Provider reported value and use of virtual resources in extended primary care prior to and during COVID-19.

Autor: Haun JN; Research and Development Service, James A. Haley Veterans' Hospital and Clinics, 8900 Grand Oak Circle, Tampa, FL, 33637, USA.; College of Public Health, University of South Florida, 4202 E. Fowler Avenue, Tampa, FL, 33620, USA., Panaite V; Research and Development Service, James A. Haley Veterans' Hospital and Clinics, 8900 Grand Oak Circle, Tampa, FL, 33637, USA.; Department of Psychology, University of South Florida, 4202 E. Fowler Avenue, Tampa, FL, 33620, USA., Cotner BA; Research and Development Service, James A. Haley Veterans' Hospital and Clinics, 8900 Grand Oak Circle, Tampa, FL, 33637, USA.; Department of Anthropology, University of South Florida, 4202 E. Fowler Avenue, Tampa, FL, 33620, USA., Melillo C; Research and Development Service, James A. Haley Veterans' Hospital and Clinics, 8900 Grand Oak Circle, Tampa, FL, 33637, USA. Christine.Melillo@va.gov., Venkatachalam HH; Research and Development Service, James A. Haley Veterans' Hospital and Clinics, 8900 Grand Oak Circle, Tampa, FL, 33637, USA., Fowler CA; Research and Development Service, James A. Haley Veterans' Hospital and Clinics, 8900 Grand Oak Circle, Tampa, FL, 33637, USA.; Department of Psychiatry and Behavioral Neurosciences, University of South Florida, 4202 E. Fowler Avenue, Tampa, FL, 33620, USA., Zilka B; Primary Care, James A. Haley Veterans' Hospital and Clinics, 13000 Bruce B. Downs Boulevard, Tampa, FL, 33612, USA., Messina W; Ambulatory Care, James A. Haley Veterans' Hospital and Clinics, 13000 Bruce B. Downs Boulevard, Tampa, FL, 33612, USA.
Jazyk: angličtina
Zdroj: BMC health services research [BMC Health Serv Res] 2022 Nov 15; Vol. 22 (1), pp. 1353. Date of Electronic Publication: 2022 Nov 15.
DOI: 10.1186/s12913-022-08752-2
Abstrakt: Background: A proactive approach to delivering care using virtual resources, while reducing in-person contact, is needed during the COVID-19 pandemic.
Objective: In the current study we describe pre- to post- COVID-19 pandemic onset related changes in electronic delivery of primary care.
Methods: A longitudinal, pre-post within-subjects design was used. Patient-aligned care team providers from one VA medical center, a primary care annex, and four affiliated community-based outpatient clinics completed both a baseline and follow up survey (N = 62) or the follow-up survey only (N = 85). The follow-up survey contained questions about COVID-19.
Results: The majority of providers (88%) reported they would continue virtual care once pandemic restrictions were lifted. Most (83%) felt prepared to transition to virtual care when pandemic restrictions began. Use of My HealtheVet, Telehealth, and mobile apps showed a significant increase (22.7%; 31.1%; 48.5%). Barriers to virtual care included (1) internet connectivity; (2) patients' lack of technology comfort and skills; and (3) technical issues. Main supports to provide virtual care to patients were (1) peers/ colleagues; (2) technology support through help desk; (3) equipment such as laptops and dual screens; (4) being able to use doximety and virtual care manager, and (5) training.
Conclusions: Overall, provider-use and perceptions related to using virtual care improved over time. Providers adapted quickly to providing virtual care during COVID-19 and planned to provide virtual care long-term.
(© 2022. The Author(s).)
Databáze: MEDLINE
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