Association Between Telehealth and Missed Appointments Among Patients Experiencing Behavioral Health Challenges

Bhatta, Dependra; Sizer, Monteic A.; Acharya, Binod

doi:10.1001/jamanetworkopen.2023.24252

JAMA Netw Open

2023

DOI: 10.1001/jamanetworkopen.2023.24252

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Association Between Telehealth and Missed Appointments Among Patients Experiencing Behavioral Health Challenges

Dependra Bhatta¹,

Monteic A. Sizer²,

Binod Acharya

Abstract: This cohort study compares missed appointments between patients receiving telehealth and in-person care in behavioral health clinics in rural settings that cater to patients with relatively low income.

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2024

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Closing the gap: addressing telehealth disparities across specialties in the sustained pandemic era

Amagai,

Vonesh,

Adams

et al. 2024

npj Digit. Med.

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Missed appointments, or no-shows, disrupt healthcare delivery, exacerbating chronic disease management and leading to worse health outcomes. Telehealth has surged as a viable solution to reduce no-shows and improve healthcare accessibility, especially during the COVID-19 pandemic. However, telehealth disparities and its long-term efficacy across various medical specialties remain understudied. To address this, we performed a retrospective analysis of electronic health records from a heterogenous network of hospitals in Illinois, examining telehealth use and no-shows across among 444,752 adult patients with 1,973,098 outpatient encounters across nine specialties during the sustained pandemic phase (i.e., January 1, 2021 to July 1, 2022). Among them, 84,290 (4.27%) were no-shows, and telehealth constituted 202,933 (10.3%) of the total encounters. Telehealth use during the sustained phase varied significantly by specialty type. Overall, telehealth encounters were associated with reduced no-show odds compared to in-person encounters (OR, 0.28; 95% CI, 0.26–0.29). Black and Hispanic patients, as well as those with Medicaid, had higher no-show odds relative to their counterparts, even when using telehealth. Mental health specialty had the highest telehealth usage rate and the highest no-show odds (OR, 2.99; 95% CI, 2.84–3.14) relative to other specialties included in the study. Moreover, specialty type had differential effects on no-shows for telehealth. These results underscore the variability in telehealth use by specialty type and pervasive disparities telehealth use and no-shows. As we move beyond the pandemic, our findings can inform policymakers to tailor policies and incentives to reach different patient groups as well as specialties, with varying needs, to promote equitable telehealth utilization.

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Closing the gap: addressing telehealth disparities across specialties in the sustained pandemic era

Amagai,

Vonesh,

Adams

et al. 2024

npj Digit. Med.

View full text Add to dashboard Cite

show abstract

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Association Between Telehealth and Missed Appointments Among Patients Experiencing Behavioral Health Challenges

Abstract: This cohort study compares missed appointments between patients receiving telehealth and in-person care in behavioral health clinics in rural settings that cater to patients with relatively low income.

Cited by 1 publication

References 7 publications

Closing the gap: addressing telehealth disparities across specialties in the sustained pandemic era

Closing the gap: addressing telehealth disparities across specialties in the sustained pandemic era

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