ArticleJournal of medical Internet research2020
System-Wide Accelerated Implementation of Telemedicine in Response to COVID-19: Mixed Methods Evaluation.
Article in Journal of medical Internet research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 5 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
32 citing papers in PubMed, 5 syntheses or guidelines pooled it, 67 citations in OpenAlex.
- A systematic review of methods used for COVID-19 telehealth systems evaluation: lessons from past experiences for future use.BMC health services research · 2025Pooled it
- The Experiences and Perceptions of Telehealth in Patients Living With Advanced Chronic Obstructive Pulmonary Disease: A Qualitative Evidence Synthesis.Journal of advanced nursing · 2025Pooled it
- Facilitators of and Barriers to Accessing Hospital Medical Specialty Telemedicine Consultations During the COVID-19 Pandemic: Systematic Review.Journal of medical Internet research · 2023Pooled it
- Pooled it
- Telemedicine technologies and applications in the era of COVID-19 pandemic: A systematic review.Health informatics journalPooled it
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- Students' Perspectives on Digital Psychotherapy-Possible Solutions for Digital Inpatient-Like Care Concepts: Qualitative Interview Study.JMIR medical education · 2026Article
- The State of Practice About Security in Telemedicine Systems in Chile: Exploratory Study.JMIR medical informatics · 2025Article
- Disruption to diabetes and hypertension care during the COVID-19 pandemic in Latin America and the Caribbean and mitigation approaches: a scoping review.BMC health services research · 2025Article
- Social influence, performance expectancy, and price value as determinants of telemedicine services acceptance in Chile.Heliyon · 2024Article
- Review
- Exploring healthcare providers' perspectives on virtual care delivery: insights into telemedicine services.BMC health services research · 2024Article
- Demand-oriented design of telemedical services in gynecologic oncology.BMC health services research · 2023Article
- Article
- Impact of COVID-19 on perceived wellbeing, self-management and views of novel modalities of care among medically vulnerable patients in Singapore.Chronic illness · 2023Article
- Pediatric Consultation-Liaison Psychology: Insights and Lessons Learned During the COVID-19 Pandemic.Journal of clinical psychology in medical settings · 2023Article
- COVID-19 vaccine uptake and vaccine hesitancy in rural-to-urban migrant workers at the first round of COVID-19 vaccination in China.BMC public health · 2023Article
- Individual perspectives and mental maps of working conditions and intention to stay of physicians in academic medicine.Frontiers in psychology · 2023Article
- Synchronous Teleconsultation and Monitoring Service Targeting COVID-19: Leveraging Insights for Postpandemic Health Care.JMIR medical informatics · 2022Article
- Exploring agreement and feasibility between virtual home visits and in-person home visits for peritoneal dialysis patients-a paired study.Renal failure · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAs the COVID-19 pandemic disrupted medical practice, telemedicine emerged as an alternative to outpatient visits. However, it is not known how patients and physicians responded to an accelerated implementation of this model of medical care.
objectiveThe aim of this study is to report the system-wide accelerated implementation of telemedicine, compare patient satisfaction between telemedicine and in-person visits, and report provider perceptions.
methodsThis study was conducted at the UC Christus Health Network, a large private academic health network in Santiago, Chile. The satisfaction of patients receiving telemedicine care in March and April 2020 was compared to those receiving in-person care during the same period (concurrent control group) as well as in March and April 2019 (retrospective control group). Patient satisfaction with in-person care was measured using the Net Promoter Score (NPS) survey. Patient satisfaction with telemedicine was assessed with an online survey assessing similar domains. Providers rated their satisfaction and responded to open-ended questions assessing challenges, strategies used to address challenges, the diagnostic process, treatment, and the patient-provider relationship.
resultsA total of 3962 patients receiving telemedicine, 1187 patients from the concurrent control group, and 1848 patients from the retrospective control group completed the surveys. Satisfaction was very high with both telemedicine and in-person services. Overall, 263 physicians from over 41 specialties responded to the survey. During telemedicine visits, most providers felt their clinical skills were challenged (61.8%). Female providers felt more challenged than male providers (70.7% versus 50.9%, P=.002). Surgeons, obstetricians, and gynecologists felt their clinical skills were challenged the least, compared to providers from nonsurgical specialties (P<.001). Challenges related to the delivery modality, diagnostic process, and patient-provider relationship differed by provider specialty (P=.046, P<.001, and P=.02, respectively).
conclusionsTelemedicine implemented in response to the COVID-19 pandemic produced high patient and provider satisfaction. Specialty groups perceived the impact of this new mode of clinical practice differently.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.