Comparison of Video and Telephone Visits in Outpatients With Heart Failure

Sammour, Yasser; Spertus, John A.; Shatla, Islam; Gupta, Sanjaya; Nassif, Michael E.; Magalski, Anthony; Main, Michael L.; Sperry, Brett W.

doi:10.1016/j.amjcard.2021.08.008

Cited by 10 publications

(9 citation statements)

References 3 publications

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“…Our group has reported that socioeconomic disparities were present among patients with heart failure that resulted in less access to video telehealth visits including patients who were older, Black, without spouses or significant others, lacking college educations, and those with lower median household incomes. 3 Further, we found that telephone visits were associated with higher rates of subsequent acute care hospital encounters after the index visits, which is consistent with the data presented by Yuan et al; 4 however, we did not find differences in mortality between the 2 telehealth modes.…”

supporting

confidence: 91%

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Sammour¹,

Spertus²,

Shatla³

et al. 2022

JACC: Heart Failure

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supporting

confidence: 91%

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Sammour¹,

Spertus²,

Shatla³

et al. 2022

JACC: Heart Failure

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“… 18 Inequities in telemedicine use were a challenge to our cohorts who were older 13 and had difficulties with video encounters during the TH periods. 19 , 20 Lack of digital literacy and Internet access were potential factors limiting the adoption of video encounters to no more than 8% of our TH visits. 21 …”

Section: Discussionmentioning

confidence: 99%

“…By establishing a longer study and follow-up period of 6 months, the question of the clinical safety of TH can be better verified. 19 , 20 …”

Section: Discussionmentioning

confidence: 99%

Clinical Outcomes of Telehealth in Patients With Coronary Artery Disease and Heart Failure During the COVID-19 Pandemic

Woo

Chung

Shi

et al. 2023

The American Journal of Cardiology

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“…Our data showed a shorter waiting time compared with conventional face-to-face visits. A retrospective study also showed that video visits were associated with fewer 90-day emergency department visits or hospitalizations compared with telephone visits as the modality of telemedicine for patients with heart failure, after adjusting for multiple predictors [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

The Logistics of Medication and Patient Flow in Video-Based Virtual Clinics During a Sudden COVID-19 Outbreak in Taiwan: Observational Study

Chen

Huang

et al. 2022

Interact J Med Res

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Background The COVID-19 pandemic was well controlled in Taiwan until an outbreak in May 2021. Telemedicine was rapidly implemented to avoid further patient exposure and to unload the already burdened medical system. Objective To understand the effect of COVID-19 on the implementation of video-based virtual clinic visits during this outbreak, we analyzed the logistics of prescribing medications and patient flow for such virtual visits at a tertiary medical center. Methods We retrospectively collected information on video-based virtual clinic visits and face-to-face outpatient visits from May 1 to August 31, 2021, from the administrative database at National Taiwan University Hospital. The number of daily new confirmed COVID-19 cases in Taiwan was obtained from an open resource. Results There were 782 virtual clinic visits during these 3 months, mostly for the departments of internal medicine, neurology, and surgery. The 3 most common categories of medications prescribed were cardiovascular, diabetic, and gastrointestinal, of which cardiovascular medications comprised around one-third of all medications prescribed during virtual clinic visits. The number of virtual clinic visits was significantly correlated with the number of daily new confirmed COVID-19 cases, with approximately a 20-day delay (correlation coefficient 0.735; P<.001). The patient waiting time for video-based virtual clinic visits was significantly shorter compared with face-to-face clinic visits during the same period (median 3, IQR 2-6 min vs median 20, IQR 9-42 min; rank sum P<.001). Although the time saved was appreciated by the patients, online payment with direct delivery of medications without the need to visit a hospital was still their major concern. Conclusions Our data showed that video-based virtual clinics can be implemented rapidly after a COVID-19 outbreak. The virtual clinics were efficient, as demonstrated by the significantly reduced waiting time. However, there are still some barriers to the large-scale implementation of video-based virtual clinics. Better preparation is required to improve performance in possible future large outbreaks.

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Comparison of Video and Telephone Visits in Outpatients With Heart Failure

Cited by 10 publications

References 3 publications

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Clinical Outcomes of Telehealth in Patients With Coronary Artery Disease and Heart Failure During the COVID-19 Pandemic

The Logistics of Medication and Patient Flow in Video-Based Virtual Clinics During a Sudden COVID-19 Outbreak in Taiwan: Observational Study

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