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Tytuł:
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Primary care virtual resource use prior and post COVID-19 pandemic onset.
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Autorzy:
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Haun JN; Research and Development Service, James A. Haley Veterans' Hospital, 8900 Grand Oak Circle, Tampa, FL, 33637, USA.; College of Public Health, University of South Florida, Tampa, FL, 33620, USA.
Panaite V; Research and Development Service, James A. Haley Veterans' Hospital, 8900 Grand Oak Circle, Tampa, FL, 33637, USA. .; Department of Psychology, University of South Florida, Tampa, FL, 33620, USA. .
Cotner BA; Research and Development Service, James A. Haley Veterans' Hospital, 8900 Grand Oak Circle, Tampa, FL, 33637, USA.; Department of Anthropology, University of South Florida, Tampa, FL, 33620, USA.
Melillo C; Research and Development Service, James A. Haley Veterans' Hospital, 8900 Grand Oak Circle, Tampa, FL, 33637, USA.
Venkatachalam HH; Research and Development Service, James A. Haley Veterans' Hospital, 8900 Grand Oak Circle, Tampa, FL, 33637, USA.
Fowler CA; Research and Development Service, James A. Haley Veterans' Hospital, 8900 Grand Oak Circle, Tampa, FL, 33637, USA.; Department of Psychiatry and Behavioral Neurosciences, University of South Florida, Tampa, FL, USA.
Lapcevic W; Research and Development Service, James A. Haley Veterans' Hospital, 8900 Grand Oak Circle, Tampa, FL, 33637, USA.
Alman AC; Research and Development Service, James A. Haley Veterans' Hospital, 8900 Grand Oak Circle, Tampa, FL, 33637, USA.; College of Public Health, University of South Florida, Tampa, FL, 33620, USA.
French DD; Center for Health Services and Outcomes Research and Department of Ophthalmology and Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.; U.S. Department of Veterans Affairs, Health Services Research and Development, Chicago, IL, USA.
Zilka B; James A. Haley Veterans' Hospital and Clinics, Tampa, FL, 33637, USA.
Messina W; James A. Haley Veterans' Hospital and Clinics, Tampa, FL, 33637, USA.
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Źródło:
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BMC health services research [BMC Health Serv Res] 2022 Nov 18; Vol. 22 (1), pp. 1370. Date of Electronic Publication: 2022 Nov 18.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: London : BioMed Central, [2001-
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MeSH Terms:
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United States Department of Veterans Affairs*
COVID-19*/epidemiology
Humans ; United States/epidemiology ; Pandemics ; Health Services Accessibility ; Primary Health Care
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References:
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Am Psychol. 2021 Jan;76(1):26-38. (PMID: 33119331)
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Grant Information:
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P30 DK092949 United States DK NIDDK NIH HHS
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Contributed Indexing:
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Keywords: COVID-19; Data extraction; Primary care; Veteran; Virtual care
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Entry Date(s):
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Date Created: 20221119 Date Completed: 20221122 Latest Revision: 20230531
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Update Code:
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20240104
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PubMed Central ID:
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PMC9673210
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DOI:
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10.1186/s12913-022-08790-w
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PMID:
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36401239
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Background: The COVID-19 pandemic has been a catalyst for rapid uptake of virtual care through the use of virtual health resources (VHR). In the Department of Veterans Affairs (VA) Healthcare System, virtual care has been critical to maintaining healthcare access for patients during COVID-19. In the current study we describe primary care patient aligned care team (PACT) VHR use patterns within one VA medical center (i.e., hospital facility and five community-based outpatient clinics) pre- and post-COVID-19 onset.
Methods: VHR provider and patient use data from 106 individual PACTs were extracted monthly between September 2019 to September 2020. Data were extracted from VHA web-based project application and tracking databases. Using longitudinal data, mixed effect models were used to compare pre- and post-COVID onset slopes.
Results: Findings highlight an increase in patient users of secure messaging (SM) and telehealth. The rate of utilization among these patients increased for SM but not for telehealth visits or online prescription refill (RxRefill) use. Finally, VetLink Kiosk check ins that are done at in person visits, diminished abruptly after COVID-19 onset.
Conclusions: These data provide a baseline of VHR use at the PACT level after the initial impact of the COVID-19 pandemic and can inform healthcare delivery changes within the VA systems over time. Moreover, this project produced a data extraction blueprint, that is the first of its kind to track VA VHR use leveraging secondary data sources.
(© 2022. The Author(s).)
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