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    Health Care Delivery Models

    Explore the latest in health care delivery models, including innovations in primary and urgent care, medical home models, and telemedicine.

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    • Patient Characteristics Associated With Being Offered or Choosing Telephone vs Video Virtual Visits Among Medicare Beneficiaries
      JAMA Network Open
      Research
      March 29, 2023

      This survey study of Medicare beneficiaries evaluates patient characteristics associated with practices and clinicians offering telephone visits only and patients receiving telephone visits only, when both telephone and video were available.

      Health Policy Mobile Health and Telemedicine Health Disparities Health Care Economics, Insurance, Payment Health Inequities
      Full Text | pdf link PDF open access
    • Economic Evaluation of Mailed Home-Based Human Papillomavirus Self-sampling Kits for Cervical Cancer Screening
      JAMA Network Open
      Research
      March 22, 2023

      This economic evaluation uses data from a randomized clinical trial to assess the cost-effectiveness of a mailed human papillomavirus self-sampling kit for increasing screening uptake among underscreened women enrolled in an integrated private US health care system.

      Health Policy Women's Health Obstetrics and Gynecology Cervical Cancer Oncology
      Full Text | pdf link PDF open access
    • Effectiveness of Structured Care Coordination for Children With Medical Complexity: The Complex Care for Kids Ontario (CCKO) Randomized Clinical Trial
      JAMA Pediatrics
      Research
      March 20, 2023

      This randomized clinical trial uses a waitlist design to assess the effects of a pediatric complex care program on the experiences of children with medical complexity and their parents or caregivers.

      Pediatrics
      Full Text | pdf link PDF open access
    • The Emergence of Rural Emergency Hospitals: Safely Implementing New Models of Care
      JAMA
      Opinion
      March 16, 2023

      This Viewpoint discusses the potential benefits of the rural emergency hospital model, which exclusively provides outpatient and emergency services, in rural communities faced with possible hospital closures, as well as safeguards to monitor and minimize unintended consequences.

      Emergency Medicine Health Policy
      Full Text | pdf link PDF free
    • Virtual Care Teams Improved Guideline Adoption for Heart Failure
      JAMA
      News
      March 15, 2023
      Cardiology Heart Failure Health Policy Mobile Health and Telemedicine
      Full Text | pdf link PDF free
    • Development and Clinical Evaluation of an Artificial Intelligence Support Tool for Improving Telemedicine Photo Quality
      JAMA Dermatology
      Research
      March 15, 2023

      This quality improvement study assesses whether patient use of an artificial intelligence (AI) algorithm was associated with improved photo quality of skin lesion images taken by patients for telemedical use.

      Dermatology Skin Imaging Health Informatics Mobile Health and Telemedicine
      Full Text | pdf link PDF has multimedia
    • Rates of Primary Care and Integrated Mental Health Telemedicine Visits Between Rural and Urban Veterans Affairs Beneficiaries Before and After the Onset of the COVID-19 Pandemic
      JAMA Network Open
      Research
      March 7, 2023

      This cohort study examines rural-urban differences in telemedicine use for primary care and for mental health integration services among Veterans Affairs (VA) beneficiaries before and after the onset of the COVID-19 pandemic.

      Health Policy Coronavirus (COVID-19) Psychiatry and Behavioral Health Veterans Health Mobile Health and Telemedicine
      Full Text | pdf link PDF open access
    • Telehealth for Breastfeeding Support and Lessons for Digital Equity
      JAMA Health Forum
      Opinion
      March 3, 2023

      This Viewpoint examines the current state of telelactation and its role in digital equity.

      Health Policy Breastfeeding Pediatrics Equity, Diversity, and Inclusion Women's Health
      Full Text | pdf link PDF open access
    • Consumer Views on Privacy Protections and Sharing of Personal Digital Health Information
      JAMA Network Open
      Research
      March 2, 2023

      This survey study uses a nationally representative population to determine consumers’ perception of the relative importance of specific privacy protections, including consent, data transparency, regulatory oversight, and ability to delete previously collected personal data in various uses of digital health data.

      Ethics Health Informatics Mobile Health and Telemedicine
      Full Text | pdf link PDF open access
    • Triple Benign Paroxysmal Positional Vertigo and the Strength of Remote Video-Based Management
      JAMA Neurology
      Case Report
      March 1, 2023

      This case report describes remote video-based diagnosis and management of triple posttraumatic benign paroxysmal positional vertigo.

      Vestibular Disorders Neurology Otolaryngology Images in Neurology Otology
      Full Text | pdf link PDF | CME & MOC is active quiz has multimedia
    • Telehealth Treatment of Behavior Problems in Young Children With Developmental Delay: A Randomized Clinical Trial
      JAMA Pediatrics
      Research
      March 1, 2023

      This randomized clinical trial investigates the effects of an internet-delivered parent-child interaction therapy for children aged 3 years with developmental delay.

      Child Development Pediatrics Mobile Health and Telemedicine
      Full Text | pdf link PDF
    • Direct-to-Consumer Low-Testosterone Clinics—Where Is the Federation of State Medical Boards?
      JAMA Internal Medicine
      Opinion
      February 20, 2023
      Mobile Health and Telemedicine Endocrinology Diabetes and Endocrinology
      Full Text | pdf link PDF
    • Clinical Outcomes and Hospital Utilization Among Patients Undergoing Bariatric Surgery With Telemedicine Preoperative Care
      JAMA Network Open
      Research
      February 10, 2023

      This cohort study conducted at a US academic hospital compares clinical outcomes and follow-up hospitalization of patients receiving bariatric surgery utilizing telemedicine for preoperative care with an in-person control group.

      Surgery Bariatric Surgery Obesity Nutrition, Obesity, Exercise Mobile Health and Telemedicine
      Full Text | pdf link PDF open access
    • NIH Pilots Telehealth Program for COVID-19
      JAMA
      News
      February 7, 2023
      Health Policy Coronavirus (COVID-19) Mobile Health and Telemedicine
      Full Text | pdf link PDF free
    • Assessment of Pediatric Telemedicine Using Remote Physical Examinations With a Mobile Medical Device: A Nonrandomized Controlled Trial
      JAMA Network Open
      Research
      February 2, 2023

      This nonrandomized controlled trial assesses the concordance between measurements from a telemedicine physical examination using a mobile medical device and measurements from a conventional in-person physical examination among pediatric patients.

      Pediatrics Medical Devices and Equipment Mobile Health and Telemedicine
      Full Text | pdf link PDF open access
    • Health Care and Climate Change—Telemedicine’s Role in Environmental Stewardship
      JAMA Network Open
      Opinion
      January 31, 2023
      Environmental Health Mobile Health and Telemedicine Oncology
      Full Text | pdf link PDF open access
    • Estimated Carbon Emissions Savings With Shifts From In-Person Visits to Telemedicine for Patients With Cancer
      JAMA Network Open
      Research
      January 31, 2023

      This cross-sectional study of patients with cancer treated by a comprehensive cancer center in Florida estimates the reductions carbon emissions associated with increased use of telemedicine visits.

      Environmental Health Oncology Mobile Health and Telemedicine
      Full Text | pdf link PDF open access
    • Association Between Billing Patient Portal Messages as e-Visits and Patient Messaging Volume
      JAMA
      Research
      January 24, 2023

      This study evaluates the adoption of clinician billing for patient portal messages as e-visits, prompted by significant increases in patient messaging after the onset of the COVID-19 pandemic.

      Electronic Health Records Health Care Economics, Insurance, Payment Health Policy Mobile Health and Telemedicine
      Full Text | pdf link PDF free
    • Telemedicine Use and Quality of Opioid Use Disorder Treatment in the US During the COVID-19 Pandemic
      JAMA Network Open
      Research
      January 24, 2023

      This cohort study assesses the level of telehealth implementation and its outcomes among office-based clinicians who provide outpatient opioid use disorder care.

      Substance Use and Addiction Medicine Opioids Health Policy Mobile Health and Telemedicine Toxicology
      Full Text | pdf link PDF open access
    • Estimated Indirect Cost Savings of Using Telehealth Among Nonelderly Patients With Cancer
      JAMA Network Open
      Research
      January 10, 2023

      This economic evaluation estimates the indirect cost savings of using telehealth among nonelderly patients with cancer.

      Health Policy Oncology Mobile Health and Telemedicine
      Full Text | pdf link PDF open access
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