| Autor: |
Schifeling, Christopher H, Shanbhag, Prajakta, Johnson, Angene, Atwater, Riannon C, Koljack, Claire, Parnes, Bennett L, Vejar, Maria M, Farro, Samantha A, Phimphasone-Brady, Phoutdavone, Lum, Hillary D |
| Jazyk: |
angličtina |
| Rok vydání: |
2020 |
| Předmět: |
|
| Zdroj: |
JMIR Aging, Vol 3, Iss 2, p e23176 (2020) |
| Druh dokumentu: |
article |
| ISSN: |
2561-7605 |
| DOI: |
10.2196/23176 |
| Popis: |
BackgroundTelephone and video telemedicine appointments have been a crucial service delivery method during the COVID-19 pandemic for maintaining access to health care without increasing the risk of exposure. Although studies conducted prior to the pandemic have suggested that telemedicine is an acceptable format for older adults, there is a paucity of data on the practical implementation of telemedicine visits. Due to prior lack of reimbursement for telemedicine visits involving nonrural patients, no studies have compared telephone visits to video visits in geriatric primary care. ObjectiveThis study aimed to determine (1) whether video visits had longer durations, more visit diagnoses, and more advance care planning discussions than telephone visits during the rapid implementation of telemedicine in the COVID-19 pandemic, and (2) whether disparities in visit type existed based on patient characteristics. MethodsWe conducted a retrospective, cross-sectional analysis of patients seen at two geriatric clinics from April 23 to May 22, 2020. Approximately 25% of patients who had telephone and video appointments during this time underwent chart review. We analyzed patient characteristics, visit characteristics, duration of visits, number of visit diagnoses, and the presence of advance care planning discussion in clinical documentation. ResultsOf the 190 appointments reviewed, 47.4% (n=90) were video visits. Compared to telephone appointments, videoconferencing was, on average, 7 minutes longer (mean 37.3 minutes, SD 10 minutes; P |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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