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Provider reported value and use of virtual resources in extended primary care prior to and during COVID-19.
Haun, Jolie N; Panaite, Vanessa; Cotner, Bridget A; Melillo, Christine; Venkatachalam, Hari H; Fowler, Christopher A; Zilka, Brian; Messina, William.
Afiliação
  • Haun JN; Research and Development Service, James A. Haley Veterans' Hospital and Clinics, 8900 Grand Oak Circle, Tampa, FL, 33637, USA.
  • Panaite V; College of Public Health, University of South Florida, 4202 E. Fowler Avenue, Tampa, FL, 33620, USA.
  • Cotner BA; Research and Development Service, James A. Haley Veterans' Hospital and Clinics, 8900 Grand Oak Circle, Tampa, FL, 33637, USA.
  • Melillo C; Department of Psychology, University of South Florida, 4202 E. Fowler Avenue, Tampa, FL, 33620, USA.
  • Venkatachalam HH; Research and Development Service, James A. Haley Veterans' Hospital and Clinics, 8900 Grand Oak Circle, Tampa, FL, 33637, USA.
  • Fowler CA; Department of Anthropology, University of South Florida, 4202 E. Fowler Avenue, Tampa, FL, 33620, USA.
  • Zilka B; Research and Development Service, James A. Haley Veterans' Hospital and Clinics, 8900 Grand Oak Circle, Tampa, FL, 33637, USA. Christine.Melillo@va.gov.
  • Messina W; Research and Development Service, James A. Haley Veterans' Hospital and Clinics, 8900 Grand Oak Circle, Tampa, FL, 33637, USA.
BMC Health Serv Res ; 22(1): 1353, 2022 Nov 15.
Article em En | MEDLINE | ID: mdl-36380318
BACKGROUND: A proactive approach to delivering care using virtual resources, while reducing in-person contact, is needed during the COVID-19 pandemic. OBJECTIVE: In the current study we describe pre- to post- COVID-19 pandemic onset related changes in electronic delivery of primary care. METHODS: A longitudinal, pre-post within-subjects design was used. Patient-aligned care team providers from one VA medical center, a primary care annex, and four affiliated community-based outpatient clinics completed both a baseline and follow up survey (N = 62) or the follow-up survey only (N = 85). The follow-up survey contained questions about COVID-19. RESULTS: The majority of providers (88%) reported they would continue virtual care once pandemic restrictions were lifted. Most (83%) felt prepared to transition to virtual care when pandemic restrictions began. Use of My HealtheVet, Telehealth, and mobile apps showed a significant increase (22.7%; 31.1%; 48.5%). Barriers to virtual care included (1) internet connectivity; (2) patients' lack of technology comfort and skills; and (3) technical issues. Main supports to provide virtual care to patients were (1) peers/ colleagues; (2) technology support through help desk; (3) equipment such as laptops and dual screens; (4) being able to use doximety and virtual care manager, and (5) training. CONCLUSIONS: Overall, provider-use and perceptions related to using virtual care improved over time. Providers adapted quickly to providing virtual care during COVID-19 and planned to provide virtual care long-term.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Telemedicina / COVID-19 Limite: Humans Idioma: En Revista: BMC Health Serv Res Assunto da revista: PESQUISA EM SERVICOS DE SAUDE Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Telemedicina / COVID-19 Limite: Humans Idioma: En Revista: BMC Health Serv Res Assunto da revista: PESQUISA EM SERVICOS DE SAUDE Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Estados Unidos