Use and Content of Primary Care Office-Based vs Telemedicine Care Visits During the COVID-19 Pandemic in the US | Zendy

G. Caleb Alexander | Zendy; Matthew Tajanlangit | Zendy; James Heyward | Zendy; Omar Mansour | Zendy; Dima M. Qato | Zendy; Randall S. Stafford | Zendy

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Use and Content of Primary Care Office-Based vs Telemedicine Care Visits During the COVID-19 Pandemic in the US

Author(s) -

G. Caleb Alexander,

Matthew Tajanlangit,

James Heyward,

Omar Mansour,

Dima M. Qato,

Randall S. Stafford

Publication year - 2020

Publication title -

jama network open

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.278

H-Index - 39

ISSN - 2574-3805

DOI - 10.1001/jamanetworkopen.2020.21476

Subject(s) - medicine , pandemic , telemedicine , quarter (canadian coin) , primary care , covid-19 , medical prescription , audit , population , family medicine , index (typography) , emergency medicine , medical emergency , demography , pediatrics , health care , environmental health , disease , geography , nursing , business , infectious disease (medical specialty) , archaeology , accounting , sociology , economics , economic growth , world wide web , computer science

Key Points Question Is there a quantifiable association between the coronavirus disease 2019 (COVID-19) pandemic and the volume, type, and content of primary care encounters in the US? Findings In this cross-sectional analysis of the US National Disease and Therapeutic Index audit of more than 125.8 million primary care visits in the 10 calendar quarters between quarter 1 of 2018 and quarter 2 of 2020, primary care visits decreased by 21.4% during the second quarter of 2020 compared with the average quarterly visit volume of the second quarters of 2018 and 2019. Evaluations of blood pressure and cholesterol levels decreased owing to fewer total visits and less frequent assessment during telemedicine encounters. Meaning The COVID-19 pandemic was associated with changes in the structure of primary care delivery during the second quarter of 2020, with the content of telemedicine visits differing from that of office-based encounters.

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