Evidence map›Paper›PMID 37217324›Full record

ArticleAnnals of family medicine

The Telemedicine Experience in Primary Care Practices in the United States: Insights From Practice Leaders.

Grace Rabinowitz, Logan D Cho, Natalie C Benda, Crispin Goytia, Katerina Andreadis, Jenny J Lin, Carol Horowitz, Rainu Kaushal, Jessica S Ancker, Jashvant Poeran

Abstract read
In one paragraph

Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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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

10 authors.

Grace Rabinowitz *Department of Medical Education, Icahn School of Medicine at Mount Sinai, New York, New York.
Logan D Cho *Department of Medical Education, Icahn School of Medicine at Mount Sinai, New York, New York.
Natalie C BendaDepartment of Population Health Sciences, Weill Cornell Medical College, New York, New York.
Crispin GoytiaDepartment of Population Health Science & Policy, Icahn School of Medicine at Mount Sinai, New York, New York.
Katerina AndreadisDepartment of Population Health Sciences, Weill Cornell Medical College, New York, New York.
Jenny J LinDepartment of Medicine, Division of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.
Carol HorowitzDepartment of Population Health Science & Policy, Icahn School of Medicine at Mount Sinai, New York, New York.
Rainu KaushalDepartment of Population Health Sciences, Weill Cornell Medical College, New York, New York.
Jessica S AnckerDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee.
Jashvant PoeranDepartment of Medicine, Division of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, New York jashvant.poeran@mountsinai.org.

Funding

Conduits: Mount Sinai Health System Translational Science HubUL1TR004419 · NCATS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Rosalind J Wright · 2022 to 2026
$46.4M
New York Regional Center for Diabetes Translation Research - Translational Intervention Methodology CoreP30DK111022 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI JEFFREY GONZALEZ · 2016 to 2026
$7.8M
NCATS NIH HHS UL1 TR004419NIDDK NIH HHS P30 DK111022
6 · The paper itself

Abstract

purposeThe need to rapidly implement telemedicine in primary care during the coronavirus disease 2019 (COVID-19) pandemic was addressed differently by various practices. Using qualitative data from semistructured interviews with primary care practice leaders, we aimed to report commonly shared experiences and unique perspectives regarding telemedicine implementation and evolution/maturation since March 2020.

methodsWe administered a semistructured, 25-minute, virtual interview with 25 primary care practice leaders from 2 health systems in 2 states (New York and Florida) included in PCORnet, the Patient-Centered Outcomes Research Institute clinical research network. Questions were guided by 3 frameworks (health information technology evaluation, access to care, and health information technology life cycle) and involved practice leaders' perspectives on the process of telemedicine implementation in their practice, with a specific focus on the process of maturation and facilitators/barriers. Two researchers conducted inductive coding of qualitative data open-ended questions to identify common themes. Transcripts were electronically generated by virtual platform software.

resultsTwenty-five interviews were administered for practice leaders representing 87 primary care practices in 2 states. We identified the following 4 major themes: (1) the ease of telemedicine adoption depended on both patients' and clinicians' prior experience using virtual health platforms, (2) regulation of telemedicine varied across states and differentially affected the rollout processes, (3) visit triage rules were unclear, and (4) there were positive and negative effects of telemedicine on clinicians and patients.

conclusionsPractice leaders identified several challenges to telemedicine implementation and highlighted 2 areas, including telemedicine visit triage guidelines and telemedicine-specific staffing and scheduling protocols, for improvement.

Indexed as

COVID-19TelemedicineHumansNew YorkPrimary Health CareUnited StatesCOVID-19 pandemicEast Coastprimary careprimary health caretelemedicine

Identifiers

PMID37217324
PMCPMC10202513

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.