Evidence map›Paper›PMID 36913142›Full record

ArticleJournal of general internal medicine2023

Perspectives of Physicians with Experience in Nursing Home Care on Telehealth Use During the COVID-19 Public Health Emergency.

Jiani Yu, Hyunkyung Yun, Mark A Unruh, Eloise M O'Donnell, Paul R Katz, Jessica S Ancker, Hye-Young Jung

Open access · bronzeAbstract read
In one paragraph

Article in Journal of general internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
4.8field-weighted citation impact, top 5% of its field
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

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Telehealth Use at the End-of-Life Among US Nursing Home Residents.Journal of the American Medical Directors Association · 2025
    Article
  5. BMC digital health · 2025
    Article
  6. Article
  7. Article
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

7 authors at 3 institutions in 1 country.

Jiani YuDepartment of Population Health Sciences, Weill Cornell Medical College, New York City, USA. jiy4002@med.cornell.edu.ORCID 0000-0002-7518-6220
Hyunkyung YunDepartment of Population Health Sciences, Weill Cornell Medical College, New York City, USA.
Mark A UnruhDepartment of Population Health Sciences, Weill Cornell Medical College, New York City, USA.
Eloise M O'DonnellDepartment of Population Health Sciences, Weill Cornell Medical College, New York City, USA.
Paul R KatzDepartment of Geriatrics, Florida State University College of Medicine, Tallahassee, USA.
Jessica S AnckerDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, USA.
Hye-Young JungDepartment of Population Health Sciences, Weill Cornell Medical College, New York City, USA.
Cornell University · USFlorida State University · USVanderbilt University Medical Center · US

Funding

Examining Telehealth Use in Skilled Nursing Facilities, with a Focus on Patients with Alzheimer's Disease and Related DementiasK01AG075352 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI Jiani Yu · 2022 to 2026
$615k
Do physicians who specialize in nursing home care provide higher quality care for nursing home residents with Alzheimer?s Disease and related dementias?K01AG057824 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI JUNG, HYE-YOUNG · 2018 to 2022
$557k
NIA NIH HHS K01 AG057824NIA NIH HHS K01 AG075352
6 · The paper itself

Abstract

backgroundDespite expanded access to telehealth services for Medicare beneficiaries in nursing homes (NHs) during the COVID-19 public health emergency, information on physicians' perspectives on the feasibility and challenges of telehealth provision for NH residents is lacking.

objectiveTo examine physicians' perspectives on the appropriateness and challenges of providing telehealth in NHs.

participantsMedical directors or attending physicians in NHs. APPROACH: We conducted 35 semistructured interviews with members of the American Medical Directors Association from January 18 through January 29, 2021. Outcomes of the thematic analysis reflected perspectives of physicians experienced in NH care on telehealth use. MAIN MEASURES: The extent to which participants used telehealth in NHs, the perceived value of telehealth for NH residents, and barriers to telehealth provision. KEY

resultsParticipants included 7 (20.0%) internists, 8 (22.9%) family physicians, and 18 (51.4%) geriatricians. Five common themes emerged: (1) direct care is needed to adequately care for residents in NHs; (2) telehealth may allow physicians to reach NH residents more flexibly during offsite hours and other scenarios when physicians cannot easily reach patients; (3) NH staff and other organizational resources are critical to the success of telehealth, but staff time is a major barrier to telehealth provision; (4) appropriateness of telehealth in NHs may be limited to certain resident populations and/or services; (5) conflicting views about whether telehealth use will be sustained over time in NHs. Subthemes included the role of resident-physician relationships in facilitating telehealth and the appropriateness of telehealth for residents with cognitive impairment.

conclusionsParticipants had mixed views on the effectiveness of telehealth in NHs. Staff resources to facilitate telehealth and the limitations of telehealth for NH residents were the most raised issues. These findings suggest that physicians in NHs may not view telehealth as a suitable substitute for most in-person services.

Indexed as

COVID-19PhysiciansTelemedicineAgedHumansMedicareNursing HomesPublic HealthUnited Stateslong-term carenursing homespost-acute caretelehealth

Identifiers

PMID36913142
PMCPMC10010241
OpenAlexW4324017694

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.