Characteristics of Organizations That Provide Telemental Health

Shi, Zhuo; Huskamp, Haiden A.; Souza, Jeff; Busch, Alisa B.; Uscher‐Pines, Lori; Mehrotra, Ateev

doi:10.1089/heat.2019.0004

Cited by 5 publications

(5 citation statements)

References 4 publications

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“…Strengths of this work include its large national sample of millions of MH patients and thousands of providers, examining TMH use from 2017 through 2020 across a range of demographic and clinical predictors. Limitations include its restriction to a VA sample that is not subject to the same licensure and insurance regulations experienced in the private sector that could influence TMH use rates (Barnett et al, 2018; Choi et al, 2019; Shi et al, 2019). Further research, including qualitative work, is necessary to better contextualize the demographic and clinical differences reported above.…”

Section: Discussionmentioning

confidence: 99%

Patient and provider predictors of telemental health use prior to and during the COVID-19 pandemic within the Department of Veterans Affairs.

Connolly¹,

Stolzmann²,

Heyworth³

et al. 2022

American Psychologist

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The current study examined patient and provider differences in use of phone, video, and in-person mental health (MH) services. Participants included patients who completed ≥1 MH appointment within the Department of Veterans Affairs (VA) from 10/1/17–7/10/20 and providers who completed ≥100 VA MH appointments from 10/1/17–7/10/20. Adjusted odds ratios (aORs) are reported of patients and providers: (a) completing ≥1 video MH appointment in the pre-COVID (10/1/17–3/10/20) and COVID (3/11/20–7/10/20) periods; and (b) completing the majority of MH visits via phone, video, or in-person during COVID. The sample included 2,480,119 patients/31,971 providers in the pre-COVID period, and 1,054,670 patients/23,712 providers in the COVID period. During the pre-COVID and COVID periods, older patients had lower odds of completing ≥1 video visit (aORs < .65). During the COVID period, older age and low socioeconomic status predicted lower odds of having ≥50% of visits via video versus in-person or phone (aORs < .68); schizophrenia and MH hospitalization history predicted lower odds of having ≥50% of visits via video or phone versus in-person (aORs <. 64). During the pre-COVID and COVID periods, nonpsychologists (e.g., psychiatrists) had lower odds of completing video visits (aORs <. 44). Older providers had lower odds of completing ≥50% of visits via video during COVID (aORs <. 69). Findings demonstrate a digital divide, such that older and lower income patients, and older providers, engaged in less video care. Nonpsychologists also had lower video use. Barriers to use must be identified and strategies must be implemented to ensure equitable access to video MH services.

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Section: Discussionmentioning

confidence: 99%

Patient and provider predictors of telemental health use prior to and during the COVID-19 pandemic within the Department of Veterans Affairs.

Connolly¹,

Stolzmann²,

Heyworth³

et al. 2022

American Psychologist

View full text Add to dashboard Cite

show abstract

“…However, it is important to note that VHA’s financial model is also a strength of this study. Because clinician choices in VHA are not driven by fee-for-service reimbursement schedules, they may more closely reflect intrinsic clinician preferences . In addition, we did not collect demographic information from respondents, including sex, age, or race or ethnicity, in an effort to keep the length of the survey manageable and to ensure anonymity.…”

Section: Discussionmentioning

confidence: 99%

“…Because clinician choices in VHA are not driven by fee-for-service reimbursement schedules, they may more closely reflect intrinsic JAMA Network Open | Health Policy clinician preferences. [38][39][40] In addition, we did not collect demographic information from respondents, including sex, age, or race or ethnicity, in an effort to keep the length of the survey manageable and to ensure anonymity. However, this information could provide additional insights and is worth examining in future work.…”

Section: Limitationsmentioning

confidence: 99%

Perceptions and Use of Telehealth Among Mental Health, Primary, and Specialty Care Clinicians During the COVID-19 Pandemic

et al. 2022

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Key Points Question Are clinician perceptions of telehealth quality associated with use? Findings In this survey study of 866 mental health (MH), primary care (PC), and specialty care (SC) clinicians, MH clinicians rated the quality of video care the highest and were more likely to prefer video over phone when providing care for patients remotely; PC and SC clinicians were more likely to endorse challenges of video care. Findings aligned with utilization rates, with MH clinicians conducting significantly more video visits than PC and SC clinicians. Meaning These findings suggest that specialty-specific differences in clinician perceptions of telehealth were associated with actual use.

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“…In a review of Medicare fee-for-service claims between 2014 and 2016, psychiatrist telemental health providers were more likely to be early in their careers, employed in large practices, and serving rural regions as compared with psychiatrists who did not use telemental health services [ 19 ]. Despite this knowledge, little is known about the characteristics of community telemental health providers, including their use of telemedicine and the factors that motivate them to use the technology [ 20 , 21 , 22 ]. To date, only two studies have surveyed mental health providers about their use and perceptions of telemedicine.…”

Section: Introductionmentioning

confidence: 99%

Acceptability of Telemedicine Features to Promote Its Uptake in Practice: A Survey of Community Telemental Health Providers

Bunnell

Barrera

Paige³

et al. 2020

IJERPH

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Understanding what motivates mental health providers to use telemedicine (i.e., telemental health) is critical for optimizing its uptake, especially during unprecedented times (e.g., the COVID-19 pandemic). Drawing from the Technology Acceptance Model (TAM), this report examined the characteristics of telemental health providers and how the acceptability of telemedicine features contributes to their intention to use the technology more often in practice. Telemental health providers (N = 177) completed an online survey between March and May 2019. Most providers (75%) spent less than 25% of their work-week using telemedicine, but 70% reported an intention to use telemedicine more in the future. The belief that telemedicine affords greater access to patients, work-life balance, flexibility in providing care, and the opportunity to be at the forefront of innovative care were significant predictors of intentions to use the technology more in the future. Other significant predictors included needing assistance to coordinate insurance reimbursements, manage a successful telemedicine practice, and integrate the telemedicine program with other health IT software. Findings have important implications for increasing the frequency of telemedicine use among telemental health providers. Future research and practice should leverage providers’ positive beliefs about telemedicine acceptability and consider their needs to enhance its uptake.

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Characteristics of Organizations That Provide Telemental Health

Cited by 5 publications

References 4 publications

Patient and provider predictors of telemental health use prior to and during the COVID-19 pandemic within the Department of Veterans Affairs.

Patient and provider predictors of telemental health use prior to and during the COVID-19 pandemic within the Department of Veterans Affairs.

Perceptions and Use of Telehealth Among Mental Health, Primary, and Specialty Care Clinicians During the COVID-19 Pandemic

Acceptability of Telemedicine Features to Promote Its Uptake in Practice: A Survey of Community Telemental Health Providers

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