Clinician experience with telemedicine at a safety-net hospital network during COVID-19: a cross-sectional survey
| Autor: | Anjana E. Sharma, Elaine C. Khoong, Malini A. Nijagal, Courtney R. Lyles, George Su, Triveni DeFries, Urmimala Sarkar, Delphine Tuot |
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| Rok vydání: | 2021 |
| Předmět: |
Response rate (survey)
health care delivery Telemedicine business.industry Cross-sectional study Safety net Public Health Environmental and Occupational Health Specialty Health Services medicine.disease Good Health and Well Being ambulatory care Clinical Research Pandemic Ambulatory Health care Public Health and Health Services Medicine Medical emergency Public Health business safety-net hospitals healthcare delivery vulnerable populations |
| Zdroj: | Journal of health care for the poor and underserved, vol 32, iss 2 Suppl JOURNAL OF HEALTH CARE FOR THE POOR AND UNDERSERVED, vol 32, iss 2 |
| Popis: | Objective. The COVID-19 pandemic prompted unprecedented expansion of telemedicine services. We sought to describe clinician experiences providing telemedicine to publiclyinsured, lowincome patients during COVID-19. Methods. Online survey of ambulatory clinicians in an urban safetynet hospital system, conducted May 28, 2020–July 14, 2020. Results. Among 311 participants (response rate 48.3%), 34.7% (n=108/311) practiced in primary/urgent care, 37.0% (n=115/311) medical specialty, and 7.7% (n=24/311) surgical clinics. A large majority (87.8%, 273/311) had conducted telephone visits, 26.0% (81/311) video. Participants reported observing both technical and nontechnical patient barriers. Clinicians reported concerns about the diagnostic safety of telephone (58.9%, 129/219) vs. video (35.3%, 24/68). However, clinician comfort with telemedicine was high for telephone (89.3%, 216/242) and for video (91.0%, 61/67), with many clinicians (92.1%, 220/239 telephone;90.9%, 60/66 video) planning to continue telemedicine after COVID-19. Conclusions. Clinicians in a safetynet health care system report great comfort with and intention to continue telemedicine after the pandemic, despite safety concerns and patient challenges. |
| Databáze: | OpenAIRE |
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