Associations of telemedicine vs. in-person ambulatory visits and cancellation rates and 30-day follow-up hospitalizations and emergency department visits

Little is known about cancellation frequencies in telemedicine vs. in-person appointments and its impact on clinical outcomes. Our objective was to examine differences between in-person and video telemedicine appointments in terms of cancellation rates by age, race, ethnicity, gender, and insurance,...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Julianne N. Kubes, Ilana Graetz, Zanthia Wiley, Nicole Franks, Ambar Kulshreshtha
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Telemedicine Telehealth Cancellations Patient safety Quality improvement Medicine R
Acceso en línea:	https://doaj.org/article/e9c57217c68c4ba39ca783de475907f4
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:e9c57217c68c4ba39ca783de475907f4
record_format	dspace
spelling	oai:doaj.org-article:e9c57217c68c4ba39ca783de475907f42021-11-18T04:48:06ZAssociations of telemedicine vs. in-person ambulatory visits and cancellation rates and 30-day follow-up hospitalizations and emergency department visits2211-335510.1016/j.pmedr.2021.101629https://doaj.org/article/e9c57217c68c4ba39ca783de475907f42021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S221133552100320Xhttps://doaj.org/toc/2211-3355Little is known about cancellation frequencies in telemedicine vs. in-person appointments and its impact on clinical outcomes. Our objective was to examine differences between in-person and video telemedicine appointments in terms of cancellation rates by age, race, ethnicity, gender, and insurance, and compare 30-day inpatient hospitalizations rates and 30-day emergency department visit rates between the two visit types. Demographic characteristics and comorbidities for adults scheduled for an Emory Healthcare ambulatory clinic appointment from June 2020 to December 2020 were extracted from the electronic medical record. Each appointment was identified as either a video telemedicine or in-person clinic appointment. The outcomes were ambulatory clinic cancellation rates, 30-day hospitalization rates, and 30-day emergency department visit rates. Multivariable logistic regression was used to assess differences between appointment types. A total of 1,652,623 ambulatory clinic appointments were scheduled. Ambulatory appointment cancellations rates were significantly lower among telemedicine compared to in-person appointments overall (20.4% vs. 31.0%, p < .001) and regardless of gender, age, race, ethnicity, insurance, or specialty (p < .05 for all sub-groups). Telemedicine appointments were associated with lower 30-day hospitalization rates compared to in-person appointments (AOR: 0.72, 95% CI: 0.71–0.74). There was no difference in 30-day emergency department visit rates between telemedicine and in-person appointment patients (AOR: 1.00, 95% CI: 0.98–1.02). Our findings suggest that there are fewer barriers to attending an ambulatory care visit via telemedicine relative to in-person. Using video telemedicine was not associated with more frequent adverse clinical events compared with in-person visits.Julianne N. KubesIlana GraetzZanthia WileyNicole FranksAmbar KulshreshthaElsevierarticleTelemedicineTelehealthCancellationsPatient safetyQuality improvementMedicineRENPreventive Medicine Reports, Vol 24, Iss , Pp 101629- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Telemedicine Telehealth Cancellations Patient safety Quality improvement Medicine R
spellingShingle	Telemedicine Telehealth Cancellations Patient safety Quality improvement Medicine R Julianne N. Kubes Ilana Graetz Zanthia Wiley Nicole Franks Ambar Kulshreshtha Associations of telemedicine vs. in-person ambulatory visits and cancellation rates and 30-day follow-up hospitalizations and emergency department visits
description	Little is known about cancellation frequencies in telemedicine vs. in-person appointments and its impact on clinical outcomes. Our objective was to examine differences between in-person and video telemedicine appointments in terms of cancellation rates by age, race, ethnicity, gender, and insurance, and compare 30-day inpatient hospitalizations rates and 30-day emergency department visit rates between the two visit types. Demographic characteristics and comorbidities for adults scheduled for an Emory Healthcare ambulatory clinic appointment from June 2020 to December 2020 were extracted from the electronic medical record. Each appointment was identified as either a video telemedicine or in-person clinic appointment. The outcomes were ambulatory clinic cancellation rates, 30-day hospitalization rates, and 30-day emergency department visit rates. Multivariable logistic regression was used to assess differences between appointment types. A total of 1,652,623 ambulatory clinic appointments were scheduled. Ambulatory appointment cancellations rates were significantly lower among telemedicine compared to in-person appointments overall (20.4% vs. 31.0%, p < .001) and regardless of gender, age, race, ethnicity, insurance, or specialty (p < .05 for all sub-groups). Telemedicine appointments were associated with lower 30-day hospitalization rates compared to in-person appointments (AOR: 0.72, 95% CI: 0.71–0.74). There was no difference in 30-day emergency department visit rates between telemedicine and in-person appointment patients (AOR: 1.00, 95% CI: 0.98–1.02). Our findings suggest that there are fewer barriers to attending an ambulatory care visit via telemedicine relative to in-person. Using video telemedicine was not associated with more frequent adverse clinical events compared with in-person visits.
format	article
author	Julianne N. Kubes Ilana Graetz Zanthia Wiley Nicole Franks Ambar Kulshreshtha
author_facet	Julianne N. Kubes Ilana Graetz Zanthia Wiley Nicole Franks Ambar Kulshreshtha
author_sort	Julianne N. Kubes
title	Associations of telemedicine vs. in-person ambulatory visits and cancellation rates and 30-day follow-up hospitalizations and emergency department visits
title_short	Associations of telemedicine vs. in-person ambulatory visits and cancellation rates and 30-day follow-up hospitalizations and emergency department visits
title_full	Associations of telemedicine vs. in-person ambulatory visits and cancellation rates and 30-day follow-up hospitalizations and emergency department visits
title_fullStr	Associations of telemedicine vs. in-person ambulatory visits and cancellation rates and 30-day follow-up hospitalizations and emergency department visits
title_full_unstemmed	Associations of telemedicine vs. in-person ambulatory visits and cancellation rates and 30-day follow-up hospitalizations and emergency department visits
title_sort	associations of telemedicine vs. in-person ambulatory visits and cancellation rates and 30-day follow-up hospitalizations and emergency department visits
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/e9c57217c68c4ba39ca783de475907f4
work_keys_str_mv	AT juliannenkubes associationsoftelemedicinevsinpersonambulatoryvisitsandcancellationratesand30dayfollowuphospitalizationsandemergencydepartmentvisits AT ilanagraetz associationsoftelemedicinevsinpersonambulatoryvisitsandcancellationratesand30dayfollowuphospitalizationsandemergencydepartmentvisits AT zanthiawiley associationsoftelemedicinevsinpersonambulatoryvisitsandcancellationratesand30dayfollowuphospitalizationsandemergencydepartmentvisits AT nicolefranks associationsoftelemedicinevsinpersonambulatoryvisitsandcancellationratesand30dayfollowuphospitalizationsandemergencydepartmentvisits AT ambarkulshreshtha associationsoftelemedicinevsinpersonambulatoryvisitsandcancellationratesand30dayfollowuphospitalizationsandemergencydepartmentvisits
_version_	1718425072903913472

Associations of telemedicine vs. in-person ambulatory visits and cancellation rates and 30-day follow-up hospitalizations and emergency department visits

Ejemplares similares