Evidence map›Paper›PMID 33523745›Full record

ArticleHealth affairs (Project Hope)2021

Variation In Telemedicine Use And Outpatient Care During The COVID-19 Pandemic In The United States.

Sadiq Y Patel, Ateev Mehrotra, Haiden A Huskamp, Lori Uscher-Pines, Ishani Ganguli, Michael Lawrence Barnett

Abstract read
In one paragraph

Article in Health affairs (Project Hope), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 250 papers.

0numbers the graph read from it
0cells of the map it votes in
250citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

250 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Telemedicine documentation in neurology and telestroke: a global scoping review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Effect of State Medicaid Reimbursement Policies on Telehealth Visits in Community-Based Health Centers.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2026
    Article
  18. Article
  19. Article
  20. Article

190 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sadiq Y PatelSadiq Y. Patel is a National Institute of Mental Health postdoctoral research fellow in the Department of Health Care Policy at Harvard Medical School, in Boston, Massachusetts.
Ateev MehrotraAteev Mehrotra is an associate professor of health care policy and medicine in the Department of Health Care Policy, Harvard Medical School.
Haiden A HuskampHaiden A. Huskamp is the 30th Anniversary Professor of Health Care Policy in Department of Health Care Policy, Harvard Medical School.
Lori Uscher-PinesLori Uscher-Pines is a senior policy researcher in social and economic policy at the RAND Corporation in Arlington, Virginia.
Ishani GanguliIshani Ganguli is an assistant professor of medicine in the Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital and Harvard Medical School, both in Boston.
Michael Lawrence BarnettMichael Lawrence Barnett (mbarnett@hsph.harvard.edu) is an assistant professor in the Department of Health Policy and Management, Harvard T. H. Chan School of Public Health, in Boston.

Funding

Health Policy Training Program: Promoting Outcomes, Quality, Equity and Diffusion of AdvancesT32MH019733 · NIMH · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI Benjamin Le Cook, Haiden A Huskamp · 1993 to 2026
$7.0M
Use of Telemedicine in the Treatment of Mental IllnessR01MH112829 · NIMH · HARVARD MEDICAL SCHOOL · PI HUSKAMP, HAIDEN A., MEHROTRA, ATEEV · 2018 to 2025
$5.8M
The Changing Landscape of Post-Acute Care and Health Outcomes for Older AdultsK23AG058806 · NIA · HARVARD SCHOOL OF PUBLIC HEALTH · PI BARNETT, MICHAEL LAWRENCE · 2018 to 2022
$1.0M
NIA NIH HHS K23 AG058806NIMH NIH HHS R01 MH112829NIMH NIH HHS T32 MH019733
6 · The paper itself

Abstract

Coronavirus disease 2019 (COVID-19) spurred a rapid rise in telemedicine, but it is unclear how use has varied by clinical and patient factors during the pandemic. We examined the variation in total outpatient visits and telemedicine use across patient demographics, specialties, and conditions in a database of 16.7 million commercially insured and Medicare Advantage enrollees from January to June 2020. During the pandemic, 30.1 percent of all visits were provided via telemedicine, and the weekly number of visits increased twenty-three-fold compared with the prepandemic period. Telemedicine use was lower in communities with higher rates of poverty (31.9 percent versus 27.9 percent for the lowest and highest quartiles of poverty rate, respectively). Across specialties, the use of any telemedicine during the pandemic ranged from 68 percent of endocrinologists to 9 percent of ophthalmologists. Across common conditions, the percentage of visits provided during the pandemic via telemedicine ranged from 53 percent for depression to 3 percent for glaucoma. Higher rates of telemedicine use for common conditions were associated with smaller decreases in total weekly visits during the pandemic.

Indexed as

COVID-19Primary Health CareTelemedicineAdultAmbulatory CareFemaleHealth Services AccessibilityHumansMaleMedicare Part CMiddle AgedPovertyUnited States

Identifiers

PMID33523745
PMCPMC7967498

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.