Public and Research Interest in Telemedicine From 2017 to 2022: Infodemiology Study of Google Trends Data and Bibliometric Analysis of Scientific Literature

Journal of Medical Internet Research, Journal Year: 2024, Volume and Issue: 26, P. e50088 - e50088

Published: Jan. 3, 2024

Telemedicine offers a multitude of potential advantages, such as enhanced health care accessibility, cost reduction, and improved patient outcomes. The significance telemedicine has been underscored by the COVID-19 pandemic, it plays crucial role in maintaining uninterrupted while minimizing risk viral exposure. However, adoption implementation have relatively sluggish certain areas. Assessing level interest can provide valuable insights into areas that require enhancement.

Language: Английский

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Patterns of Telemedicine Use in Primary Care for People with Dementia in the Post-pandemic Period

Journal of General Internal Medicine, Journal Year: 2024, Volume and Issue: 39(15), P. 2895 - 2903

Published: July 24, 2024

Abstract Background The pandemic rapidly expanded telemedicine, which has persisted as a widely available primary care modality. uptake of telemedicine among people with dementia specifically in the setting, who have more complex needs but also benefit from accessible care, is unknown. Objective Among dementia, assess telemedicine-based post-pandemic period and determine associations key socio-demographic characteristics. Design Retrospective observational study. Subjects People at UCSF Kaiser Permanente Northern CA (KPNC) least one encounter pre- (3/1/2019-2/29/2020) or post-COVID (3/1/2021-2/28/2022) periods, sample: N = 419 individuals (UCSF), =18,037 (KPNC). Main Measures Encounter modality: in-person, video telephone telemedicine. Focal characteristics: age, limited English proficiency, socioeconomic status, driving distance to clinic, caregiver encounter. Key Results There was large increase both sites. At KPNC, those only in-person visits shrunk 60.47% (pre) 26.95% (post). UCSF, change even greater: 98.99% 35.08%. Across sites, measure significantly associated use greater home clinic. over age 90 were most likely while patients proficiency used lower levels. relationships similar not statistically significant. Conclusions Telemedicine high for setting period. Those longer drives clinic oldest due challenges traveling appointments. Still, all equally—particularly proficiency.

Language: Английский

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The Impact of Introducing a Temporary Telemedicine Policy on Primary Care Visits: An Analysis of National Claims Data in South Korea

Telemedicine Journal and e-Health, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 21, 2025

Background: This study evaluates the impact of temporary telemedicine implementation on primary care visits, which surged during COVID-19 pandemic in South Korea. Methods: was conducted using national claims data from February 24, 2020 to 23, 2021. The included 1,926,300 patients with acute mild respiratory diseases and 1,031,174 gastrointestinal diseases. compared medication prescriptions, follow-up visit patterns, safety outcomes, including admissions emergency departments (EDs), general wards (GWs), intensive units (ICUs), between in-person visits. Results: Telemedicine linked higher prescription rates for both conditions, levels antibiotics use, longer durations. Patients who had an initial consultation were more likely have within 1 day. Conversely, those inclined use their early second There no significant differences ED or ICU admissions, except a slight increase GW conditions. Conclusion: can effectively complement conditions without compromising patient safety, suggesting its potential broader integration into care. Further studies are recommended optimize address any long-term impacts health delivery.

Language: Английский

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Unveiling Preferences in Closed Communities: Development of a Discrete Choice Experiment (DCE) Questionnaire to Elicit Ultra-Orthodox Women Preferences for Video Consultations in Primary Care

Patient, Journal Year: 2025, Volume and Issue: unknown

Published: March 11, 2025

Video consultations in primary care settings demonstrate substantial benefits, including improved accessibility, reduced waiting times, and enhanced health management. These services could particularly benefit ultra-Orthodox women Israel, who typically manage large families face unique healthcare access challenges as caregivers. However, eliciting preferences within this closed religious community presents distinct methodological because of cultural sensitivities restrictions regarding technology use. We aimed to develop validate a culturally sensitive, discrete choice experiment questionnaire for women's video versus in-clinic settings. A three-stage mixed-methods approach was employed: (1) 33 semi-structured interviews with key stakeholders (women, men, rabbis, providers) identify attributes levels; (2) an attribute-ranking exercise 88 refine attributes; (3) cognitive 15 the questionnaire. Four emerged most important when choosing between consultations: consultation timing (regular hours/after 20:00); travel time; (4) familiarity provider. Importantly, study revealed necessity dedicated device exclusively provider communication, open Internet networks, fundamental prerequisite implementing community. Additional findings through process, contributing understanding technological adoption patients' communities. This provides comprehensive example pre-discrete stages while addressing considerations special population. The provide framework developing inclusive telemedicine traditionally underserved populations.

Language: Английский

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Assessing the Impact of Telemedicine Interventions on Health Care Costs and Utilization: A Scoping Review

Telemedicine Journal and e-Health, Journal Year: 2025, Volume and Issue: unknown

Published: April 11, 2025

Background: The impact of telemedicine on health care costs and utilization has not been comprehensively assessed across diverse settings. This scoping review aimed to explore these impacts, focusing the variations in intervention types. Methods: A literature search followed Preferred Reporting Items for Systematic Reviews Meta-Analyses Extension Scoping guidelines, covering last 10 years PubMed/Medline, Web Science, Scopus. Population, Intervention, Comparison, Outcome framework was employed define population (patients), (telemedicine/telehealth), comparator (standard or pre-telemedicine), outcomes (health utilization). Both randomized controlled trials observational studies were included search. focused specifically institutions hospitals as level inquiry. Telemedicine interventions characterized using TOAST framework's six layers, while four phases process (prevention, diagnosis, treatment, recovery) incorporated further contextualize interventions. Studies synthesized presented tables figures provide an organized summary findings. Results: From 4,454 articles, 14 met inclusion criteria, with 12 examining seven utilization. Six reported significant cost reductions compared standard care. In utilization, out showed improvements. Conclusion: indicates that may reduce enhance resource during treatment phase traditional in-person visits.

Language: Английский

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Telemedicine visits requiring follow-up in-person visits at an urban academic family medicine centre

Family Practice, Journal Year: 2024, Volume and Issue: 41(2), P. 105 - 113

Published: Feb. 21, 2024

With the onset of COVID-19 pandemic, telemedicine was rapidly implemented in care settings globally. To understand what factors affect successful completion visits our urban, academic family medicine clinic setting, we analysed carried out during pandemic.

Language: Английский

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Lessons From the Field From a Volunteer Telehealth Ambassador Program to Enhance Video Visits Among Low-Income Patients: Qualitative Improvement Study

JMIR Formative Research, Journal Year: 2024, Volume and Issue: 8, P. e49993 - e49993

Published: Feb. 21, 2024

The prevalence of telehealth video use across the United States is uneven, with low uptake in safety-net health care delivery systems, which for patient populations who face barriers to using digital technologies.

Language: Английский

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Health Care Utilization With Telemedicine and In-Person Visits in Pediatric Primary Care

JAMA Health Forum, Journal Year: 2024, Volume and Issue: 5(11), P. e244156 - e244156

Published: Nov. 22, 2024

Importance Telemedicine is an increasingly used yet understudied vehicle to deliver pediatric primary care. Evidence detailing downstream health care utilization after telemedicine visits needed. Objective To compare conducted via (video or telephone) with in-person office regard physician medication prescribing and imaging laboratory ordering follow-up visits, emergency department (ED) hospitalizations. Design, Setting, Participants This cohort study included all patients younger than 18 years who had scheduled appointments a pediatrician from January 1 December 31, 2022, in the Kaiser Permanente Northern California system, large integrated delivery system offering video telephone for Exposure Pediatric visit, visit. Main Outcome Measures Rates of during index visit rates ED hospitalizations within 7 days adjusted patient clinical characteristics. Results Of 782 596 total (51.1% male) among 438 638 patients, was 332 153 (42.4%). After adjustment, there more (39.8%) compared (29.5%; difference, −10.3%; 95% CI, −10.6% −10.0%) (27.3%; −12.5%; −12.5% −12.7%). There also (24.6%) (7.8%; −16.8%; −17.0% −16.6%) (8.5%; −16.2%; −16.3% −16.0%). (8.5%) (4.0%; −4.5%; −4.6% −4.4%) (3.5%; −5.0%; −5.1% −4.9%). fewer follow up occurred that were (4.3%) (14.4%; 10.1%; 9.9%-10.3%) (15.1%; 10.8%; 10.7%-11.0%) visits. The rate following slightly lower (1.75%) (2.04%; 0.29%; 0.21%-0.38%) (2.00%; 0.25%; 0.18%-0.33%). no statistically significant difference 7-day Conclusions Relevance In this study, associated less modestly higher subsequent appears be useful population, although it not universal substitute

Language: Английский

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Assessing the Impact of Telemedicine Interventions on Health Care Costs and Utilization: A Scoping Review (Preprint)

Published: Feb. 15, 2024

The utilization of telemedicine has increased notably since the onset pandemic. Understanding influence on health care costs and can contribute to monitoring evaluation programs. This scoping review aimed document potential impact across diverse contexts offer a summary statistical methodological approaches employed in assessing utilization. A literature search was conducted accordance with Preferred Reporting Items for Systematic Reviews Meta-Analyses (PRISMA) Extension Scoping guidelines, spanning last 10 years 3 electronic databases: PubMed/Medline, Web Science, Scopus. strategy PICO criteria; patients were defined as target population; telehealth or intervention; standard before-and-after self-comparison comparison, outcome measures. Additionally, six different structural layers TOAST framework services utilized characterize interventions. findings synthesized are presented tables figures clarity. Out total 4,454 identified articles, 14 selected review, approximately 36% (n=5) focusing chronic conditions. delivery modalities included telephone call, videoconference, web portal, smartphone applications, mainly teleconsultation, telemonitoring, teletherapy clinicians nursing support team involvement. Approximately 86% studies face-to-face clinical visits control group. Six out 12 evaluating four seven revealed statistically significant improvements compared In addition, 43% univariate multivariable analyses, half incorporating adjusted analyses confounding variables. Our suggested that, treatment phase, visits, decrease optimally utilize resources. regression model most commonly used approach telemedicine.

Language: Английский

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Advancing Primary Care Access: Exploring the Impact of the Virtual Waiting Room on the Quadruple Aim

Journal of General Internal Medicine, Journal Year: 2024, Volume and Issue: 39(12), P. 2343 - 2346

Published: June 17, 2024

Language: Английский

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