2021
DOI: 10.14423/smj.0000000000001289
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Early Impacts of the COVID-19 Pandemic on Telehealth Patterns in Primary Care, Mental Health, and Specialty Care Facilities in Texas

Abstract: Objectives: Since the onset of the coronavirus disease 2019 (COVID-19) pandemic, many US clinics have shifted some or all of their practice from in-person to virtual visits. In this study, we assessed the use of telehealth among primary care and specialty clinics, by targeting healthcare administrators via multiple channels.Methods: Using an online survey, we assessed the use of, barriers to, and reimbursement for telehealth. Respondents included clinic administrators (chief executive officers, vice presidents… Show more

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Cited by 8 publications
(7 citation statements)
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“…Other jurisdictions that do not remunerate equally or remunerate at a lower fee than in-person have low utilisation of virtual modalities, particularly for non-mental health conditions 16. Insufficient remuneration for telehealth services have been reported to be the largest barrier to uptake in the USA 3 26. While Medicaid programmes have payment provisions for live video telehealth services, few pay for such services when patients are in their home and even fewer pay the same rate as in-person visits 14 27.…”
Section: Discussionmentioning
confidence: 99%
See 2 more Smart Citations
“…Other jurisdictions that do not remunerate equally or remunerate at a lower fee than in-person have low utilisation of virtual modalities, particularly for non-mental health conditions 16. Insufficient remuneration for telehealth services have been reported to be the largest barrier to uptake in the USA 3 26. While Medicaid programmes have payment provisions for live video telehealth services, few pay for such services when patients are in their home and even fewer pay the same rate as in-person visits 14 27.…”
Section: Discussionmentioning
confidence: 99%
“… 16 Insufficient remuneration for telehealth services have been reported to be the largest barrier to uptake in the USA. 3 26 While Medicaid programmes have payment provisions for live video telehealth services, few pay for such services when patients are in their home and even fewer pay the same rate as in-person visits. 14 27 Early in the pandemic in paediatric primary practices in Western Pennsylvania, significant practice-level variation in telemedicine use was observed with increased uptake associated with more varied diagnoses and increased overall primary care encounter volume, although this study only examined the first 2 months of the pandemic and did not restrict to mental health diagnoses.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…However, it could not fully bridge the gap to return to pre-pandemic levels for multiple reasons. Some patients experienced technical difficulties while attempting to transition to telemedicine, and many expressed concerns about insurance reimbursement for virtual visits [ 2 ]. In 2020, many patients were afraid of COVID-19 exposure and canceled in-person appointments, and ambulatory practices had additional barriers [ 3 ].…”
Section: Introductionmentioning
confidence: 99%
“…The COVID-19 pandemic generated a rapid proliferation of telehealth as social workers and other health care providers attempted to maintain continuity and quality of services amidst stay-at-home orders, isolation of infected persons, quarantining of exposed persons, and social distancing (Adepoju et al, 2021;Meyer et al, 2020). The pandemic and its corresponding expansion of telehealth services resulted in disparate impacts across urban and rural communities, with rural communities suffering from the digital divide in access to technology due to limited broadband connectivity, scant community resources, and a larger population of aging residents who often have limited familiarity with technology (Funk, 2021;Lieneck et al, 2021;Meyer et al, 2020;Segal et al, 2021;Wilson et al, 2021).…”
mentioning
confidence: 99%