ArticleJournal of general internal medicine2024
The Clinical Resource Hub Telehealth Program and Use of Primary Care, Emergency, and Inpatient Care During the COVID-19 Pandemic.
Article in Journal of general internal medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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The trial behind it
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Who cites it
8 citing papers in PubMed.
- Adoption of Health Information Technologies by Area Socioeconomic Deprivation Among US Hospitals.JAMA health forum · 2025Article
- Revisiting the rural and urban divide in hospital health information technology adoption: Evidence from 2023.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Burnout Among Primary Care Practitioners and Staff in VA Clinics Using Virtual Contingency Staffing.JAMA network open · 2025Article
- Use of Long COVID Clinics in the Veterans Health Administration: Implications for the path forward.Health affairs scholar · 2025Article
- National Telehealth Contingency Staffing Program and Primary Care Quality in the VHA.JAMA network open · 2025Article
- Implementing TeleSleep at Veterans Healthcare Administration: an organizational case study of adaptation and sustainment.Frontiers in sleep · 2024Article
- Growth of Community Outpatient Care in the Veterans Affairs System After the MISSION Act.Journal of general internal medicine · 2024Article
- Realizing Virtual Care in VA: Supporting the Healthcare System's Journey Towards Enhanced Access, Engagement, and Outcomes.Journal of general internal medicine · 2024Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe COVID-19 pandemic disrupted delivery of health care services worldwide. We examined the impact of the pandemic on clinics participating in the Veterans Affairs (VA) Clinical Resource Hub (CRH) program, rolled out nationally in October 2019, to improve access to care at under-resourced VA clinics or "spoke" sites through telehealth services delivered by regional "hub" sites.
objectiveTo assess whether the CRH program was associated with increased access to primary care, we compared use of primary, emergency, and inpatient care at sites that adopted CRH for primary care (CRH-PC) with sites that did not adopt CRH-PC, pre-post pandemic onset.
designDifference-in-difference and event study analyses, adjusting for site characteristics. STUDY COHORT: A total of 1050 sites (254 CRH-PC sites; 796 comparison sites), fiscal years (FY) 2019-2021.
interventionCRH Program for Primary Care. MAIN MEASURES: Quarterly number of VA visits per site for primary care (across all and by modality, in-person, video, and phone), emergency care, and inpatient care.
resultsIn adjusted analyses, CRH-PC sites, compared with non-CRH-PC sites, had on average 221 additional primary care visits (a volume increase of 3.4% compared to pre-pandemic). By modality, CRH-PC sites had 643 fewer in-person visits post-pandemic (- 14.4%) but 723 and 128 more phone and video visits (+ 39.9% and + 159.5%), respectively. CRH-PC sites, compared with non-CRH-PC sites, had fewer VA ED visits (- 4.2%) and hospital stays (- 5.1%) in VA medical centers. Examining visits per patient, we found that CRH-PC sites had 48 additional telephone primary care visits per 1000 primary care patients (an increase of 9.8%), compared to non-program sites.
conclusionsVA's pre-pandemic rollout of a new primary care telehealth program intended to improve access facilitated primary care visits during the pandemic, a period fraught with care disruptions, and limited in-person health care delivery, indicating the potential for the program to offer health system resilience.
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