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Journal articles on the topic 'Access visits'

Author: Grafiati

Published: 25 July 2024

Last updated: 31 July 2025

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1

Alves, Luciana Valadão Vasconcelos, Sonia Acioli, Vanessa De Almeida Ferreira Corrêa, and Juliana Roza Dias. "Características do acesso à visita domiciliar: visão de enfermeiros." Revista Recien - Revista Científica de Enfermagem 10, no. 31 (2020): 57–64. http://dx.doi.org/10.24276/rrecien2020.10.31.57-64.

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Caracterizar o acesso à visita domiciliar do enfermeiro da Estratégia Saúde da Família, em uma área de planejamento do município do Rio de Janeiro. Estudo descritivo, de abordagem qualitativa, cuja coleta de dados foi realizada por meio de entrevistas semiestruturadas, com 25 enfermeiros. Para análise dos dados utilizou-se a técnica hermenêutica-dialética. O acesso à visita domiciliar ocorre através da demanda de agentes comunitários de saúde, observações na consulta de enfermagem e pelo próprio usuário. São visitas voltadas às principais linhas de cuidado, acamados e com dificuldades de deamb

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Kim, So Lim, Angela Everett, Susan J. Rehm, Steven Gordon, and Nabin Shrestha. "Emergency Department Visits During Outpatient Parenteral Antimicrobial Therapy: A Cohort Study." Open Forum Infectious Diseases 4, suppl_1 (2017): S333—S334. http://dx.doi.org/10.1093/ofid/ofx163.791.

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Abstract Background Outpatient parenteral antimicrobial therapy (OPAT) carries risk of vascular access complications, antimicrobial adverse effects, and worsening of infection. Both OPAT-related and unrelated events may lead to emergency department (ED) visits. The purpose of this study was to describe adverse events that result in ED visits and risk factors associated with ED visits during OPAT. Methods OPAT courses between January 1, 2013 and December 31, 2016 at Cleveland Clinic were identified from the institution’s OPAT registry. ED visits within 30 days of OPAT initiation were reviewed.

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Master, Samip R., Poornima Ramadas, and Richard Preston Mansour. "Telemedicine in Hematology: Tool to Improve Access and Patient Satisfaction." Blood 138, Supplement 1 (2021): 4937. http://dx.doi.org/10.1182/blood-2021-152108.

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Abstract Introduction: Telemedicine can transform the future of medicine, especially in rural settings by improving access to medical care. Here were present the patient satisfaction data from both telemedicine and regular visits in our Hematology & Oncology clinics. In Hematology, we have used tele medicine for sickle cell disease, benign hematology cases like iron deficiency, thrombocytopenia, leukocytosis etc., and in malignant hematology for new patient consults, toxicity checks, follow up of plasma cell disorders, chronic leukemias and low intensity chemotherapies. Methods: We retrosp

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Bishop, Kenneth D., Mary Anne Fenton, Tara Szymanski, and Megan Begnoche. "Reduction of emergency department utilization via access to outpatient cancer care." Journal of Clinical Oncology 32, no. 30_suppl (2014): 128. http://dx.doi.org/10.1200/jco.2014.32.30_suppl.128.

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128 Background: Emergency department (ED) utilization for non-emergent medical problems is an inefficient use of medical resources. During calendar year 2013, 224 RIH adult cancer patients presented to the RIH ED. Retrospective review indicated up to 50% of these ED visits were avoidable. Methods: This project was developed for the ASCO Quality Training Program. A multidisciplinary team was assembled to address ED utilization. Retrospective chart review of ED visits included time and reason for visit and primary tumor site. The team selected the Lung Cancer as the target group, developed a cau

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Diana Palandri, Hanna Raber, Casey Tak, Elizabeth Bald, Katherine Hastings, and Karen Gunning. "Improving Patient Access to Primary Care Providers Using a Pharmacist-Physician Co-Visit Model." INNOVATIONS in pharmacy 14, no. 2 (2023): 2. http://dx.doi.org/10.24926/iip.v14i2.5106.

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Background: Implementation of a clinical pharmacist in the primary care setting can offset provider time spent managing chronic diseases using Collaborative Practice Agreements (CPAs). The pharmacist-physician co-visit model presents an opportunity for pharmacists to increase patient access to their primary care provider (PCP). Studies of the co-visit model show that co-visits increase clinic efficiency by allowing the PCP to see additional patients and achieve more health care goals compared with independent visits. Objectives: The aim of this study was to increase patient access to their PCP

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SEONAE YEO. "Language Barriers and Access to Care." Annual Review of Nursing Research 22, no. 1 (2004): 59–73. http://dx.doi.org/10.1891/0739-6686.22.1.59.

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The purpose of this chapter is to examine how language barriers contribute to health disparities among ethnic and racial minorities in the United States. A literature search was systematically conducted using selected computer databases (MEDLINE and CINAHL). Searches were limited to English-language-published research in the years from 1985 to 2003. A total of 47 published articles were included in this review. Overall these studies indicate that language barriers are associated with longer visit time per clinic visit, less frequent clinic visits, less understanding of physician’s explanation,

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Hu, Qinglin, Xiaobing Li, and Mercedes M. Morales-Alemán. "Pathway analysis to characterize the relationships between healthcare access and healthcare visits in the United States using the health information national trends survey." International Journal Of Community Medicine And Public Health 9, no. 5 (2022): 1951. http://dx.doi.org/10.18203/2394-6040.ijcmph20221206.

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Background: Americans had fewer healthcare visits compared to their counterparts in other developed countries. The lack of regular check-ups can contribute to worsening health conditions. Insurance coverage, access to transportation to healthcare services, and having accessed health information via the internet are known to be associated with frequency of healthcare visits. However, there is limited literature detailing the direct and indirect influences of these variables on frequency of patients’ healthcare visits. We aimed to understand the interactive relationship between insurance coverag

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Banty, Andrea, Theodore Solomon, Susie Lee, et al. "A NURSE LED INTERVENTION TO IMPROVE ACCESS TO CARE USING A TELEPHONE TRIAGE ALGORITHM." Inflammatory Bowel Diseases 29, Supplement_1 (2023): S40—S41. http://dx.doi.org/10.1093/ibd/izac247.074.

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Abstract BACKGROUND Inflammatory bowel disease is a chronic inflammatory condition for which patients may require care on a more urgent basis. Response times can be delayed when clinics are inundated with calls or when providers are not available for immediate patient care. We developed and tested an algorithm to empower nurses to effectively triage phone calls and improve access. METHODS We created an algorithm for nurses handling phone calls and electronic messages to a tertiary care IBD clinic. Calls were divided into four categories: Needs Immediate Response, Disease Flare, Routine and Oth

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Majors, Lauren, and Mary Unangst. "Retrospective Analysis of a Nationwide Telelactation Program." Clinical Lactation 12, no. 2 (2021): 91–100. http://dx.doi.org/10.1891/clinlact-d-20-00009.

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BackgroundTelelactation is a modality for delivering remote clinical lactation care using telecommunications technology. Sonder Health, in partnership with Amwell, began offering synchronous video telelactation services to health plans and employer groups in 2016.MethodsWe completed a retrospective data analysis on a randomized selection of 1,087 telelactation visits covered by a health plan or employee-sponsored health plan conducted between 2016–2019. Our aim is to describe a telelactation model and review selected visits for technical modalities utilized, clinical workflow, top self-reporte

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Goldstein, Karen M., Kathleen R. Perry, Allison Lewinski, et al. "How can equitable video visit access be delivered in primary care? A qualitative study among rural primary care teams and patients." BMJ Open 12, no. 8 (2022): e062261. http://dx.doi.org/10.1136/bmjopen-2022-062261.

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ObjectiveThe COVID-19 pandemic sparked exponential growth in video visit use in primary care. The rapid shift to virtual from in-person care exacerbated digital access disparities across racial groups and rural populations. Moving forward, it is critical to understand when and how to incorporate video visits equitably into primary care. We sought to develop a novel clinical algorithm to guide primary care clinics on how and when to employ video visits as part of care delivery.DesignQualitative data collection: one team member conducted all patient semistructured interviews and led all focus gr

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Nelson, Ariel Ann, Christina Ladwig, Kristin Riemersma, Kathryn A. Bylow, and Deepak Kilari. "Disparities in medical oncology visit adherence among African American (AA) men with prostate cancer (pCa)." Journal of Clinical Oncology 41, no. 16_suppl (2023): e18671-e18671. http://dx.doi.org/10.1200/jco.2023.41.16_suppl.e18671.

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e18671 Background: AA patients (pts) with pCa tend to have worse outcomes when compared to Caucasians. Disparities in access to healthcare among AA pts with pCa is a significant barrier to improvement in outcomes. Medical oncology visit attendance among this population has not been thoroughly investigated. Methods: Pts with a diagnosis (dx) of pCa scheduled to see a provider (MD or advanced practice provider) at a single academic institution medical oncology clinic between January 2022 and December 2022 were retrospectively identified. Pts were categorized by self-identified race. The total nu

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Jiang, Angela, Reem Kashlan, Christine Joseph, Amy Tang, and Henry Lim. "Disparities in Access to Teledermatology During the COVID-19 Pandemic in Detroit, Michigan." SKIN The Journal of Cutaneous Medicine 5, no. 6 (2021): 639–48. http://dx.doi.org/10.25251/skin.5.6.6.

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Background: Teledermatology became a necessary modality for dermatologic patient care during the COVID-19 pandemic. Due to disparities in access to technology, “The Digital Divide” refers to worsening health care disparities despite telemedicine’s best efforts to improve access. Methods: Retrospective chart review was performed of all patients who were scheduled to be seen in dermatology during the first wave of pandemic (March 27, 2020 to April 27, 2020). Demographic characteristics of patients who pursued virtual visits was compared with those who did not. Results: Compared to patients who c

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Iyer, Sowmya, Priyanka Mehta, Joanne Weith, et al. "Converting a Geriatrics Clinic to Virtual Visits during COVID-19: A Case Study." Journal of Primary Care & Community Health 12 (January 2021): 215013272110002. http://dx.doi.org/10.1177/21501327211000235.

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Background: To characterize the experience of converting a geriatrics clinic to telehealth visits in early stages of a pandemic. Design: An organizational case study with mixed methods evaluation from the first 8 weeks of converting a geriatrics clinic from in-person visits to video and telephone visits. Setting: Veteran’s Health Administration in Northern California Participants Community-dwelling older Veterans receiving care at VA Palo Alto Geriatrics clinic. Veterans had a mean age of 85.7 (SD = 6.8) and 72.1% had cognitive impairment. Intervention: Veterans with face-to-face appointments

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Alp, Aksel, Winston Doud, Christian Doud, et al. "Community-Based Telehealth Approach Improves Specialist Access for Individuals with Increased Cancer Risk in Low-Resource Settings." Cancers 17, no. 8 (2025): 1317. https://doi.org/10.3390/cancers17081317.

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Background/Objectives: The low-resource, minority and underserved populations (LRMU) that carry the highest risk of oral cancer (OC) experience many barriers to early detection and treatment, resulting in disproportionately poor outcomes. One major barrier to better outcomes is poor compliance with specialist referral for diagnosis and treatment. The goal of this prospective study was to compare specialist referral compliance for Telehealth vs. in-person visits in LRMU individuals screening positive for increased OC risk. Methods: Forty subjects who had screened positive for oral potentially m

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Lindly, Olivia J., Katharine E. Zuckerman, and Karen A. Kuhlthau. "Healthcare access and services use among US children with autism spectrum disorder." Autism 23, no. 6 (2018): 1419–30. http://dx.doi.org/10.1177/1362361318815237.

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This study aimed to determine associations of healthcare access problems with services use among US children with autism spectrum disorder. We analyzed 2011–2014 National Health Interview Survey data on 651 children with autism spectrum disorder aged 2–17 years. There were three measures of healthcare access problems: (1) delays accessing healthcare, (2) difficulty affording healthcare, and (3) trouble finding a primary care provider. There were five service use measures: (1) ⩾4 office visits, (2) ⩾1 well-child visit, (3) flu vaccine, (4) prescription medication, and (5) ⩾1 emergency departmen

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Iqbal, Javaid, Rahim Moineddin, Robert Fowler, et al. "Association of socioeconomic status (SES) with use of specialist palliative care (SPC) among people who died with cancer before and during the COVID-19 pandemic." Journal of Clinical Oncology 41, no. 16_suppl (2023): e18504-e18504. http://dx.doi.org/10.1200/jco.2023.41.16_suppl.e18504.

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e18504 Background: Access to high-quality care, including SPC, is known to vary according to SES. The effect of SES on access to SPC during the COVID-19 pandemic remains unknown. We measured the association of SES with SPC use in different care settings among people who died with cancer before and during the COVID-19 pandemic. Methods: This retrospective, population-based cohort study included 173,915 adult patients who died with cancer from 16/3/2015 to 15/3/2020 (pre-pandemic), and from 16/3/2020 to 15/3/2021 (pandemic period), in Ontario, Canada; March 16, 2020 coincided with the start of p

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Burdette, Samantha, Nathan Handley, Katlin Birchmeier, Atrayee Basu Mallick, Joanne Filicko, and Adam Binder. "Implementation of a post discharge video visit telehealth initiative." Journal of Clinical Oncology 37, no. 27_suppl (2019): 274. http://dx.doi.org/10.1200/jco.2019.37.27_suppl.274.

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274 Background: Telehealth is increasingly used as a means to influence four domains of healthcare: access, cost, experience, and effectiveness. The medical oncology service at Thomas Jefferson University implemented a post-discharge video visit program for all patients discharged from the Advanced Practice Provider (APP) service following scheduled inpatient chemotherapy. Data were collected to assess clinical interventions that occurred. Barriers to participation in the visits were also assessed. Methods: All patients on the APP service were screened for eligibility for a post discharge vide

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Dias, Carolina, Marcus Borin, Juliana Alvares, Augusto Guerra, and Francisco Acurcio. "PP76 Providing Information About Rheumatoid Arthritis Guideline In Brazil." International Journal of Technology Assessment in Health Care 34, S1 (2018): 96–97. http://dx.doi.org/10.1017/s0266462318002313.

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Introduction:Specialized Component of Pharmaceutical Service (SCPS) is a strategy to access high cost medicines in the National Health System (NHS) of Brazil, ensuring the completeness of medical treatment in which lines of care are defined in the Clinical Protocols and Therapeutic Guidelines (CPTG). To access the SCPS, the physician has to give to the patient a filled form, following some requirements and the CPTGs. In order to improve rational prescription and to facilitate patients’ access to medicines, we visited physicians and presented key information regarding the CPTGs of rheumatoid ar

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Michel, Alissa M., Morgan RL Lichtenstein, Khadija Faheem, et al. "Telehealth use and acceptability amongst a diverse oncology patient population." JCO Oncology Practice 20, no. 10_suppl (2024): 104. http://dx.doi.org/10.1200/op.2024.20.10_suppl.104.

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104 Background: Existing research describes numerous barriers to care for patients with cancer, including time constraints, cost, and additional health conditions. We sought to assess telehealth access and experience amongst a diverse patient population at an academic medical center. Methods: We administered a 60-question, cross-sectional, in-person survey to adult patients with a diagnosis of solid tumor or hematological malignancy on active treatment at Columbia University Irving Medical Center (CUIMC) in New York, NY between January 2023 and February 2024. The survey assessed access to and

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Hsiao, Vivian, Thevaa Chandereng, Robin L. Lankton, et al. "Disparities in Telemedicine Access: A Cross-Sectional Study of a Newly Established Infrastructure during the COVID-19 Pandemic." Applied Clinical Informatics 12, no. 03 (2021): 445–58. http://dx.doi.org/10.1055/s-0041-1730026.

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Abstract Background The COVID-19 pandemic led to dramatic increases in telemedicine use to provide outpatient care without in-person contact risks. Telemedicine increases options for health care access, but a “digital divide” of disparate access may prevent certain populations from realizing the benefits of telemedicine. Objectives The study aimed to understand telemedicine utilization patterns after a widespread deployment to identify potential disparities exacerbated by expanded telemedicine usage. Methods We performed a cross-sectional retrospective analysis of adults who scheduled outpatie

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Stamenova, Vess, Payal Agarwal, Leah Kelley, et al. "Uptake and patient and provider communication modality preferences of virtual visits in primary care: a retrospective cohort study in Canada." BMJ Open 10, no. 7 (2020): e037064. http://dx.doi.org/10.1136/bmjopen-2020-037064.

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ObjectivesTo evaluate the uptake of a platform for virtual visits in primary care, examine patient and physician preferences for virtual communication methods and report on characteristics of visits and patients experience of care.DesignA retrospective cohort study.SettingPrimary care practices within five regions in Ontario, Canada after 18 months of access to virtual care services.Participants326 primary care providers and 14 291 registered patients.InterventionsProviders used a platform that allowed them to connect with their patients through synchronous (audio/video) and/or asynchronous (s

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Kirby, Sue E., Sarah M. Dennis, Upali W. Jayasinghe, and Mark F. Harris. "Unplanned return visits to emergency in a regional hospital." Australian Health Review 36, no. 3 (2012): 336. http://dx.doi.org/10.1071/ah11067.

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Objective. The aim of this study was to determine the patient characteristics associated with unplanned return visits, using routinely collected hospital data, to assist in developing strategies to reduce their occurrence. Methods. Emergency department data from a regional hospital were analysed using univariate and multivariate methods to determine the influence of clinical, service usage and demographic patient characteristics on unplanned return visits. Results. Around 80% of the 16 000 patients attending emergency presented on only one occasion in a year. Five per cent of patients presente

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Konstantelos, Natalia, Ahmad Shakeri, Daniel McCormack, et al. "Regional differences in access to direct-acting antiviral treatments for hepatitis C across Ontario: A cross-sectional study." Canada Communicable Disease Report 48, no. 4 (2022): 170–78. http://dx.doi.org/10.14745/ccdr.v48i04a08.

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Background: Direct-acting antivirals (DAAs) are curative treatments for hepatitis C virus (HCV) infection, a condition affecting over 100,000 Ontarians. Although DAAs are covered under the public drug programs in Ontario, receiving prescriptions depends on access to healthcare. The aim of this study is to understand the relationship between DAA treatment rates and distance to prescriber in Ontario, Canada. Methods: We conducted a cross-sectional study and identified patients who filled a DAA prescription through the Ontario Drug Benefit (ODB) in 2019. We calculated crude (per 100,000 ODB recip

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Epstein, Jeremy A., Zoljargal Lkhagvajav, Tempest Young, Amanda Bertram, Hsin-Chieh Yeh, and Casey Overby Taylor. "Will the Doctor “See” You Now? The Development and Implementation of a Targeted Telemedicine System for Primary Care." ACI Open 07, no. 02 (2023): e71-e78. http://dx.doi.org/10.1055/s-0043-1776038.

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Abstract Objectives The coronavirus disease 2019 (COVID-19) pandemic led to a rapid adoption of telehealth. For underserved populations lacking internet access, telemedicine was accomplished by phone rather than an audio–video connection. The latter is presumed a more effective form and better approximation of an in-person visit. We sought to provide a telehealth platform to overcome barriers for underserved groups to hold video visits with their health care providers and evaluate differences between the two telehealth modalities as assessed by physicians and patients. Methods We designed a si

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Ganguli, Ishani, E. John Orav, Ruth Hailu, et al. "Patient Characteristics Associated With Being Offered or Choosing Telephone vs Video Virtual Visits Among Medicare Beneficiaries." JAMA Network Open 6, no. 3 (2023): e235242. http://dx.doi.org/10.1001/jamanetworkopen.2023.5242.

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ImportanceAfter the rapid expansion of telemedicine during the COVID-19 pandemic, there is debate about the role and reimbursement of telephone vs video visits. Missing is an understanding of what type of virtual visits clinicians may offer or patients may choose when given the option.ObjectiveTo evaluate characteristics of Medicare beneficiaries associated with practices and clinicians offering telephone visits only and patients receiving telephone visits only, when both telephone and video were available.Design, Setting, and ParticipantsThis survey study used 2019-2020 nationally representat

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Landau, Daniel. "Expanding Access to Hematologists Via Telehealth for People with Sickle Cell Disease." Blood 144, Supplement 1 (2024): 7542. https://doi.org/10.1182/blood-2024-193831.

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Introduction Sickle cell disease is a chronic illness that can affect nearly every organ system, requiring complex and multi-disciplinary specialty care. Hematologists play a pivotal role in managing complications such as anemia and iron overload, medication management, and helping patients understand new treatment options, including gene therapy. However, access to hematologic care is often limited. In South Carolina, a state with a significant rural population, there has historically been a lack of engagement with hematologists among the sickle cell population. To address this gap, the Medic

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Shah, Suken, Joseph Erinjeri, Qiu Xia Guan, Christian Otto, and Stephen Barnett Solomon. "Telemedicine visits reduce time to biopsy, travel time and costs for interventional radiology patients." Journal of Clinical Oncology 38, no. 15_suppl (2020): 2082. http://dx.doi.org/10.1200/jco.2020.38.15_suppl.2082.

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2082 Background: Telemedicine has been utilized to increase access to care for patients in primary care practices and more recently, specialty practices. The purpose of the study was to test the hypothesis that adding a telemedicine clinic practice could decrease the time to biopsy, travel time and cost for interventional radiology (IR) clinic patients. Methods: Telemedicine visits were performed by a physician or advanced practice provider (PA or NP) at a single institution, academic medical center to patients at 3 MSK regional locations in NY and NJ. Total patient encounters and data from No

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Kong, Marianna, Francine Rios-Fetchko, Madelyn Olmos-Rodriguez, et al. "Challenges to Video Visits for Patients With Non–English Language Preference." JAMA Network Open 8, no. 2 (2025): e2457477. https://doi.org/10.1001/jamanetworkopen.2024.57477.

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ImportancePatients with non–English language preference (NELP) participate in video visits considerably less often than their English-speaking counterparts. Understanding the capability, opportunities, and motivation of patients with NELP to use video visits is key to determining how this technology may benefit their care.ObjectiveTo investigate the perceptions of patients with NELP regarding the facilitators and barriers to usage of video visits.Design, Setting, and ParticipantsThis qualitative analysis of semistructured interviews of patients with NELP from an ambulatory clinic network of a

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Munthe, Novita Br Ginting, Rizanda Machmud, Rima Semiarty, et al. "Perspectives on Neonatal Visits Coverage in Serdang Bedagai Regency Indonesia: A Qualitative." Indonesian Journal of Global Health Research 7, no. 1 (2024): 125–36. http://dx.doi.org/10.37287/ijghr.v7i1.4092.

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The purpose of neonatal visits is to re-examine newborns, review counseling and anticipation guidelines with parents, identify symptoms of illness, and educate and support parents. The purpose of neonatal visits is to improve neonatal access to basic health services and to find out as early as possible if there are abnormalities in the baby or if there are problems. One important indicator to describe the level of public health is the infant mortality rate. Objective to find out more about the perspectives on neonatal visit coverage in Serdang Bedagai District, Indonesia. The study was a quali

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Bouzigard, Rory, Mark Arnold, Jacob Player, et al. "Outpatient parenteral antimicrobial therapy (OPAT) in a safety-net hospital: Opportunities for improvement." Antimicrobial Stewardship & Healthcare Epidemiology 3, S2 (2023): s96. http://dx.doi.org/10.1017/ash.2023.364.

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Background: Parkland Health is a 900-bed safety-net hospital that serves Dallas County, Texas. It has an OPAT program in which patients are managed via self-administration (S-OPAT), home-health/hemodialysis (H-OPAT), and skilled nursing facilities (SNF-OPAT). We evaluated the reasons for unscheduled emergency department (ED) visits by patients in these groups to identify strategies to decrease unexpected healthcare utilization and to improve safety. Methods: We performed a retrospective chart review of all adult patients discharged from Parkland Health on OPAT between April and June 2021. Demo

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Palakshappa, Jessica A., Erica R. Hale, Joshua D. Brown, et al. "Longitudinal Monitoring of Clinician-Patient Video Visits During the Peak of the COVID-19 Pandemic: Adoption and Sustained Challenges in an Integrated Health Care Delivery System." Journal of Medical Internet Research 26 (April 8, 2024): e54008. http://dx.doi.org/10.2196/54008.

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Background Numerous prior opinion papers, administrative electronic health record data studies, and cross-sectional surveys of telehealth during the pandemic have been published, but none have combined assessments of video visit success monitoring with longitudinal assessments of perceived challenges to the rapid adoption of video visits during the pandemic. Objective This study aims to quantify (1) the use of video visits (compared with in-person and telephone visits) over time during the pandemic, (2) video visit successful connection rates, and (3) changes in perceived video visit challenge

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Moon, Jeongyoon, Ebram M. Salama, Anna Y. Wang, et al. "Lack of Regular Access to Primary Care Physician Associated With Increased Emergency Department Visits Related to Survivorship Needs Among Rectal Cancer Survivors." Diseases of the Colon & Rectum 67, no. 12 (2024): 1536–43. http://dx.doi.org/10.1097/dcr.0000000000003529.

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BACKGROUND: With advances in rectal cancer management and improved prognosis, there is a growing number of rectal cancer survivors with unique needs. OBJECTIVES: We hypothesized that a significant proportion of our rectal cancer survivors lack regular access to a primary care physician. Our study aimed to examine the association between access to a primary care physician and survivorship-related emergency department visits. DESIGN: Retrospective cohort study of rectal cancer survivors who have finished all treatment. PATIENTS: Patients with rectal cancer who underwent proctectomy and completed

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Khan, Shaida, Alan Kramer, Johnathan McIver, Leah Cady, and Jaya R. Trivedi. "New patient access via telehealth in neuromuscular medicine during COVID-19." Work 69, no. 3 (2021): 715–19. http://dx.doi.org/10.3233/wor-210503.

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BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has changed the face of health care delivery. Health care institutions rapidly transitioned to telehealth to provide care to patients. Prior to the pandemic, telehealth services extended mostly to patients with established diagnoses. Driven by a necessity to provide care to all patients during the pandemic, neurologists started evaluating new patients also via telehealth. OBJECTIVE: To explore opportunities, challenges, and feasibility of telehealth for new patients with neuromuscular disorders. METHODS: New patient visits performed

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Nguyen, L. J., V. Huang, P. Habashi, and P. Tandon. "A222 PATTERNS OF SPECIALIST HEALTHCARE DELIVERY AMONG INFLAMMATORY BOWEL DISEASE PATIENTS IN RESPONSE TO THE COVID-19 PANDEMIC IN ONTARIO." Journal of the Canadian Association of Gastroenterology 8, Supplement_1 (2025): i92—i93. https://doi.org/10.1093/jcag/gwae059.222.

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Abstract Background The inflammatory bowel diseases (IBD), which comprise Crohn’s disease (CD) and ulcerative colitis (UC) are chronic conditions that can lead to significant disease complications. Access to specialist care has been shown to reduce the risk of surgery. However, due to restrictions during the COVID-19 pandemic, healthcare providers had to quickly pivot to virtual healthcare delivery. Aims Our aims were to characterize patterns of virtual care by specialists during the pandemic and whether these patterns differed between regions with high versus low access to gastroenterologists

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Park, S., E. T. Momany, M. P. Jones, et al. "The Effects of Medical Well Baby Visits in Promoting Earlier First Dental Visits for Children." JDR Clinical & Translational Research 3, no. 1 (2017): 91–100. http://dx.doi.org/10.1177/2380084417728237.

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The objective of the study was to assess the effects of medical well baby visits in promoting earlier first dental visits. We analyzed Iowa Medicaid claims data (2000–2013). The sample included 4 cohorts of children born in 2000, 2003, 2007, or 2010 and enrolled in Medicaid from birth ( N = 38,211). Children were followed for 3 y. The independent variables were cohort year and medical well baby visit frequency during 3 time periods (birth to age 10 mo, ages 11–19 mo, ages 20–36 mo). We used survival analyses to estimate first dental visit rates. First dental visit rates improved significantly

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Corace, Kim, Kednapa Thavorn, Kelly Suschinsky, et al. "Rapid Access Addiction Medicine Clinics for People With Problematic Opioid Use." JAMA Network Open 6, no. 11 (2023): e2344528. http://dx.doi.org/10.1001/jamanetworkopen.2023.44528.

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ImportanceNew approaches are needed to provide care for individuals with problematic opioid use (POU). Rapid access addiction medicine (RAAM) clinics offer a flexible, low-barrier, rapid access care model for this population.ObjectiveTo assess the associations of RAAM clinics with emergency department (ED) visits, hospitalizations, and mortality for people with POU.Design, Setting, and ParticipantsA retrospective cohort study involving a matched control group was performed using health administrative data from Ontario, Canada. Anonymized data from 4 Ontario RAAM clinics (cities of Ottawa, Toro

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Cousins, Matthew M., Monica Van Til, Emma Steppe, et al. "Age, race, insurance type, and digital divide index are associated with video visit completion for patients seen for oncologic care in a large hospital system during the COVID-19 pandemic." PLOS ONE 17, no. 11 (2022): e0277617. http://dx.doi.org/10.1371/journal.pone.0277617.

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Introduction The COVID-19 pandemic drove rapid adoption of telehealth across oncologic specialties. This revealed barriers to telehealth access and telehealth-related disparities. We explored disparities in telehealth access in patients with cancer accessing oncologic care. Materials/Methods Data for all unique patient visits at a large academic medical center were acquired pre- and intra-pandemic (7/1/2019-12/31/2020), including visit type (in-person, video, audio only), age, race, ethnicity, rural/urban (per zip code by Federal Office of Rural Health Policy), distance from medical facility,

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Baker, Lawrence, Elizabeth L. Munnich, and Ashley M. Kranz. "Medicaid Managed Care and Pediatric Dental Emergency Department Visits." JAMA Health Forum 5, no. 6 (2024): e241472. http://dx.doi.org/10.1001/jamahealthforum.2024.1472.

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ImportanceMillions of economically disadvantaged children depend on Medicaid for dental care, with states differing in whether they deliver these benefits using fee-for-service or capitated managed care payment models. However, there is limited research examining the association between managed care and the accessibility of dental services.ObjectiveTo estimate the association between the adoption of managed care for dental services in Florida’s Medicaid program and nontraumatic dental emergency department visits and associated charges.Design, Setting, and ParticipantsThis cohort study used an

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Dunn, Matthew, Ilona Fridman, Alan C. Kinlaw, Christine Neslund-Dudas, Samantha Tam, and Jennifer Elston Lafata. "Identifying barriers to being offered and accepting a telehealth visit for cancer care: Unpacking the multi-levels of documented racial disparities in telehealth use." JCO Oncology Practice 20, no. 10_suppl (2024): 382. http://dx.doi.org/10.1200/op.2024.20.10_suppl.382.

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382 Background: The use of telehealth visits in cancer care can improve accessibility, timeliness, and convenience for patients. However, disparities in its use persist with few studies having evaluated both patient- and community-level factors in relation to telehealth visit use in cancer care. Methods: We assembled a cohort of adults with an upcoming healthcare visit related to their cancer treatment at two academic medical centers (one in central NC and one in southeast MI) and their community affiliates. Black adults and those with a scheduled telehealth visit were oversampled during recru

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O’Shea, Amy M. J., Aaron Baum, Bjarni Haraldsson, et al. "Association of Adequacy of Broadband Internet Service With Access to Primary Care in the Veterans Health Administration Before and During the COVID-19 Pandemic." JAMA Network Open 5, no. 10 (2022): e2236524. http://dx.doi.org/10.1001/jamanetworkopen.2022.36524.

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ImportanceAlthough telemedicine expanded rapidly during the COVID-19 pandemic and is widely available for primary care, required broadband internet speeds may limit access.ObjectiveTo identify disparities in primary care access in the Veterans Health Administration based on the association between broadband availability and primary care visit modality.Design, Setting, and ParticipantsThis cohort study used administrative data on veterans enrolled in Veterans Health Administration primary care to identify visits at 937 primary care clinics providing telemedicine and in-person clinical visits be

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Longmore, Avery, Nicole Veloce, Marck Mercado, Katie Dainty, and Lisa K. Hicks. "Understanding what drives patients with cancer to visit the emergency department: A qualitative study." Journal of Clinical Oncology 36, no. 30_suppl (2018): 173. http://dx.doi.org/10.1200/jco.2018.36.30_suppl.173.

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173 Background: Visits to the emergency department (ED) are common among patients with cancer (PWCs). Previous research suggests that few ED visits are precipitated by true oncologic emergencies (Diaz-Couselo 2004). Designing initiatives to reduce ED visits requires a rich understanding of factors that drive PWCs to visit the ED. Methods: Standardized interviews were conducted with 12 oncology clinicians at an academic oncology clinic in Toronto, Canada. Interviews were also conducted with 10 PWCs. Interviews explored factors that may drive ED visits, and interviewees’ insights into interventi

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García-Martín, Miguel Ángel, María J. Fuentes, Isabel M. Bernedo, and María D. Salas. "The views of birth families regarding access visits in foster care." Journal of Social Work 19, no. 2 (2018): 173–91. http://dx.doi.org/10.1177/1468017318757399.

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Summary This study aims to give voice to parents and gather their views about contact visits in foster care. Participants were 23 birth families who had contact visits with 35 children in non-kinship foster care. Semistructured individual interviews were conducted in order to explore two key aspects: the parents’ opinions regarding the contact visits and the main areas they felt needed improving. The interviews were transcribed and the transcripts were examined using an inductive method by Atlas.ti. Findings The main themes to emerge concerned their general view of contact visits, the input an

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Chang, Eva, Robert B. Penfold, and Nancy D. Berkman. "Patient Characteristics and Telemedicine Use in the US, 2022." JAMA Network Open 7, no. 3 (2024): e243354. http://dx.doi.org/10.1001/jamanetworkopen.2024.3354.

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ImportanceTelemedicine use was common during the COVID-19 pandemic, expanding many patients’ approaches to accessing health care. Of concern is whether telemedicine access was poorer among higher-needs and disadvantaged populations.ObjectiveTo assess patient characteristics associated with telemedicine use and telemedicine mode and describe telemedicine visit experiences by telemedicine mode.Design, Setting, and ParticipantsThis cross-sectional study included data from the 2022 Health Information National Trends Survey and included US adults with a health care visit. Data were analyzed from Ma

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Iasiello, John A., Arvind Rajan, Emmanuel Zervos, Alexander A. Parikh, and Rebecca A. Snyder. "Abstract B105: Patient-reported access to telehealth: An important and unmeasured social determinant of health." Cancer Epidemiology, Biomarkers & Prevention 32, no. 1_Supplement (2023): B105. http://dx.doi.org/10.1158/1538-7755.disp22-b105.

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Abstract Background: The recent COVID-19 pandemic expanded opportunities for remote oncology telehealth visits. However, reliable internet connectivity, digital literacy, and patient comfort with virtual medical visits may differ among patients, especially socially disadvantaged groups. The primary aim of this study was to identify patient demographics and social determinants of health (SDOH) which might limit access to remote telehealth services. Methods: First, a retrospective analysis was performed of composite administrative data of all patient visits to a large regional cancer center over

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Dreibelbis, Sarah, Anna Grassi, Daniel Jiang, and John Dougherty. "Use of Telemedicine in an OBGYN Residency Clinic During COVID." Transformative Medicine 1, no. 3 (2022): 53–56. http://dx.doi.org/10.54299/tmed/jhpl5159.

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INTRODUCTION:Telemedicine can address healthcare disparities by improving access to care and eliminating barriers to in-office appointments. The primary goal of this study is to compare the number of completed telemedicine appointments to the number of completed in-office appointments for an OBGYN residency clinic during the early months of the COVID pandemic. The study also aims to evaluate patient demographics and types of visits performed using telemedicine. METHODS: All OBGYN residency clinic visits at a single institution from March 2020 – May 2020 were included and reviewed. Proportions

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Shah, Deepa, Nicole Dalal, Lauren Janchenko, et al. "Closing the loop: Utilizing advanced practice providers for a 7-day post hospital discharge follow-up of GI oncology patients at an academic cancer center." JCO Oncology Practice 20, no. 10_suppl (2024): 304. http://dx.doi.org/10.1200/op.2024.20.10_suppl.304.

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304 Background: Acute care visits for oncology patients may be preventable, especially for high-risk patients with a recent hospitalization. During our 2023 Fiscal Year, we observed an approximate 22% rate for 30 day readmissions for oncology patients, with our gastrointestinal (GI) oncology patients having the most readmissions, at Stanford Cancer Center. Readmission review through clinician surveys suggested that about 28% of unplanned admissions may have been preventable, with root cause analysis identifying timely access to ambulatory symptom management as a major driver. Methods: We estab

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Shah, Suken, and Stephen Barnett Solomon. "Telemedicine visits result in a significantly lower rate of cancellations compared to in-person visits for interventional oncology clinic patients." Journal of Clinical Oncology 39, no. 15_suppl (2021): e13624-e13624. http://dx.doi.org/10.1200/jco.2021.39.15_suppl.e13624.

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e13624 Background: Telemedicine allows increased access to specialists, less time in a waiting room and on-demand options with little to no transportation costs. These changes have been accelerated by the COIVD-19 pandemic. The purpose of the study was to test the hypothesis that a virtual telemedicine clinic would significantly decrease no-show rates and cancellations compared to in-person visits for interventional oncology (IO) clinic patients. Methods: Telemedicine visits were performed by a physician or advanced practice provider (PA or NP) at a single institution, academic medical center

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Hartuti Hartuti, Meldawati Meldawati, and Siti Noor Hasanah. "Gerakan Sweeping Kunjungan Rumah Ibu Hamil Di Wilayah Kerja Puskesmas Sungai Turak." Jurnal Pengabdian Ilmu Kesehatan 4, no. 1 (2024): 21–28. http://dx.doi.org/10.55606/jpikes.v4i1.3547.

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A country's success in improving maternal health can be seen from the reduction in maternal and infant mortality rates. Empowering posyandu cadres and community leaders plays an important role in improving the health of pregnant women and reducing MMR. Based on an analysis of the situation in society, there are still pregnant women who do not have their pregnancies checked early at the Community Health Center or Posyandu. The proposed solution is to carry out sweeping home visits for pregnant women, who are recorded as not having made ANC visits to health services. The home visit method is car

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Made, Felix, Vusi Ntlebi, Tahira Kootbodien, et al. "Illness, Self-Rated Health and Access to Medical Care among Waste Pickers in Landfill Sites in Johannesburg, South Africa." International Journal of Environmental Research and Public Health 17, no. 7 (2020): 2252. http://dx.doi.org/10.3390/ijerph17072252.

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Waste pickers are exposed to various environmental health hazards, and self-rated health (SRH) could influence their medical care access. This study investigated the association between illness, clinic visits and SRH, and assessed if SRH can increase clinic visits. A cross-sectional study was conducted. SRH was defined as “very good”, “good”, “fair”, and “poor”. The illnesses were mental health, infectious, and chronic diseases. Medical care access included clinic visits in the previous 12 months. An ordinal logistic regression model was fitted to assess the association. There were 361 partici

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Kakani, Preeti, Adam E. Singer, Manying Cui, et al. "The association between telemedicine visits and downstream utilization among patients with cancer at a large academic health center." JCO Oncology Practice 19, no. 11_suppl (2023): 515. http://dx.doi.org/10.1200/op.2023.19.11_suppl.515.

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515 Background: The COVID-19 pandemic and associated policies such as lockdowns spurred the widespread adoption of telemedicine throughout the U.S. Telemedicine has played a particularly important role for oncology patients by reducing potential exposure to infection and improving access for patients with poor performance status. However, as policymakers consider extending payment for telemedicine into the post-pandemic era, it is important to understand the impact of telemedicine on downstream care utilization in this population. We conducted a retrospective cohort study investigating the rel

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