Assessing the Impact of Telemedicine Implementation in Diverse Health Care Systems

Health care organizations and systems can have a large impact on how extensively telemedicine and virtual visits are used by medical practices and individual clinicians. This supplemental issue of medical care aims to advance evidence about how health care organizations and systems can best support telemedicine and virtual visit implementation. This issue includes 10 empirical studies examining the impact of telemedicine on quality of care, utilization, and/or patient care experiences, of which 6 are studies of Kaiser Permanente patients; 3 are studies of Medicaid, Medicare, and community health center patients; and 1 is a study of PCORnet primary care practices. The Kaiser Permanente studies find that ancillary service orders resulting from telemedicine encounters were not placed as often as in-person encounters for urinary tract infections, neck, and back pain, but there were no significant changes in patient fulfillment of ordered antidepressant medications. Studies focused on diabetes care quality among community health center patients and Medicare and Medicaid beneficiaries highlight that telemedicine helped maintain continuity of primary care and diabetes care quality during the COVID-19 pandemic. The research findings collectively demonstrate high variation in telemedicine implementation across systems and the important role that telemedicine had in maintaining the quality of care and utilization for adults with chronic conditions when in-person care was less accessible

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• Virtually Perfect? Telemedicine for Covid-19

  Judd E Hollander, Brendan G Carr•New England Journal of Medicine•2020

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• Telemedicine Impact on the Patient–Provider Relationship in Primary Care During the Covid-19 Pandemic

  Katerina Andreadis, Kimberly Muellers et al.•Medical Care•2023

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• Disparities in Telemedicine Use Among Louisiana Medicaid Beneficiaries During the Covid-19 Pandemic

  Kevin Callison, Andrew Anderson et al.•Medical Care•2023

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• The Digital Divide and Patient Portals

  Ilana Graetz, Nancy P Gordon et al.•Medical Care•2016

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• Impact of Covid-19 on Trends in Outpatient Clinic Utilization

  Courtney E McCracken, Jennifer C Gander et al.•Medical Care•2023

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• Health-care–Related Practices in Virtual Behavioral Health Treatment for Major Depression Before and During the Covid-19 Pandemic

  Nancy S Weinfield, Heather M Tavel et al.•Medical Care•2023

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• Patient Factors Associated With Use of Adult Primary Care and Virtual Visits During the Covid-19 Pandemic

  Debra P Ritzwoller, Glenn W Goodrich et al.•Medical Care•2023

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