studied patients with skin-related concerns in a large integrated health care delivery system to assess whether clinical needs can be effectively addressed by telephone visits. Findings indicated that telephone visits may pose more difficulty in diagnosis, due to a lack of visual information; less than a third included a photo attached. The study also found that photo attachments were associated with lower follow-up visit rates.
AHRQ-funded; HS025189.
Citation: Huang J, Lieu TA, Gopalan A . Patient photo attachments and telemedicine visit effectiveness: is a picture worth a thousand words? J Gen Intern Med 2025 Apr; 40(5):1208-10. doi: 10.1007/s11606-024-09110-0..
Keywords: Telehealth, Health Information Technology (HIT), Primary Care
McCullough HP, Moczygemba LR, Avanceña ALV
The Interactive Care Coordination and Navigation mHealth intervention for people experiencing homelessness: cost analysis, exploratory financial cost-benefit analysis, and budget impact analysis.
This study’s objective was to conduct a cost-benefit analysis of the Interactive Care Coordination and Navigation (iCAN) mobile health intervention. The findings indicated that, if average costs of emergency department and hospital visits among homeless persons were reduced by more than 7.8% through iCAN, financial benefits would outweigh the costs of the intervention.
AHRQ-funded; HS027750.
Citation: McCullough HP, Moczygemba LR, Avanceña ALV . The Interactive Care Coordination and Navigation mHealth intervention for people experiencing homelessness: cost analysis, exploratory financial cost-benefit analysis, and budget impact analysis. JMIR Form Res 2025 Mar 18; 9:e64973. doi: 10.2196/64973..
Keywords: Care Coordination, Telehealth, Vulnerable Populations, Healthcare Costs, Health Information Technology (HIT)
Singh RD, Bahadori B, Tjoa T
A telehealth approach to central line-associated bloodstream infection prevention activities in nursing homes: the SAFER lines program.
This study’s objective was to evaluate the impact of a mobile-app-based central line-associated bloodstream infection (CLABSI) prevention program in nursing home residents with peripherally inserted central catheters (PICCs). The CLABSI prevention program consisted of an actionable scoring system for identifying insertion site infection/inflammation coupled with a mobile-app enabling photo-assessments and automated physician alerting for remote response. The intervention was associated with 57% lower odds of peeling dressings, 73% lower local inflammation/infection, and 41% lower risk of infection-related hospitalizations. Physician mobile-app alerting and response enabled 62% lower risk of lines remaining in place after inflammation/infection was identified and 95% faster removal of infected lines from mean (SD) 19 (20) to 1 (2) days.
AHRQ-funded; HS024424.
Citation: Singh RD, Bahadori B, Tjoa T . A telehealth approach to central line-associated bloodstream infection prevention activities in nursing homes: the SAFER lines program. AHRQ-funded; HS024424..
Keywords: Central Line-Associated Bloodstream Infections (CLABSI), Healthcare-Associated Infections (HAIs), Telehealth, Health Information Technology (HIT), Nursing Homes, Long-Term Care, Prevention
Reese TJ, Padi-Adjirackor NA, Griffith KN
Comparative effectiveness of buprenorphine adherence with telemedicine vs. in-person for rural and urban patients.
This study examined the comparative effectiveness of buprenorphine adherence with telemedicine versus in-person for rural and urban patients. The authors of this retrospective cohort study used electronic health record data from a large medical center. The cohort included all patients who were prescribed buprenorphine for opioid use disorder from 2017 through 2022. Primary outcome was adherence, characterized by the Medication Possession Ratio (MPR), and gaps in buprenorphine treatment at 30 and 180 days. There was no observed difference in the adherence following telemedicine visits overall. However, telemedicine was associated with higher MPR for rural patients and fewer gaps compared to in-person visits.
AHRQ-funded; HS029695.
Citation: Reese TJ, Padi-Adjirackor NA, Griffith KN . Comparative effectiveness of buprenorphine adherence with telemedicine vs. in-person for rural and urban patients. J Am Pharm Assoc 2025 Mar-Apr; 65(2):102318. doi: 10.1016/j.japh.2024.102318..
Keywords: Patient Adherence/Compliance, Rural Health, Urban Health, Rural/Inner-City Residents, Comparative Effectiveness, Evidence-Based Practice, Telehealth, Health Information Technology (HIT), Substance Abuse, Behavioral Health
Larson AE, Stange KC, Heintzman J
Video versus audio telehealth in safety net clinic patients: changes by rurality and time.
This study examined telehealth modality and continued use of telehealth for low-income safety net clinic patients by rurality and whether that usage changed over time. The results showed that safety net clinic patients were more likely to use audio-only telehealth visits. By the end of the study period, patients in small rural communities used significantly more telehealth than urban patients.
AHRQ-funded; HS028732.
Citation: Larson AE, Stange KC, Heintzman J . Video versus audio telehealth in safety net clinic patients: changes by rurality and time. J Rural Health 2025 Mar; 41(2):e12887. doi: 10.1111/jrh.12887..
Keywords: Telehealth, Health Information Technology (HIT), Rural Health, Community-Based Practice, Rural Health, Rural/Inner-City Residents
Martinez KA, Deshpande A, Stanley E
Antibiotic prescribing for respiratory tract infections in urgent care: a comparison of in-person and virtual settings.
The authors used electronic health record data from the Cleveland Clinic Health System for this retrospective study on virtual versus in-person urgent care antibiotic prescribing for respiratory tract infections (RTIs). The results showed that antibiotic prescriptions were more common in virtual urgent care, even among physicians who provided care in both platforms. The authors noted that these results appear related to the high rate of sinusitis diagnosis in virtual urgent care.
AHRQ-funded; HS028633.
Citation: Martinez KA, Deshpande A, Stanley E . Antibiotic prescribing for respiratory tract infections in urgent care: a comparison of in-person and virtual settings. Clin Infect Dis 2025 Feb 5; 80(1):7-13. doi: 10.1093/cid/ciae396..
Keywords: Antibiotics, Respiratory Conditions, Medication, Telehealth, Health Information Technology (HIT)
Davis J, Perkins R, Bailey J
Acceptability of telehealth post-pandemic among clinicians across the United States caring for people with cystic fibrosis.
The purpose of this study was to assess the endurance of clinicians’ positive perceptions of the use of telehealth by cystic fibrosis center providers after the pandemic. The study found that Clinicians largely continued to support telehealth for cystic fibrosis care post-pandemic, citing convenience and reduced disruptions despite decreased provider satisfaction compared to pandemic levels.
AHRQ-funded; HS000063.
Citation: Davis J, Perkins R, Bailey J . Acceptability of telehealth post-pandemic among clinicians across the United States caring for people with cystic fibrosis. Pediatr Pulmonol 2025 Feb; 60(2):e70000. doi: 10.1002/ppul.70000..
Keywords: Telehealth, Health Information Technology (HIT), Chronic Conditions
Hudson EM, Bazal SP, Rauzi MR
Feasibility of group telerehabilitation for older adults: a quality improvement project.
The authors evaluated the feasibility of implementing Fit for Life, a telerehabilitation group for older veterans. Eligible veterans lived in the study community and were at risk for falls or hospitalization. The authors analyzed and integrated adaptations posed by clinicians and veterans in real-time to enhance Fit for Life access and participation.
AHRQ-funded; HS026379.
Citation: Hudson EM, Bazal SP, Rauzi MR . Feasibility of group telerehabilitation for older adults: a quality improvement project. Int J Telerehabil 2025 Jan 15; 16(2):e6651. doi: 10.5195/ijt.2024.6651..
Keywords: Telehealth, Health Information Technology (HIT), Quality Improvement, Quality of Care
Tu KJ, Vakkalanka JP, Okoro UE
Provider-to-provider telemedicine for sepsis is used less frequently in communities with high social vulnerability.
This study’s objective was to determine if county-level social vulnerability index (SVI) was associated with provider-to-provider emergency department (ED)-based telehealth consultation (tele-ED) use for sepsis and, if so, which SVI elements were most strongly associated. The authors used data from the TELEmedicine as a Virtual Intervention for Sepsis in Rural Emergency Department study. Providers in counties with a high SVI were less likely to use tele-ED, an effect principally attributable to the housing type and transportation component of SVI. Providers who treated fewer sepsis patients (1‒10 vs. 31+ over study period) and therefore may have been less experienced in sepsis care, were more likely to activate tele-ED.
AHRQ-funded; HS025753.
Citation: Tu KJ, Vakkalanka JP, Okoro UE . Provider-to-provider telemedicine for sepsis is used less frequently in communities with high social vulnerability. J Rural Health 2025 Jan; 41(1):e12861. doi: 10.1111/jrh.12861.
Keywords: Telehealth, Health Information Technology (HIT), Sepsis, Rural Health, Rural/Inner-City Residents, Emergency Department, Vulnerable Populations, Disparities
Tu KJ, Wymore C, Tchangalova N
The impact of telehealth in sepsis care: a systematic review.
This paper is a systematic review of the impact of telehealth in sepsis care. The investigators included 15 studies, involving 188,418 patients with sepsis. Thirteen of these studies used observational study designs, and the most common telehealth applications were provider-to-provider telehealth consultation and intensive care unit telehealth. Clinical and methodological heterogeneity was significantly high, and telehealth use was associated with higher survival. Telehealth effect on other care processes and outcomes were more varied and likely dependent on hospital-level factors.
AHRQ-funded; HS025753.
Citation: Tu KJ, Wymore C, Tchangalova N . The impact of telehealth in sepsis care: a systematic review. J Telemed Telecare 2025 Jan; 31(1):3-13. doi: 10.1177/1357633x231170038.
Keywords: Telehealth, Health Information Technology (HIT), Sepsis, Evidence-Based Practice, Patient-Centered Outcomes Research
Simcoe K, Stainbrook JA, Chazin KT
Use of telemediated caregiver coaching to increase access to naturalistic developmental behavioral interventions within a statewide early intervention system.
The authors described a statewide model developed to increase access to naturalistic developmental behavioral interventions for families, while increasing training opportunities for early intervention providers. Using this model, consultants worked with caregivers and providers via telehealth for a brief series of visits; the responses indicated that the model was effective and acceptable.
AHRQ-funded; HS026395.
Citation: Simcoe K, Stainbrook JA, Chazin KT . Use of telemediated caregiver coaching to increase access to naturalistic developmental behavioral interventions within a statewide early intervention system. Autism 2025 Jan; 29(1):207-21. doi: 10.1177/13623613241273081..
Keywords: Telehealth, Health Information Technology (HIT), Caregiving, Behavioral Health
Yuh T, Lalley-Chareczko L, Zanders D
Acceptability and feasibility of implementing a home-based HIV pre-exposure prophylaxis program in an urban clinic.
This study assessed the acceptability and feasibility of a home-based HIV pre-exposure prophylaxis (PrEP) program among stakeholders at an urban HIV and primary care clinic. The authors surveyed and interviewed PrEP patients and their health care team, with a baseline of 112 PrEP users. Of those, 65% expressed interest in switching to the home-based PrEP program. Seventeen patients over the course of follow-up started home-based PrEP, including 12 patients who completed both a telemedicine visit and a self-administered lab kit, and 5 patients who completed only a telemedicine visit. Over 80% of those had positive feedback on the telemedicine visits. There was excellent acceptability and feasibility of the lab kits. There were mixed feelings from the 5 surveyed PrEP providers on telemedicine visits, but most felt that the program made PrEP care delivery easier for patients and would encourage their patients to use the program if it were a good fit. Barriers included shipping delays and staff turnover during program implementation.
AHRQ-funded.
Citation: Yuh T, Lalley-Chareczko L, Zanders D . Acceptability and feasibility of implementing a home-based HIV pre-exposure prophylaxis program in an urban clinic. AIDS Patient Care STDS 2024 Dec; 38(12):566-73. doi: 10.1089/apc.2024.0159.
Keywords: Human Immunodeficiency Virus (HIV), Prevention, Implementation, Telehealth, Health Information Technology (HIT)
Chan B, Cook R, Levander X
Buprenorphine discontinuation in telehealth-only treatment for opioid use disorder: a longitudinal cohort analysis.
This study’s objective was to study how telehealth-only buprenorphine treatment impacts time to discontinuation and patient reported treatment outcomes. This longitudinal study enrolled 103 telehealth only (THO) and 56 treatment as usual (TAU) patients with opioid use disorder (OUD) initiating buprenorphine (≤ 45 days) with internet and phone access in Oregon and Washington. Participants had a mean age of 37 years, and included 52% women, 83% with Medicaid insurance, 80% identified as White, 65% unemployed/student, and 19% unhoused. THO participants were 54% women, 60% unemployed, and 84% in stable housing while TAU participants were 44% women, 75% unemployed, and 73% in stable housing. Rates of buprenorphine discontinuation were low in both groups over 24 weeks. In the adjusted analysis, the risk of discontinuation was 61% lower in the THO group. Decreases occurred over time on the harms subscale of the BAM (within-group difference - 0.85, [THO], and - 0.68, [TAU]) and cravings (within-group difference - 13.47 THO], vs. -7.65 [TAU].
AHRQ-funded; HS026370.
Citation: Chan B, Cook R, Levander X . Buprenorphine discontinuation in telehealth-only treatment for opioid use disorder: a longitudinal cohort analysis. J Subst Use Addict Treat 2024 Dec; 167:209511. doi: 10.1016/j.josat.2024.209511.
Keywords: Substance Abuse, Telehealth, Health Information Technology (HIT), Medication, Behavioral Health
Marcotte LM, Wheat CL, Rao M
Evaluating equity in a national virtual care management intervention: delivery and outcomes by race/ethnicity among veterans with hypertension and diabetes.
The objective of this study was to evaluate whether the Preventive Health Inventory (PHI), a virtual care management intervention implemented in the Veterans Health Administration (VHA), was delivered equitably among racial/ethnic groups. Researchers used data from the VHA Corporate Data Warehouse among veterans enrolled in primary care nationally. Their findings suggested that the PHI intervention was deployed equitably across race/ethnicity groups without significantly impacting most existing inequities in hypertension and diabetes.
AHRQ-funded; HS026369.
Citation: Marcotte LM, Wheat CL, Rao M . Evaluating equity in a national virtual care management intervention: delivery and outcomes by race/ethnicity among veterans with hypertension and diabetes. Health Serv Res 2024 Dec; 59(6):e14352. doi: 10.1111/1475-6773.14352.
Keywords: Diabetes, Blood Pressure, Racial and Ethnic Minorities, Disparities, Primary Care, Telehealth, Health Information Technology (HIT)
Holtz B, Doarn CR
Telehealth postpandemic: a model for Michigan and beyond.
This paper introduces a series of articles on telehealth's evolution and future after the COVID-19 pandemic. It stems from an ´óÏóÊÓƵ-funded Think Tank held at Michigan State University in August 2024. The authors note that despite telehealth's significant growth during the pandemic, it faced constraints following the end of the Public Health Emergency. The paper highlights several key themes including patient equity, technology, clinical opportunities, research, and education, using Michigan as a model that could be adapted nationally. Its purpose is to stimulate further discussion and innovation within the telehealth community regarding postpandemic telehealth development and implementation.
AHRQ-funded; HS029599.
Citation: Holtz B, Doarn CR . Telehealth postpandemic: a model for Michigan and beyond. Telemed J E Health 2024 Dec; 30(12):2769-71. doi: 10.1089/tmj.2024.0519.
Keywords: Telehealth, Health Information Technology (HIT)
Liu T, Zhu Z, Thompson MP
Primary care practice telehealth use and low-value care services.
The purpose of this study was to examine how telehealth adoption in primary care practices affected the delivery of unnecessary medical services. The study analyzed Medicare claims data from 2019 to 2022, involving nearly 578,000 beneficiaries across 2,552 Michigan practices. The investigation evaluated eight measures of low-value care, including office visits, laboratory tests, and imaging services. Findings showed that practices with high telehealth usage had lower rates of certain unnecessary services, such as cervical cancer screening in older women and thyroid testing, while most other low-value care measures remained unchanged.
AHRQ-funded; HS028397.
Citation: Liu T, Zhu Z, Thompson MP . Primary care practice telehealth use and low-value care services. JAMA Netw Open 2024 Nov 4; 7(11):e2445436. doi: 10.1001/jamanetworkopen.2024.45436.
Keywords: Primary Care, Telehealth, Health Information Technology (HIT)
Charkviani M, Kattah AG, Rule AD
Acute kidney injury survivor remote patient monitoring: a single center's experience and an effectiveness evaluation.
This cohort study evaluated the effectiveness of a remote patient monitoring (RPM) program for acute kidney injury survivors who were discharged home without requiring dialysis. Forty patients actively participated in the program, which involved home vital sign monitoring, symptom tracking, and weekly laboratory assessments. Fluid status issues triggered most alerts within the program. When compared to matched historical controls, the RPM group showed no significant difference in overall hospital readmission rates within six months. However, patients with baseline estimated glomerular filtration rates below 45 mL/min/1.73m² experienced higher rates of emergency department visits when using RPM. The study was potentially limited by its small sample size.
AHRQ-funded; HS028060.
Citation: Charkviani M, Kattah AG, Rule AD . Acute kidney injury survivor remote patient monitoring: a single center's experience and an effectiveness evaluation. Kidney Med 2024 Nov; 6(11):100905. doi: 10.1016/j.xkme.2024.100905..
Keywords: Kidney Disease and Health, Telehealth, Health Information Technology (HIT)
Valdez RB, Dymek C, Chaney K
´óÏóÊÓƵAuthor: Valdez RB, Dymek C, Chaney K, Lomotan EA
AHRQ's digital healthcare research program: 20 years of advancing innovation and discovery.
This AHRQ-authored paper reflected on the achievements of the ´óÏóÊÓƵDigital Healthcare Research Program over the past 20 years, evaluated its impact on US healthcare quality and safety, and outlined current and future priorities for digital healthcare research and innovation. It reviewed key milestones, including its founding and its advances in telehealthcare and clinical decision support. It highlighted AHRQ's contributions to advancing technology integration in healthcare, promoting patient safety, and addressing equity gaps. The article also examined the evolving role of artificial intelligence (AI) in healthcare delivery.
AHRQ-authored.
Citation: Valdez RB, Dymek C, Chaney K . AHRQ's digital healthcare research program: 20 years of advancing innovation and discovery. J Am Med Inform Assoc 2024 Nov; 31(11):2766-71. doi: 10.1093/jamia/ocae251.
Keywords: Health Information Technology (HIT), Telehealth, Clinical Decision Support (CDS), Patient Safety
Hsueh L, Zheng M, Huang J
"Complete and accurate, and warmhearted too": telemedicine experiences and care needs of Mandarin-speaking patients with limited English proficiency.
The purpose of this study was to examine telemedicine experiences among Mandarin-speaking patients with limited English proficiency at Kaiser Permanente Northern California. The study interviewed 20 participants aged 41-81 who completed telemedicine visits in August 2021. Patients highlighted communication quality, provider patience, and language service accessibility as key factors in their care experience. The investigation revealed that while participants viewed telemedicine as valuable, they encountered challenges with healthcare provider communication styles and needed more comprehensive language support throughout their care journey.
AHRQ-funded; HS025189.
Citation: Hsueh L, Zheng M, Huang J . "Complete and accurate, and warmhearted too": telemedicine experiences and care needs of Mandarin-speaking patients with limited English proficiency. J Gen Intern Med 2024 Nov; 39(14):2741-46. doi: 10.1007/s11606-024-08984-4.
Keywords: Telehealth, Health Information Technology (HIT), Patient Experience, Cultural Competence, Communication
Casey SD, Huang J, Parry DD
Health care utilization with telemedicine and in-person visits in pediatric primary care.
This study’s objective was to compare pediatric primary care conducted via telemedicine (video or telephone) with in-person office visits regarding physician medication prescribing and imaging and laboratory ordering and downstream follow-up office visits, emergency department (ED) visits, and hospitalizations. This cohort study included all patients younger than 18 years who had scheduled primary care appointments with a pediatrician in 2022, in the Kaiser Permanente Northern California health system. Of 782,596 total appointments (51.1% male) among 438,638 patients, telemedicine was used for 42.4% of visits. After adjustment, there was more medication prescribing for in-person visits (39.8%) compared with video visits (29.5%) or telephone visits (27.3%). There was also more laboratory ordering for in-person visits (24.6%) compared with video visits (7.8%) or telephone visits (8.5%). The rate of ED visits following an in-person visit was slightly lower (1.75%) compared with after video visits (2.04%) or telephone visits (2%). Seven-day hospitalization rates showed no significant statistical difference.
AHRQ-funded; HS025189.
Citation: Casey SD, Huang J, Parry DD . Health care utilization with telemedicine and in-person visits in pediatric primary care. JAMA Health Forum 2024 Nov; 5(11):e244156. doi: 10.1001/jamahealthforum.2024.4156.
Keywords: Children/Adolescents, Primary Care, Telehealth, Healthcare Utilization, Health Information Technology (HIT)
Sax DR, Kene MV, Huang J
Downstream emergency department and hospital utilization comparably low following in-person versus telemedicine primary care for high-risk conditions.
Research examined 258,958 primary care visits across an integrated healthcare system during 2022, comparing outcomes between telemedicine and in-person appointments for acute conditions. The study analyzed cardiac, gastrointestinal, neurologic, musculoskeletal, and head and neck conditions. Telemedicine comprised 57.7% of visits, with telephone visits offering the quickest access. Emergency department utilization remained consistently low across all visit types, though slightly higher for telephone compared to video visits. Hospitalization rates were minimal across all modalities. The findings suggest telemedicine provides a viable option for acute care delivery.
AHRQ-funded; HS025189.
Citation: Sax DR, Kene MV, Huang J . Downstream emergency department and hospital utilization comparably low following in-person versus telemedicine primary care for high-risk conditions. J Gen Intern Med 2024 Oct; 39(13):2446-53. doi: 10.1007/s11606-024-08885-6..
Keywords: Emergency Department, Hospitalization, Telehealth, Health Information Technology (HIT), Healthcare Utilization, Primary Care

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