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Impact of Telemedicine Modality on Quality Metrics in Diverse Settings: Implementation Science–Informed Retrospective Cohort Study
BACKGROUND: Video-based telemedicine (vs audio only) is less frequently used in diverse, low socioeconomic status settings. Few prior studies have evaluated the impact of telemedicine modality (ie, video vs audio-only visits) on clinical quality metrics. OBJECTIVE: The aim of this study was to asses...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
JMIR Publications
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10413089/ https://www.ncbi.nlm.nih.gov/pubmed/37494087 http://dx.doi.org/10.2196/47670 |
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author | Rome, Danielle Sales, Alyssa Cornelius, Talea Malhotra, Sujata Singer, Jessica Ye, Siqin Moise, Nathalie |
author_facet | Rome, Danielle Sales, Alyssa Cornelius, Talea Malhotra, Sujata Singer, Jessica Ye, Siqin Moise, Nathalie |
author_sort | Rome, Danielle |
collection | PubMed |
description | BACKGROUND: Video-based telemedicine (vs audio only) is less frequently used in diverse, low socioeconomic status settings. Few prior studies have evaluated the impact of telemedicine modality (ie, video vs audio-only visits) on clinical quality metrics. OBJECTIVE: The aim of this study was to assess telemedicine uptake and impact of visit modality (in-person vs video and phone visits) on primary care quality metrics in diverse, low socioeconomic status settings through an implementation science lens. METHODS: Informed by the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework, we evaluated telemedicine uptake, assessed targeted primary care quality metrics by visit modality, and described provider-level qualitative feedback on barriers and facilitators to telemedicine implementation. RESULTS: We found marginally better quality metrics (ie, blood pressure and depression screening) for in-person care versus video and phone visits; de-adoption of telemedicine was marked within 2 years in our population. CONCLUSIONS: Following the widespread implementation of telemedicine during the COVID-19 pandemic, the impact of visit modality on quality outcomes, provider and patient preferences, as well as technological barriers in historically marginalized settings should be considered. |
format | Online Article Text |
id | pubmed-10413089 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | JMIR Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-104130892023-08-11 Impact of Telemedicine Modality on Quality Metrics in Diverse Settings: Implementation Science–Informed Retrospective Cohort Study Rome, Danielle Sales, Alyssa Cornelius, Talea Malhotra, Sujata Singer, Jessica Ye, Siqin Moise, Nathalie J Med Internet Res Short Paper BACKGROUND: Video-based telemedicine (vs audio only) is less frequently used in diverse, low socioeconomic status settings. Few prior studies have evaluated the impact of telemedicine modality (ie, video vs audio-only visits) on clinical quality metrics. OBJECTIVE: The aim of this study was to assess telemedicine uptake and impact of visit modality (in-person vs video and phone visits) on primary care quality metrics in diverse, low socioeconomic status settings through an implementation science lens. METHODS: Informed by the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework, we evaluated telemedicine uptake, assessed targeted primary care quality metrics by visit modality, and described provider-level qualitative feedback on barriers and facilitators to telemedicine implementation. RESULTS: We found marginally better quality metrics (ie, blood pressure and depression screening) for in-person care versus video and phone visits; de-adoption of telemedicine was marked within 2 years in our population. CONCLUSIONS: Following the widespread implementation of telemedicine during the COVID-19 pandemic, the impact of visit modality on quality outcomes, provider and patient preferences, as well as technological barriers in historically marginalized settings should be considered. JMIR Publications 2023-07-26 /pmc/articles/PMC10413089/ /pubmed/37494087 http://dx.doi.org/10.2196/47670 Text en ©Danielle Rome, Alyssa Sales, Talea Cornelius, Sujata Malhotra, Jessica Singer, Siqin Ye, Nathalie Moise. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 26.07.2023. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on https://www.jmir.org/, as well as this copyright and license information must be included. |
spellingShingle | Short Paper Rome, Danielle Sales, Alyssa Cornelius, Talea Malhotra, Sujata Singer, Jessica Ye, Siqin Moise, Nathalie Impact of Telemedicine Modality on Quality Metrics in Diverse Settings: Implementation Science–Informed Retrospective Cohort Study |
title | Impact of Telemedicine Modality on Quality Metrics in Diverse Settings: Implementation Science–Informed Retrospective Cohort Study |
title_full | Impact of Telemedicine Modality on Quality Metrics in Diverse Settings: Implementation Science–Informed Retrospective Cohort Study |
title_fullStr | Impact of Telemedicine Modality on Quality Metrics in Diverse Settings: Implementation Science–Informed Retrospective Cohort Study |
title_full_unstemmed | Impact of Telemedicine Modality on Quality Metrics in Diverse Settings: Implementation Science–Informed Retrospective Cohort Study |
title_short | Impact of Telemedicine Modality on Quality Metrics in Diverse Settings: Implementation Science–Informed Retrospective Cohort Study |
title_sort | impact of telemedicine modality on quality metrics in diverse settings: implementation science–informed retrospective cohort study |
topic | Short Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10413089/ https://www.ncbi.nlm.nih.gov/pubmed/37494087 http://dx.doi.org/10.2196/47670 |
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