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Telehealth use by US surgeons spiked during Covid-19 - Korea Biomedical Review

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American surgical specialists are increasingly using telehealth in the wake of the Covid-19 pandemic, a U.S. paper said. In Michigan, 59 percent of surgeons used telemedicine for patient care.

A research team at the University of Michigan published the analysis results on the use of surgical telehealth by 4,405 active surgeons in Michigan in the Journal of the American Medical Association (JAMA) on Friday.

The results showed that 2,588 out of 4,405 surgeons, or 58.8 percent, used telehealth to examine and treat patients. For new patient visits, 1,182 surgeons (26.8 percent) performed telemedicine.

​Surgeon telehealth use in new patient visits by surgical specialty in 2020 (Credit: JAMA, “Use of Telehealth by Surgical Specialties During the COVID-19 Pandemic”)
​Surgeon telehealth use in new patient visits by surgical specialty in 2020 (Credit: JAMA, “Use of Telehealth by Surgical Specialties During the COVID-19 Pandemic”)

The proportion of patients receiving telehealth care surged, but most of them visited a doctor in-person. Out of the 109,610 surgical new outpatient visits from March 8, 2020, to Sept. 5, 2020, there were 6,634 telehealth visits (6 percent) and 102,976 in-person visits (94 percent). Telehealth visits were either audio-only or video-only visits.

In the same period of 2019, there were only eight telehealth visits out of 173,939 total visits.

Weekly telehealth use peaked in April 2020, accounting for 34.6 percent of new patient visits for that week (479 of 1,383).

The median age of telemedicine patients was 46.8, compared with 52.6 of those who received in-person care.

“During the Covid-19 pandemic, there was a substantial increase in telehealth use across all surgical specialties, with a slow decline after June 2020,” the research team said. One of the reasons was that clinics began to reopen for in-person care and that doctors and patients may have viewed telehealth as a temporary means during the pandemic, it added.

“Patient barriers to telehealth use also remained during the pandemic, which may have prevented higher rates of telehealth use,” the research team said.

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Telehealth use by US surgeons spiked during Covid-19 - Korea Biomedical Review
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