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. 2024 Sep 18;(210):10.15620/cdc/159282. doi: 10.15620/cdc/159282

Telemedicine Use During the COVID-19 Pandemic by Office-based Physicians and Long-term Care Providers.

Zachary J Peters, Jessica Lendon, Christine Caffrey, Kelly L Myrick, Mohsin Mahar, Carol J DeFrances
PMCID: PMC11533128  PMID: 39471289

Abstract

OBJECTIVE

This report examines telemedicine use by office-based physicians and long-term care providers in the United States, stratified by electronic health record use and by provider or practice size. Further, it examines differences in telemedicine use before and after the COVID-19 pandemic onset among office-based physicians and assesses telemedicine use during the first year of the COVID-19 pandemic for long-term care providers.

METHODS

Nationally representative estimates in this report are derived from data collected in the 2019 and 2021 National Electronic Health Records Survey, which assesses characteristics of office-based physicians, and the 2020 National Post-acute and Long-term Care Study, which assesses characteristics of adult day services centers and residential care communities. Measures include telemedicine using audio with video or web videoconference for patient care, electronic health record use for more than accounting or billing purposes, and size of physician practices and long-term care providers.

RESULTS

In 2021, 80.5% of physicians in office-based settings used telemedicine for patient care, up from 16.0% in 2019. In 2020, 20.5% of adult day services centers and 44.5% of residential care communities used telemedicine to care for users with COVID-19. Office-based physicians, adult day services centers, and residential care communities that used electronic health record systems were more likely to also use telemedicine compared with those not using electronic health records. Large practices and providers were more likely to use telemedicine compared with small practices and providers.

CONCLUSION

Findings from this report describe telemedicine use among office-based physicians and long-term care providers. Practices and providers that used electronic health records and were larger were more likely to also use telemedicine for patient care during the COVID-19 pandemic.

Full text of this article can be found in Bookshelf.

References

  1. Colbert GB, Venegas-Vera AV, Lerma EV. Utility of telemedicine in the COVID-19 era. Rev Cardiovasc Med. 21(4):583–7. 2020. doi: 10.31083/j.rcm.2020.04.188. [DOI] [PubMed]
  2. Health Resources and Services Administration. What can be treated through telehealth? 2024. Available from: https://telehealth.hhs.gov/patients/what-can-be-treated-through-telehealth.
  3. Neri AJ, Whitfield GP, Umeakunne ET, Hall JE, DeFrances CJ, Shah AB, et al. . Telehealth and public health practice in the United States—Before, during, and after the COVID-19 pandemic. J Public Health Manag Pract 28(6):650–6. 2022.PMC9532342 [DOI] [PubMed]
  4. Health Resources and Services Administration. Telehealth policy changes after the COVID-19 public health emergency. U.S. Department of Health and Human Services. 2023. Available from: https://telehealth.hhs.gov/providers/telehealth-policy/policy-changes-after-the-covid-19-public-health-emergency.
  5. FAIR Health, Inc. FH healthcare indicators and FH medical price index 2022: An annual view of place of service trends and medical pricing. 2022. Available from: https://connectwithcare.org/wp-content/uploads/2022/05/FH-Healthcare-Indicators-and-FH-Medical-Price-Index-2022-A-FAIR-Health-White-Paper.pdf.
  6. Koonin LM, Hoots B, Tsang CA, Leroy Z, Farris K, Jolly T, et al. . Trends in the use of telehealth during the emergence of the COVID-19 pandemic—United States, January–March 2020. MMWR Morb Mortal Wkly Rep 69:1595–9. 2020.PMC7641006 [DOI] [PubMed]
  7. Centers for Medicare & Medicaid Services. Medicare telehealth trends. U.S. Department of Health and Human Services. 2022. Available from: https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-service-type-reports/medicare-telehealth-trends.
  8. Samson LW, Tarazi W, Turrini G, Sheingold S.. Medicare beneficiaries’ use of telehealth services in 2020: Trends by beneficiary characteristics and location. Issue Brief No. HP-2021-27. Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services. 2021.
  9. Bitar H, Alismail S.. The role of eHealth, telehealth, and telemedicine for chronic disease patients during COVID-19 pandemic: A rapid systematic review. Digit Health 7. 2021.PMC8060773 [DOI] [PubMed]
  10. Ward K, Vagholkar S, Sakur F, Khatri NN, Lau AYS.. Visit types in primary care with telehealth use during the COVID-19 pandemic: Systematic review. JMIR Med Inform 10(11):e40469. 2022.PMC9745650 [DOI] [PubMed]
  11. Luo J, Tong L, Crotty BH, Somai M, Taylor B, Osinski K, George B.. Telemedicine adoption during the COVID-19 pandemic: Gaps and inequalities. Appl Clin Inform 12(04):836–44. 2021.PMC8426040 [DOI] [PubMed]
  12. Cantor J, McBain RK, Kofner A, Hanson R, Stein BD, Yu H.. Telehealth adoption by mental health and substance use disorder treatment facilities in the COVID-19 pandemic. Psychiatr Serv 73(4):411–7. 2022.PMC10695271 [DOI] [PubMed]
  13. Health Resources and Services Administration. Impact of the Health Center Program. 2022. Available from: https://bphc.hrsa.gov/about-health-center-program/impact-health-center-program.
  14. Lee EC, Grigorescu V, Enogieru I, Smith SR, Samson LW, Conmy A, De Lew N. Updated national survey trends in telehealth utilization and modality: 2021‒2022. Issue Brief No. HP-2023-09. Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services. 2023. [PubMed]
  15. Lucas JW, Wang X.. Declines in telemedicine use among adults: United States, 2021 and 2022. National Health Statistics Reports; no 205. Hyattsville, MD: National Center for Health Statistics. 2024. DOI: 10.15620/cdc/154767. doi: 10.15620/cdc/154767. [DOI] [PubMed]
  16. Cuomo AM, Zucker HA, Dreslin S.. Re: COVID-19 guidance for providing adult social day care (SDC) services telephonically. 2020. Available from: https://coronavirus.health.ny.gov/system/files/documents/2021/10/2020-04-07_adult_sdc_telephonic_guide.pdf.
  17. Gaugler JE, Marx K, Dabelko-Schoeny H, Parker L, Anderson KA, Albers E, Gitlin LN.. COVID-19 and the need for adult day services. J Am Med Dir Assoc 22(7):1333–7. 2021.PMC8103140 [DOI] [PubMed]
  18. National Center for Health Statistics. 2020–2021 National Ambulatory Medical Care Survey Physician Induction Interview: Telemedicine or telehealth use in office-based settings during the COVID-19 pandemic—United States. 2022. Available from: https://www.cdc.gov/nchs/covid19/namcs/physician-telemedicine.htm.
  19. National Center for Health Statistics. 2020 National Post-acute and Long-term Care Survey. Long-term care and COVID-19: Residential care communities—United States. 2022. Available from: https://www.cdc.gov/nchs/covid19/npals/rcc.htm.
  20. National Center for Health Statistics. 2020 National Post-acute and Long-term Care Survey. Long-term care and COVID-19: Adult day services centers—United States. 2022. Available from: https://www.cdc.gov/nchs/covid19/npals/adsc.htm.
  21. Siwicki B. Tackling the challenge of integrating telehealth seamlessly into the EHR. Healthcare IT News. 2021. Available from: https://www.healthcareitnews.com/news/tackling-challenge-integrating-telehealth-seamlessly-ehr.
  22. Successive Technologies. Integrating telehealth solutions with EHR: An innovative approach. 2020. Available from: https://successivetech.wordpress.com/2020/09/21/integrating-telehealth-solutions-with-ehr-an-innovative-approach/.
  23. Khuntia J, Ning X, Stacey R. Digital orientation of health systems in the post-COVID-19 "new normal" in the United States: Cross-sectional survey. J Med Internet Res 23(8):e30453. 2021.PMC8370259 [DOI] [PubMed]
  24. Kruse CS, Kothman K, Anerobi K, Abanaka L.. Adoption factors of the electronic health record: A systematic review. JMIR Med Inform 4(2):e19. 2016.PMC4909978 [DOI] [PubMed]
  25. Caffrey C, Sengupta M.. QuickStats: Percentage of residential care communities that use electronic health records, by community bed size—United States, 2016 and 2020. MMWR Morb Mortal Wkly Rep 71:1248. 2022. DOI: 10.15585/mmwr.mm7139a7. 10.15585/mmwr.mm7139a7PMC9533730 [DOI] [PubMed]
  26. Pierce BS, Perrin PB, Dow AW, Dautovich ND, Rybarczyk BD, Mishra VK.. Changes in physician telemedicine use during COVID-19: Effects of practice setting, demographics, training, and organizational policies. Int J Environ Res Public Health 18(19):9963. 2021.PMC8508548 [DOI] [PubMed]
  27. Alexander GL, Powell KR, Deroche CB. An evaluation of telehealth expansion in U.S. nursing homes. J Am Med Inform Assoc. 28(2):342–8. 2021.PMC7883984 [DOI] [PubMed]
  28. National Center for Health Statistics. National Electronic Health Records Survey: Questionnaires, datasets, and documentation. 2021. Available from: https://www.cdc.gov/nchs/nehrs/documentation/index.html.
  29. National Center for Health Statistics. National Post-acute and Long-term Care Survey: Questionnaires, datasets, and documentation. 2022. Available from: https://www.cdc.gov/nchs/npals/questionnaires/index.html.
  30. National Center for Health Statistics. 2021 National Electronic Health Records Survey public use file national weighted estimates. 2022. Available from: https://www.cdc.gov/nchs/data/nehrs/2021NEHRS-PUF-weighted-estimates-508.pdf.
  31. Parker JD, Talih M, Malec DJ, Beresovsky V, Carroll M, Gonzalez JF Jr, et al. . National Center for Health Statistics data presentation standards for proportions. Vital Health Stat 2(175):1–22. 2017. [PubMed]
  32. RTI International. SUDAAN (Release 11.0.3) [computer software]. 2018.
  33. Peters ZJ, Cairns C, Davis D.. Experiences related to the COVID-19 pandemic among U.S. physicians in office-based settings, 2020–2021. National Health Statistics Report; no 175. Hyattsville, MD: National Center for Health Statistics. 2022. DOI: 10.15620/cdc:120729. doi: 10.15620/cdc:120729. [DOI] [PubMed]
  34. Steinman MA, Perry L, Perissinotto CM.. Meeting the care needs of older adults isolated at home during the COVID-19 pandemic. JAMA Intern Med 180(6):819–20. 2020. doi: 10.1001/jamainternmed.2020.1661. [DOI] [PubMed]
  35. Seifert A, Batsis JA, Smith AC.. Telemedicine in long-term care facilities during and beyond COVID-19: Challenges caused by the digital divide. Front Public Health 8:601595. 2020.PMC7649197 [DOI] [PubMed]
  36. Kruse SC, Karem P, Shifflett K, Vegi L, Ravi K, Brooks M.. Evaluating barriers to adopting telemedicine worldwide: A systematic review. J Telemed Telecare 24(1):4–12. 2018.PMC5768250 [DOI] [PubMed]
  37. Zachrison KS, Boggs KM, Hayden EM, Espinola JA, Camargo CA Jr. Understanding barriers to telemedicine implementation in rural emergency departments. Ann Emerg Med 75(3):392–9. 2020. doi: 10.1016/j.annemergmed.2019.06.026. [DOI] [PubMed]

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