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      COVID-19 transforms health care through telemedicine: evidence from the field

      case-report

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          Abstract

          This study provides data on the feasibility and impact of video-enabled telemedicine use among patients and providers and its impact on urgent and non-urgent health care delivery from one large health system (NYU Langone Health) at the epicenter of the COVID-19 outbreak in the United States. Between March 2nd and April 14th 2020, telemedicine visits increased from 369.1 daily to 866.8 daily (135% increase) in urgent care after the system-wide expansion of virtual health visits in response to COVID-19, and from 94.7 daily to 4209.3 (4345% increase) in non-urgent care post expansion. Of all virtual visits post expansion, 56.2% and 17.6% urgent and non-urgent visits, respectively, were COVID-19-related. Telemedicine usage was highest by patients aged 20-44, particularly for urgent care. The COVID-19 pandemic has driven rapid expansion of telemedicine use for urgent care and non-urgent care visits beyond baseline periods. This reflects an important change in telemedicine that other institutions facing the COVID-19 pandemic should anticipate.

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          Author and article information

          Journal
          J Am Med Inform Assoc
          J Am Med Inform Assoc
          jamia
          Journal of the American Medical Informatics Association : JAMIA
          Oxford University Press
          1067-5027
          1527-974X
          23 April 2020
          23 April 2020
          : ocaa072
          Affiliations
          [o1 ] NYU Grossman School of Medicine , Department of Population Health, New York, NY, USA
          [o2 ] NYU Langone Health, Medical Center Information Technology , New York, NY, USA
          [o3 ] NYU Tandon School of Engineering , Department of Computer Science & Engineering, Brooklyn, NY, USA
          [o4 ] NYU School of Global Public Health , Department of Biostatistics, New York, NY, USA
          [o5 ] NYU Tandon School of Engineering , Department of Technology Management & Innovation, Brooklyn, NY, USA
          Author notes
          Corresponding Author information: Devin Mann, MD, MS, NYU Grossman School of Medicine, NYU Langone Health, 227 E 30th St., 6th Floor, New York, NY, 10016. Devin.Mann@ 123456nyulangone.org , 212-263-9026
          Article
          ocaa072
          10.1093/jamia/ocaa072
          7188161
          32324855
          8508c2bc-2591-4319-b6f0-55281520b35d
          © The Author(s) 2020. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For permissions, please email: journals.permissions@oup.com

          This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model ( https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model)

          This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.

          History
          : 15 April 2020
          : 16 April 2020
          : 20 April 2020
          : 20 April 2020
          Page count
          Pages: 13
          Categories
          Case Report
          Custom metadata
          accepted-manuscript
          PAP

          Bioinformatics & Computational biology
          covid-19,telemedicine,ambulatory care,remote patient monitoring

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