Papers, Surveys, and Studies
Check out the Alliance for Connected Care studies and polling website for more resources.
Ascension: (10/15) – Ascension released a white paper that outlines recommendations on what Congress, the Administration, states, and private payors can do to ensure patients have continued access to virtual care modalities going forward.
Commonwealth Fund: (10/15) – Researchers at Harvard University, the Commonwealth Fund, and Phreesia released updated data finding that for the first time since March, weekly outpatient visits in September and October returned and even slightly exceeded pre-pandemic levels. The report includes updated telemedicine charts, including on the use of telemedicine among medical specialties and across provider organizations.
Millbank Memorial Fund: (10/15) – Millbank released an issue brief on telebehavioral health, finding that telehealth is just as effective as in-person care for certain behavioral health conditions; telehealth is not harmful compared with in-person behavioral health care; and the cost of telebehavioral health care can be lower than in-person visits.
National Organization for Rare Disorder (NORD): (10/15) – NORD released a report on ensuring access to telehealth for rare diseases. Some of the major findings include: 70% of respondents would like the option of telehealth for medical appointments in the future; 88% of respondents who were offered a telehealth appointment during COVID accepted and 92% said it was a positive experience; 62% of patients have been prevented from attending work due to a rare disease and 26% of children have missed school as a result of their rare disease. Also, 39% of patients traveled at least 60 miles to receive medical care. The burden of travel is so great that 17% have moved or considered relocating to be closer to treatment to manage their condition long-term.
Wiley Online Library: (10/14) - A telemedicine pilot focused on genetics and metabolic patients aimed to increase patient access to care by easing the burdens of transportation, missed work, school disruption, and nosocomial exposure. The study found that pre-COVID-19, the demographics of our patients, and types of diagnoses seen in the genetics telemedicine program were very similar. Post-COVID-19 however, genetics telemedicine volumes rapidly increased. The study notes that challenges in the program included scheduling issues, technical problems, billing questions, and, most significantly, state licensure regulations.
American Academy of Physician Assistants: (10/10) – AAPA released a telemedicine data brief noting trends and implications of telemedicine use by physician assistants in June 2020. The brief finds that in June 2020, almost two in three PAs said they used telemedicine in their practice, an increase from the roughly one in 10 as of February 2020. Of those who reported that they were using telemedicine, more than 75% did not use it prior to the pandemic. Most PAs said they began using telemedicine in their practice to maintain social distancing for nonemergent visits (85.2%). About 7.2% of PAs are reported using it more than half of their time. While more than one third of PAs (36.2%) still do not use telemedicine in their practice, most of those nonusers (69.5%) said they are interested in telemedicine to some degree.
The Infectious Diseases Society of America: (10/9) – A policy paper by IDSA’s Telehealth & Emerging Technology (TET) Work Group was accepted for publication. The paper describes the digital divide, emphasizes the relevant to infectious diseases and HIV practice, underscore the need to study the issue and develop interventions to mitigate its impact and provide suggestions for optimizing telemedicine in ID and HIV clinics.
American Society of Clinical Oncology: (10/7) – A survey published last week examined patients’ and physicians’ experience with telemedicine at Houston Methodist Cancer Center during the COVID-19 pandemic. Among 1477 patients who participated in a telemedicine visit, the majority (92.6%) were satisfied. Patients felt their clinician addressed their concerns (96.8%) with satisfactory quality (96.7%) and adequate privacy (97.1%). Most patients (73.2%) reported they would choose telemedicine in the future and 65.2% of clinicians were satisfied with the telemedicine experience.