Carder Danielle B, Jeon Sangha, Baker Matthew C, Hu Xiaochu, Dill Michael J, Chew Lisa D
Association of American Medical Colleges, Washington, USA.
University of California, Irvine, CA, USA.
J Gen Intern Med. 2025 Jan 14. doi: 10.1007/s11606-024-09287-4.
The growth of telehealth care delivery during the COVID-19 pandemic highlighted its potential to enhance access to care and improve patient outcomes. As the healthcare landscape moves toward a new equilibrium in care delivery, few studies have examined physician usage of specific telehealth modalities.
To understand telehealth usage differences among modalities and across subgroups of physicians.
Cross-sectional survey of physicians in the United States (U.S).
Physicians in the U.S.
Telehealth modalities, telehealth usage intensity, factors influencing telehealth usage by different types of physicians.
More than 70% of physicians reported using telehealth. Our results show variation in the types of modalities used by different types of physicians, with provider-to-provider telehealth modalities having lower usage rates than provider-to-patient modalities. Live video visits with patients was the most commonly used modality (56.5%), while video consultations (17.6%) was the least used modality. "Payment and reimbursement" was identified as the most important factor enabling routine telehealth use (by 41.6% of physicians).
This study identifies and assesses the widespread adoption of telehealth among U.S. physicians, particularly for provider-to-patient interactions, and highlights the potential for greater use of provider-to-provider modalities. While variations in usage patterns across provider types and specialties reflect the diverse needs and contexts within healthcare, ensuring that these variations are appropriate is critical to avoiding disparities in access and utilization. Addressing barriers related to reimbursement, interoperability, and training will be key to promoting equitable and appropriate adoption of various telehealth modalities across diverse clinical settings.
在新冠疫情期间，远程医疗服务的增长凸显了其在增加医疗服务可及性和改善患者治疗效果方面的潜力。随着医疗格局朝着新的服务提供平衡发展，很少有研究考察医生对特定远程医疗模式的使用情况。
了解不同远程医疗模式以及不同亚组医生之间的远程医疗使用差异。
对美国医生进行横断面调查。
美国医生。
远程医疗模式、远程医疗使用强度、不同类型医生使用远程医疗的影响因素。
超过70%的医生报告使用过远程医疗。我们的结果显示，不同类型医生使用的模式类型存在差异，提供者对提供者的远程医疗模式使用率低于提供者对患者的模式。与患者进行实时视频问诊是最常用的模式（56.5%），而视频会诊是最少使用的模式（17.6%）。“支付与报销”被确定为促使常规使用远程医疗的最重要因素（41.6%的医生）。
本研究识别并评估了远程医疗在美国医生中的广泛采用情况，尤其是在提供者对患者的互动方面，并强调了更多使用提供者对提供者模式的潜力。虽然不同提供者类型和专业的使用模式差异反映了医疗保健领域的不同需求和背景，但确保这些差异是适当的对于避免获取和利用方面的差距至关重要。解决与报销、互操作性和培训相关的障碍将是促进在各种临床环境中公平和适当地采用各种远程医疗模式的关键。
