NCT04684836

Comparative Effectiveness of Telemedicine in Primary Care

Evaluating the Comparative Effectiveness of Telemedicine in Primary Care: Learning From the COVID-19 Pandemic

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 33,100 (actual)
• Sponsor: Weill Medical College of Cornell University · Academic / Other
• Sex: All
• Age: 19 Years
• Healthy volunteers: —

Summary

Leveraging a natural experiment approach, the investigators will examine rapidly changing telemedicine and in-person models of care during and after the COVID-19 crisis to determine whether certain patients could safely choose to continue telemedicine or telemedicine-supplemented care, rather than return to in-person care.

Detailed description

During the COVID-19 pandemic, telemedicine has quickly emerged as the primary method of providing outpatient care in many regions with shelter-in-place and social distancing policies. It is critical to understand the impact of this rapid and widespread transition from in-person to remote visits on disparities in access to primary care, especially in chronic disease where ongoing communication between providers and patients is essential. Also, these newly developed or expanded telemedicine programs vary widely, raising important questions about the effect of these differences on uptake of telemedicine among different patient populations and on patient-centered outcomes. Leveraging a natural experiment approach, the investigators will examine rapidly changing telemedicine and in-person models of care during and after the COVID-19 crisis to determine whether certain patients could safely choose to continue telemedicine or telemedicine-supplemented care, rather than return to in-person care. The overarching goals of this study are to describe the features of telemedicine programs in primary care during the COVID-19 pandemic and to use natural experiment methods to provide rigorous evidence on the effects of these programs. PCORI has granted an extension for the final research report to October 1, 2023.

Conditions

• Asthma
• Chronic Obstructive Pulmonary Disease (COPD)
• Congestive Heart Failure
• Diabetes
• Hypertension

Interventions

Type	Name	Description
OTHER	Exposure to telemedicine, after the onset of the pandemic	The exposure of interest was the switch to primary care telemedicine prompted by the COVID-19 epidemic

Timeline

• Start date: 2021-03-15
• Primary completion: 2022-04-01
• Completion: 2022-04-01
• First posted: 2020-12-28
• Last updated: 2024-09-19
• Results posted: 2024-09-19

Locations

4 sites across 1 country: United States