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Patients and Provider Experiences with Telemedicine for Follow-up Care in Military Settings. 在军事环境中远程医疗随访护理的患者和提供者经验。
IF 1.6
Telemedicine reports Pub Date : 2025-08-27 eCollection Date: 2025-01-01 DOI: 10.1177/26924366251372619
Vahe Heboyan, Gianluca De Leo
{"title":"Patients and Provider Experiences with Telemedicine for Follow-up Care in Military Settings.","authors":"Vahe Heboyan, Gianluca De Leo","doi":"10.1177/26924366251372619","DOIUrl":"10.1177/26924366251372619","url":null,"abstract":"<p><strong>Background: </strong>Telemedicine offers patients and physicians the opportunity to advance health care delivery to active duty and retired military personnel. Assessing the efficacy and feasibility of performing post-surgery follow-up assessment through telemedicine at a large military hospital, while examining patient and provider experience and satisfaction with the telemedicine follow-up visit and estimating patients' willingness-to-use and willingness-to-pay for telemedicine consultations may help to shape the future use of telemedicine in the military settings.</p><p><strong>Methods: </strong>We administered surveys to 96 unique patients who agreed to perform a follow-up telemedicine visit, rather than a traditional face-to-face visit, after undergoing a minor surgery at a large army military hospital in the southeast region of the United States. We also administered a survey to six physicians.</p><p><strong>Results: </strong>Most of the patients strongly agreed (86.5%) or somewhat agreed (10.8%) that their medical problems were adequately addressed during the telemedicine visit. Most physicians were either satisfied (7.5%) or extremely satisfied (75.5%) with the overall experience. Less than half of the patients were willing to use a similar telemedicine visit for a fee in the future and only two patients were willing to pay $100 for such visit.</p><p><strong>Conclusion: </strong>After minor surgery, follow-up telemedicine visits may be an effective, efficient, and convenient alternative to face-to-face visits for active duty and retired military personnel.</p>","PeriodicalId":94218,"journal":{"name":"Telemedicine reports","volume":"6 1","pages":"220-227"},"PeriodicalIF":1.6,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12411896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145017017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Asynchronous Teledermatology for Non-Scarring Alopecia: A Retrospective Study. 非瘢痕性脱发的异步远程皮肤科:回顾性研究。
IF 1.6
Telemedicine reports Pub Date : 2025-08-11 eCollection Date: 2025-01-01 DOI: 10.1177/26924366251366793
Aliyyat Afolabi, Elijah Brown, Edra K Ha, Joseph C English
{"title":"Asynchronous Teledermatology for Non-Scarring Alopecia: A Retrospective Study.","authors":"Aliyyat Afolabi, Elijah Brown, Edra K Ha, Joseph C English","doi":"10.1177/26924366251366793","DOIUrl":"10.1177/26924366251366793","url":null,"abstract":"<p><strong>Background: </strong>Non-scarring alopecia, including androgenetic alopecia (AGA), alopecia areata (AA), telogen effluvium (TE), and traction alopecia (TA), significantly impacts psychosocial well-being. Access to specialized dermatologic care for these conditions is often limited, particularly in underserved populations. Asynchronous teledermatology has emerged as a potential solution to extend care to these groups.</p><p><strong>Objective: </strong>To evaluate the diagnostic utility and treatment patterns of asynchronous teledermatology for non-scarring alopecia and examine its role in improving care access across diverse populations within the University of Pittsburgh Medical Center (UPMC) network.</p><p><strong>Methods: </strong>A retrospective study of 321 asynchronous teledermatology cases of non-scarring alopecia from 2022 to 2023 was conducted using the UPMC medical record system. Diagnosist, treatment type, and demographic data were analyzed. Longitudinal outcomes and adherence data were not consistently available.</p><p><strong>Results: </strong>AA was the most common diagnosis (59.5%), followed by AGA (26.5%), TE (7.5%), and TA (5.0%). A definitive diagnosis was made remotely in 91.3% of cases; only 8.7% required in-person follow-up. Treatment included over-the-counter therapies such as minoxidil and clobetasol, with prescription medications used for moderate to severe cases. Racial demographics reflected high engagement from Black (22.7%) and Asian (12.9%) patients, with 41.7% of patients residing outside Pittsburgh.</p><p><strong>Conclusion: </strong>Asynchronous teledermatology is an effective tool for diagnosing and managing non-scarring alopecia, facilitating timely intervention and improving access to dermatologic care. Future studies should access patient satisfaction, long-term outcomes, and implementation strategies to further expand equitable teledermatology access.</p>","PeriodicalId":94218,"journal":{"name":"Telemedicine reports","volume":"6 1","pages":"216-219"},"PeriodicalIF":1.6,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12411893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145017024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Systematic Review of Surveys Used to Evaluate Patient and Provider Perspectives on Teleophthalmology. 用于评估患者和提供者对远视医学观点的调查的系统回顾。
IF 1.6
Telemedicine reports Pub Date : 2025-08-11 eCollection Date: 2025-01-01 DOI: 10.1177/26924366251365510
Teresa E Fowler, Gianluca De Leo
{"title":"Systematic Review of Surveys Used to Evaluate Patient and Provider Perspectives on Teleophthalmology.","authors":"Teresa E Fowler, Gianluca De Leo","doi":"10.1177/26924366251365510","DOIUrl":"10.1177/26924366251365510","url":null,"abstract":"<p><strong>Background: </strong>Telemedicine has become an important mechanism for delivering health care in the wake of the COVID-19 pandemic. While some medical subspecialties were able to rapidly integrate telecare into their workflow, ophthalmology is one field in which telemedicine has not been as widely adopted. In this systematic review, we analyze published studies assessing patient and provider viewpoints on telemedicine for eye care. Our aim is to understand how adoption of teleophthalmology is being studied and whether definitive conclusions regarding patient and provider perspectives on telecare can be drawn from published literature.</p><p><strong>Methods: </strong>We performed a systematic PubMed search for studies utilizing surveys to assess patient and provider perspectives regarding remote eye care. Articles were excluded if they were irrelevant to teleophthalmology, did not assess patient or eye care provider perspectives regarding teleophthalmology, assessed specific platforms or aspects of eye care, were reviews without primary data, or if the survey used was not available. The questionnaires from the included articles were analyzed for validation status, subspecialty, question wording, and response format.</p><p><strong>Results: </strong>The PubMed search returned 92 articles, 22 of which were included in the final dataset after exclusions. Only four studies utilized externally validated questionnaires, although several additional studies were based on validated items. Survey length, wording, and response formatting varied across the studies. These 22 studies contained responses from 3,796 patients and 2,388 eye care professionals, but the lack of standardization between the surveys makes high power conclusions impossible.</p><p><strong>Discussion: </strong>The results of this review demonstrate a need to develop a standardized and validated survey instrument specifically for assessing teleophthalmology to identify barriers to widespread implementation.</p>","PeriodicalId":94218,"journal":{"name":"Telemedicine reports","volume":"6 1","pages":"195-215"},"PeriodicalIF":1.6,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12411898/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145017083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Asynchronous Teledermatology Reduces Wait Times and Maintains High Adherence to Standard Care for Lichen Planus: A Retrospective Study. 一项回顾性研究:异步远程皮肤科减少了等待时间并保持了对扁平苔藓标准护理的高度依从性。
IF 1.6
Telemedicine reports Pub Date : 2025-07-24 eCollection Date: 2025-01-01 DOI: 10.1177/26924366251361365
Taylor L Duffy, Joseph C English
{"title":"Asynchronous Teledermatology Reduces Wait Times and Maintains High Adherence to Standard Care for Lichen Planus: A Retrospective Study.","authors":"Taylor L Duffy, Joseph C English","doi":"10.1177/26924366251361365","DOIUrl":"10.1177/26924366251361365","url":null,"abstract":"<p><strong>Background: </strong>Lichen planus (LP) is a chronic inflammatory dermatosis with limited teledermatology data guiding its management.</p><p><strong>Objective: </strong>To assess whether asynchronous teledermatology provides timely, guideline-adherent LP care comparable to in-person visits.</p><p><strong>Methods: </strong>A retrospective study of 102 LP patients seen via asynchronous teledermatology (<i>n</i> = 45) or in-person (<i>n</i> = 57) from 2020 to 2024. Variables included demographics, response time, diagnostic concordance, treatment, and follow-up compliance.</p><p><strong>Results: </strong>Teledermatology provided rapid access (mean response time: 15 h) to dermatologic care. Diagnostic concordance between teledermatologists and in-person dermatologists was high (90.5%), while concordance with primary care providers was lower (18.5%, <i>p</i> < 0.001). Teledermatologists followed LP care standards, including hepatitis C virus screening (91.1%) and topical corticosteroid initiation (90%). Black patients used eVisits more frequently than in-person care (38.9% vs. 8.8%, <i>p</i> < 0.01), and follow-up compliance was lower among asynchronous patients (57.8% vs. 92.7%, <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Asynchronous teledermatology enables timely, high-quality LP care. However, strategies to improve follow-up are needed, particularly for younger teledermatology patients.</p>","PeriodicalId":94218,"journal":{"name":"Telemedicine reports","volume":"6 1","pages":"179-184"},"PeriodicalIF":1.6,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12411894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145017103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Opportunities and Barriers in Telerehabilitation for Coronary Bypass Patients: A Case Study from the Faroe Islands. 冠状动脉搭桥病人远程康复的机会和障碍:来自法罗群岛的案例研究。
IF 1.6
Telemedicine reports Pub Date : 2025-07-24 eCollection Date: 2025-01-01 DOI: 10.1177/26924366251362187
Bertil Christian Pløen Sivertsson, Alex Voss Gartner, Tetsuya Takahashi, Pernille Heyckendorff Secher
{"title":"Opportunities and Barriers in Telerehabilitation for Coronary Bypass Patients: A Case Study from the Faroe Islands.","authors":"Bertil Christian Pløen Sivertsson, Alex Voss Gartner, Tetsuya Takahashi, Pernille Heyckendorff Secher","doi":"10.1177/26924366251362187","DOIUrl":"10.1177/26924366251362187","url":null,"abstract":"<p><strong>Introduction: </strong>Cardiovascular disease is a leading global cause of death, with coronary artery disease often requiring coronary artery bypass grafting (CABG). Inadequate rehabilitation increases health risks and costs, and low adherence to center-based rehabilitation has prompted interest in telerehabilitation. Despite technological advances, the global implementation of telerehabilitation for CABG patients remains underexplored. This study investigates factors influencing the implementation of a telerehabilitation device for CABG patients in the Faroe Islands.</p><p><strong>Materials and methods: </strong>A qualitative case study design was used to identify factors influencing the b-near® system implementation at Suðuroy Hospital in the Faroe Islands. Data collection involved document materials, direct nonparticipant observations, and semi-structured interviews with seven participants. Analysis with NVivo followed principles by Kvale and Brinkmann and the Normalization Process Theory.</p><p><strong>Results: </strong>The case study identified both opportunities and barriers. At Suðuroy Hospital, the b-near system enhances training and communication between health care providers and patients, is easy for patients to manage, and eliminates the need for hospital transportation. However, barriers such as reduced social interaction and potential difficulties in understanding training audio were also revealed.</p><p><strong>Discussion: </strong>Several factors were identified, highlighting the importance of integrating these findings into Suðuroy Hospital's implementation strategy. Overcoming barriers is crucial for the successful use of the b-near system and improved patient care. Further evaluation of the b-near system and similar devices in diverse health care settings is necessary to enhance patient outcomes and support broader implementation.</p>","PeriodicalId":94218,"journal":{"name":"Telemedicine reports","volume":"6 1","pages":"185-194"},"PeriodicalIF":1.6,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12411902/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145017069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quantifying the Pro-Environmental Impacts of Telehealth Tobacco Treatment. 量化远程医疗烟草治疗对环境的影响。
IF 1.5
Telemedicine reports Pub Date : 2025-06-24 eCollection Date: 2025-01-01 DOI: 10.1089/tmr.2025.0019
Sohayla Eldeeb, Amy Chieng, Cindy Tran Xu, Judith J Prochaska
{"title":"Quantifying the Pro-Environmental Impacts of Telehealth Tobacco Treatment.","authors":"Sohayla Eldeeb, Amy Chieng, Cindy Tran Xu, Judith J Prochaska","doi":"10.1089/tmr.2025.0019","DOIUrl":"10.1089/tmr.2025.0019","url":null,"abstract":"<p><strong>Introduction: </strong>Greenhouse gas (GHG) emissions trap in heat responsible for global warming. Stanford Tobacco Treatment Service uses telehealth for patient care.</p><p><strong>Methods: </strong>To quantify the environmental benefits of the clinic, data were abstracted from the electronic health record between March 17, 2020, and September 20, 2022. Round trip distances from address zip code to clinic were calculated to quantify GHG. Reductions in cigarettes from baseline to 24-month follow up were analyzed.</p><p><strong>Results: </strong>The sample of 556 patients averaged 2 sessions and 156.8 miles per round trip, saving 148.8 kg of GHG emissions per patient. Ninety-four patients had tobacco usage data at both timepoints; 83 (88%) used cigarettes and had an average decrease of 5.5 cigarettes per day.</p><p><strong>Conclusions: </strong>Applying findings to the 1,820 patients treated, the clinic has averted 271 metric tons of GHG travel emissions via telehealth; equivalent to 693,101 miles driven. Investing in telehealth tobacco cessation can prevent illnesses, health care expenditures, and environmental hazards.</p>","PeriodicalId":94218,"journal":{"name":"Telemedicine reports","volume":"6 1","pages":"171-178"},"PeriodicalIF":1.5,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12235117/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144593234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Demographics, Comorbidities, and Care-Seeking Intent Among Individuals with Obesity or Overweight Status Using Outpatient AI-Based Virtual Triage. 使用基于人工智能的门诊虚拟分诊:肥胖或超重个体的人口统计学、合并症和求医意向
IF 1.5
Telemedicine reports Pub Date : 2025-05-22 eCollection Date: 2025-01-01 DOI: 10.1089/tmr.2025.0024
George A Gellert, Anna Nowicka, Maria Marecka, Gabriel L Gellert, Tim Price
{"title":"Demographics, Comorbidities, and Care-Seeking Intent Among Individuals with Obesity or Overweight Status Using Outpatient AI-Based Virtual Triage.","authors":"George A Gellert, Anna Nowicka, Maria Marecka, Gabriel L Gellert, Tim Price","doi":"10.1089/tmr.2025.0024","DOIUrl":"10.1089/tmr.2025.0024","url":null,"abstract":"<p><strong>Objective: </strong>Compared with persons with normal body mass index (BMI), examine the profile and health care-seeking intent of individuals with obesity/overweight status engaging outpatient artificial intelligence-based virtual triage and care referral (VTCR).</p><p><strong>Methods: </strong>VTCR encounters of patients with high and normal BMI were compared over a 56-month period to assess differences in demographics, clinical risks, symptoms, conditions, triage recommendations, and care intent.</p><p><strong>Results: </strong>In 7,222,363 encounters, 29.6% of patients reported having obesity/overweight status, increasing with age and peaking at 45-59 years (46.4%). Mean age for the high BMI group was 35.2 years and 28.7 years in the normal BMI group. Patients with obesity/overweight status reported noncommunicable diseases twice as frequently, including hypertension (relative risk [RR] 2.6), hypercholesterolemia (RR 2.4), diabetes mellitus (RR 2.4), and asthma (RR 1.4) (<i>p</i> < 0.05). The group of individuals with obesity/overweight status frequently reported musculoskeletal disorders and gastroesophageal reflux, chronic fatigue symptoms, and were up to four times more likely to have hypertension, obstructive sleep apnea, chronic renal disease, chronic heart failure, cholecystolithiasis, and peripheral vascular disease (<i>p</i> < 0.05). Patients with high BMI were slightly more likely to receive triage recommendations for urgent outpatient consultation or emergency department evaluation. Over one-third of patients were uncertain about the appropriate level of care to engage, but this decreased by half (56.6%) following VTCR in both groups.</p><p><strong>Conclusions: </strong>VTCR effectively identified individuals with high BMI and their associated comorbidities. The results suggest that patients with obesity/overweight status utilize health care services at higher rates. VTCR holds promise as a valuable patient engagement, screening, early diagnosis, and health monitoring tool in managing obesity/overweight status in populations.</p>","PeriodicalId":94218,"journal":{"name":"Telemedicine reports","volume":"6 1","pages":"139-147"},"PeriodicalIF":1.5,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12235118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144593230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Inter-Country Doctor-to-Doctor Telemedicine Conferences/Consultations Following COVID-19: A Survey of the National University Hospital Council of Japan. COVID-19后国家间医生对医生远程医疗会议/会诊:日本国立大学医院委员会调查
IF 1.5
Telemedicine reports Pub Date : 2025-05-20 eCollection Date: 2025-01-01 DOI: 10.1089/tmr.2025.0015
Kuriko Kudo, Yukiko Hisada, Shintaro Ueda, Makoto Kikukawa, Naoki Nakashima, Tomohiko Moriyama
{"title":"Inter-Country Doctor-to-Doctor Telemedicine Conferences/Consultations Following COVID-19: A Survey of the National University Hospital Council of Japan.","authors":"Kuriko Kudo, Yukiko Hisada, Shintaro Ueda, Makoto Kikukawa, Naoki Nakashima, Tomohiko Moriyama","doi":"10.1089/tmr.2025.0015","DOIUrl":"10.1089/tmr.2025.0015","url":null,"abstract":"<p><strong>Background: </strong>The coronavirus disease 2019 (COVID-19) pandemic has led to the worldwide development of information and communications technology and the widespread use of domestic telemedicine, but the activities and needs of international telemedicine conferences/consultations remain unclear. We examined the experiences, needs, resources, and barriers related to international doctor-to-doctor telemedicine following the COVID-19 pandemic in Japanese national university hospitals.</p><p><strong>Methods: </strong>In November 2021, a questionnaire was sent to 163 Internationalization Project Team representatives at 43 Japanese national university hospitals. Eighty-two of the representatives were medical staff in charge of internationalization (MI), and 81 were technical staff responsible for telecommunications (TT).</p><p><strong>Results: </strong>The response rate was 94.2% (MI: 42/43 institutions; TT: 39/43 institutions). Fourteen institutions had been conducting international telemedicine programs with 62 countries. Public health was the most frequently cited topic, followed by nursing, surgery, pediatrics, and gastroenterology. All TT indicated that their institution had installed videoconferencing systems. Nineteen institutions indicated a need for international programs. The most serious barrier was the lack of \"human resources\" (84%), and this was noted more often by members in institutions without activity (<i>p</i> = 0.03). However, there was no difference between groups with and without a support department (<i>p</i> = 0.24) or MIs/TTs (<i>p</i> = 0.05).</p><p><strong>Discussion: </strong>The technical barriers for international telemedicine were low after the pandemic. However, there are insufficient human resources to meet the growing needs. In addition to the international coordinators and administrative staff to support smooth communication with overseas partners, there is also a need for personnel to promote activities on their own.</p>","PeriodicalId":94218,"journal":{"name":"Telemedicine reports","volume":"6 1","pages":"148-161"},"PeriodicalIF":1.5,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12235122/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144593231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical Efficacy of Telemedicine for Musculoskeletal Conditions in a Medicare Advantage Population. 医疗保险优势人群肌肉骨骼疾病远程医疗的临床疗效。
IF 1.5
Telemedicine reports Pub Date : 2025-05-19 eCollection Date: 2025-01-01 DOI: 10.1089/tmr.2025.0017
Mary I O'Connor, Megan Dorak Ribaudo, Kaitlyn Cooney Peters, Jim Fiechtl, Tessy Oommen, Carrie McCulloch, Rusti Quarles, Krista Schonrock, Ryan A Grant
{"title":"Clinical Efficacy of Telemedicine for Musculoskeletal Conditions in a Medicare Advantage Population.","authors":"Mary I O'Connor, Megan Dorak Ribaudo, Kaitlyn Cooney Peters, Jim Fiechtl, Tessy Oommen, Carrie McCulloch, Rusti Quarles, Krista Schonrock, Ryan A Grant","doi":"10.1089/tmr.2025.0017","DOIUrl":"10.1089/tmr.2025.0017","url":null,"abstract":"<p><strong>Introduction: </strong>Musculoskeletal (MSK) conditions are highly prevalent among the Medicare population, and telerehabilitation has been shown to be equivalent to traditional in-person physical therapy for many patients.</p><p><strong>Method: </strong>We studied the clinical outcomes of 100 consecutive Medicare Advantage patients from one insurer treated with a virtual physician-led MSK care team model. Patients had to have completed at least three clinical video visits to be eligible for participation. We also recorded rates of image ordering and referrals for in-person services.</p><p><strong>Results: </strong>The average age of our patients was 72 years with sex equally divided. Fifty-two percent of our patients presented with symptoms in their lower back. All patients had an initial evaluation with a physician or nurse practitioner (NP) and a physical therapist during the same video visit encounter. The average number of follow-up physical therapy visits was 7.6, and 14% had a follow-up visit with the physician or NP. Forty-six percent of patients saw a health coach and 15% a registered dietitian for concomitant concerns. Imaging studies were ordered in two patients and referrals for in-person services were made in three. With all care provided through a telemedicine platform, we found a high degree of pain improvement (83%, <i>p</i> < 0.001) and physical health improvement (84-86%) in our cohort.</p><p><strong>Conclusion: </strong>Our experience with Medicare Advantage patients demonstrates that multidisciplinary physician-led care in the telemedicine setting is effective in improving pain and physical function in older patients with MSK conditions.</p>","PeriodicalId":94218,"journal":{"name":"Telemedicine reports","volume":"6 1","pages":"162-170"},"PeriodicalIF":1.5,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12235119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144593295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Introducing Virtual Visit Blocks to Optimize Space in Primary Care Practice. 引入虚拟访问块优化初级保健实践空间。
IF 1.5
Telemedicine reports Pub Date : 2025-05-07 eCollection Date: 2025-01-01 DOI: 10.1089/tmr.2025.0018
Susan Pohl, Lindsey Garcia, Sofia Loucao, Erin McCormack, Jennifer Vogt, Bernadette Kiraly
{"title":"Introducing Virtual Visit Blocks to Optimize Space in Primary Care Practice.","authors":"Susan Pohl, Lindsey Garcia, Sofia Loucao, Erin McCormack, Jennifer Vogt, Bernadette Kiraly","doi":"10.1089/tmr.2025.0018","DOIUrl":"10.1089/tmr.2025.0018","url":null,"abstract":"<p><p>The COVID-19 pandemic significantly accelerated the adoption of telehealth in primary care settings, with many health care systems planning to continue offering virtual care indefinitely. This brief report describes the implementation of virtual visit (VV) blocks to optimize telemedicine visits and expand clinic workforce capacity. VV blocks, dedicated time slots exclusively for telemedicine, were introduced to free up physical space for additional on-site providers. By pairing the introduction of VV blocks with new provider hires, our health system successfully expanded its workforce, increasing provider full-time equivalents in our pilot clinic from 8.51 to 10.25. These changes led to improved access, higher visit volumes, and similar patient satisfaction. Providers also reported benefits in terms of work-life balance and efficiency. The VV block model proved effective in addressing space and resource constraints, improving both operational outcomes and financial sustainability. The success of this pilot was replicated in a second clinic, demonstrating scalability. The long-term viability of telehealth initiatives hinges on the continuation of insurance payment parity and legislative support for telehealth policies. This article provides insights into how telehealth integration can optimize primary care delivery while navigating operational and financial challenges.</p>","PeriodicalId":94218,"journal":{"name":"Telemedicine reports","volume":"6 1","pages":"134-138"},"PeriodicalIF":1.5,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12235115/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144593232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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