Natl Health Stat Report. 2024 Sep 18(210). doi: 10.15620/cdc/159282.
This report examines telemedicine use by office-based physicians and long-term care providers in the United States, stratified by electronic health record use and by provider or practice size. Further, it examines differences in telemedicine use before and after the COVID-19 pandemic onset among office-based physicians and assesses telemedicine use during the first year of the COVID-19 pandemic for long-term care providers.
Nationally representative estimates in this report are derived from data collected in the 2019 and 2021 National Electronic Health Records Survey, which assesses characteristics of office-based physicians, and the 2020 National Post-acute and Long-term Care Study, which assesses characteristics of adult day services centers and residential care communities. Measures include telemedicine using audio with video or web videoconference for patient care, electronic health record use for more than accounting or billing purposes, and size of physician practices and long-term care providers.
In 2021, 80.5% of physicians in office-based settings used telemedicine for patient care, up from 16.0% in 2019. In 2020, 20.5% of adult day services centers and 44.5% of residential care communities used telemedicine to care for users with COVID-19. Office-based physicians, adult day services centers, and residential care communities that used electronic health record systems were more likely to also use telemedicine compared with those not using electronic health records. Large practices and providers were more likely to use telemedicine compared with small practices and providers.
Findings from this report describe telemedicine use among office-based physicians and long-term care providers. Practices and providers that used electronic health records and were larger were more likely to also use telemedicine for patient care during the COVID-19 pandemic.
本报告考察了美国基层医疗机构医生和长期护理机构在使用电子病历的情况下，按提供者或执业规模对远程医疗使用情况进行分层，并进一步考察了基层医疗机构医生在新冠疫情前后远程医疗使用情况的差异，评估了长期护理机构在新冠疫情第一年的远程医疗使用情况。
本报告中的全国代表性估计数据来自于 2019 年和 2021 年全国电子健康记录调查的数据，该调查评估了基层医疗机构医生的特征；以及 2020 年全国康复和长期护理研究的数据，该调查评估了成人日间服务中心和居住护理社区的特征。这些措施包括使用音频加视频或网络视频会议进行患者护理的远程医疗、电子病历的使用不仅仅是为了记账或开票，以及医生执业和长期护理机构的规模。
2021 年，有 80.5%的基层医疗机构医生使用远程医疗进行患者护理，高于 2019 年的 16.0%。2020 年，有 20.5%的成人日间服务中心和 44.5%的居住护理社区使用远程医疗为新冠患者提供护理。与未使用电子病历系统的机构相比，使用电子病历系统的基层医疗机构医生、成人日间服务中心和居住护理社区更有可能同时使用远程医疗。大型实践和提供者更有可能使用远程医疗，而不是小型实践和提供者。
本报告的研究结果描述了基层医疗机构医生和长期护理提供者的远程医疗使用情况。使用电子病历且规模较大的实践和提供者更有可能在新冠疫情期间将远程医疗用于患者护理。
