000			03827nam a22005057a 4500
008			230721s20232023 xxu||||| |||| 00| 0 eng d
022			_a2211-8837
024			_a10.1016/j.hlpt.2023.100772 [doi]
024			_aPMC10290735 [pmc]
024			_aS2211-8837(23)00048-5 [pii]
040			_aOvid MEDLINE(R)
099			_a37389330
245			_aThe impact of COVID-19 on primary care accessibility and the role of telehealth for patients with chronic conditions.
251			_aHealth Policy & Technology. 12(3):100772, 2023 Sep.
252			_aHealth Policy Technol. 12(3):100772, 2023 Sep.
253			_aHealth policy and technology
260			_c2023
260			_fFY2024
260			_p2023 Sep
265			_sppublish
265			_tPubMed-not-MEDLINE
266			_d2023-07-21
520			_aConclusions: This analysis shows that telehealth created return to care timelines comparable to the pre-pandemic period which is especially important for patients with chronic conditions.
520			_aMethods: Cancelled and completed primary care appointments for adult patients were extracted from the beginning of the pandemic (March 1 to July 31, 2020) and a similar period pre-pandemic (March 1 to July 31, 2019). Days to the subsequent completed visit after cancellation (through June 30, 2021) and appointment modality (in-person, phone, video) were examined. Statistical testing was done to determine statistical significance, and a linear regression was run to control for effects of other study variables.
520			_aObjectives: The objective of this study is to quantify how long patients took to complete their rescheduled primary care appointment pre-pandemic (2019) and during an initial pandemic period (2020). In doing so, the study evaluates telehealth's role in helping primary care patients - particularly in patients with chronic conditions - withstand COVID's significant disruption in care.
520			_aPublic interest summary: Telehealth visits (i.e., talking with a physician via phone or video call) help patients continue to receive the medical care they need - especially during disruptive periods such as the COVID pandemic. Access to telehealth is the strongest predictor in determining how soon a patient will complete their reschedule primary care appointment. Because telehealth is so important, health care providers and systems need to continue to offer patients the ability to talk with their physician via phone or video call. Copyright © 2023 Published by Elsevier Ltd on behalf of Fellowship of Postgraduate Medicine.
520			_aResults: Pre-pandemic patients with chronic conditions needed 52.3 days on average to reschedule their cancelled in-person appointment. During the early pandemic period, chronic condition patients who saw their provider in-person took on average 78.8 days. During the same pre-pandemic period, patients with chronic conditions had their average wait time decrease to 51.5 days when rescheduling via telehealth. These differences were similar for patients without chronic conditions.
546			_aEnglish
650			_zAutomated
651			_aMedStar Institute for Innovation
656			_aMedStar Telehealth Innovation Center
656			_aNational Center for Human Factors in Healthcare
657			_aJournal Article
656			_aClinical Care Transformation
651			_aMedStar Health
700			_aAdams, Katharine _bNCHF
700			_aAnderson, Ryan _bMSH
700			_aBooker, Ethan _bMI2
700			_aBoxley, Christian _bNCHF
700			_aDixit, Ram _bNCHF
700			_aRatwani, Raj M _bNCHF
790			_aAdams K, Anderson R, Booker E, Boxley C, Dixit R, Ratwani RM
856			_uhttps://dx.doi.org/10.1016/j.hlpt.2023.100772 _zhttps://dx.doi.org/10.1016/j.hlpt.2023.100772
942			_cART _dArticle
999			_c12848 _d12848