Evidence map›Paper›PMID 34786796›Full record

ArticleJournal of evaluation in clinical practice2022

Medicare and telehealth: The impact of COVID-19 pandemic.

Hanadi Y Hamadi, Mei Zhao, Donald Rob Haley, Ajani Dunn, Shyam Paryani, Aaron Spaulding

Abstract read
In one paragraph

Article in Journal of evaluation in clinical practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
–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

37 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Pandemic Telehealth Utilization Among Ambulatory Care Diabetes Patients Managed at an Urban Teaching Hospital in Washington, DC.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2025
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  16. University of Pennsylvania Telehealth Research Center of Excellence.Journal of the National Cancer Institute. Monographs · 2024
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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.

Hanadi Y HamadiDepartment of Health Administration, Brooks College of Health, University of North Florida, Jacksonville, Florida, USA.ORCID 0000-0001-9050-7267
Mei ZhaoDepartment of Health Administration, Brooks College of Health, University of North Florida, Jacksonville, Florida, USA.
Donald Rob HaleyDepartment of Health Administration, Brooks College of Health, University of North Florida, Jacksonville, Florida, USA.ORCID 0000-0001-8223-6073
Ajani DunnAdvanced Care at Home and Digital Practice Strategy, Mayo Clinic, Jacksonville, Florida, USA.
Shyam ParyaniDepartment of Health Administration, Brooks College of Health, University of North Florida, Jacksonville, Florida, USA.
Aaron SpauldingDepartment of Health Sciences Research, Division of Health Care Policy and Research, Mayo Clinic Robert D. and Patricia E. Kern, Center for the Science of Health Care Delivery, Mayo Clinic, Jacksonville, Florida, USA.ORCID 0000-0001-9727-6756

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

study rationaleThe swift progression of the COVID-19 pandemic appeared to facilitate the increase in telehealth utilization. However, it is clear neither how telehealth was offered by providers nor how it was used by patients during this time of unusual and rapid change within the health industry.

aimTo investigates the telehealth utilization patterns of Medicare beneficiaries during the height of the COVID-19 pandemic. METHODS AND MATERIALS: A cross-sectional study design was used to examine the responses of 9686 Medicare beneficiaries to the Centers for Medicare and Medicaid Services (CMS) Medicare Current Beneficiary Survey, Fall 2020 COVID-19 Supplement. Multiple logistic regression analyses were conducted to examine the relationship between telehealth offering and beneficiaries' sociodemographic variables.

resultsOver half (58%) of primary care providers provided telehealth services, while only 26%-28% of specialists did. Less than 8% of Medicare beneficiaries reported that they were unable to obtain care because of COVID-19.

conclusionsThis research found that changes in Medicare policy, associated with CMS' declaration of telehealth waivers during the Public Health Emergency (PHE), likely increased the proliferation and utilization of telehealth services during the COVID-19 pandemic, providing important access to care for certain populations. With the impending conclusion of the PHE, policymakers must 1) ascertain which elements of the new telehealth landscape will be retained, 2) modernize the regulatory, accreditation and reimbursement framework to maintain pace with care model innovation and 3) address disparities in access to broadband connectivity with a particular focus on rural and underserved communities.

Indexed as

COVID-19TelemedicineAgedCross-Sectional StudiesHumansMedicarePandemicsSARS-CoV-2United StatesCOVID-19Medicareprimary carespecialisttelehealthtelemedicinevideo calling

Identifiers

PMID34786796
PMCPMC8657362

What OpenQuestion holds

Textmetadata
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.