Physical Therapist Telehealth Delivery at 1 Year Into COVID-19.
Objective The purpose of this study was to examine telehealth physical therapy utilization 1 year into the COVID-19 pandemic and identify factors that influence physical therapists' delivery of telehealth in an urban academic medical center. Methods Electronic medical record data were extracted with...
| Publicado en: | PTJ: Physical Therapy & Rehabilitation Journal Vol. 102; no. 11; pp. 1 - 10 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Nov2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=160762223&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 160762223 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15386724 MZW0 jtl: PTJ: Physical Therapy & Rehabilitation Journal issn: 15386724 maglogo: N pubinfo: dt: Nov2022 vid: 102 iid: 11 pid: 622 pub: Oxford University Press / USA artinfo: ui: 160762223 160762223 160762223 10.1093/ptj/pzac121 160762223 ppf: 1 ppct: 9 formats: tig: atl: Physical Therapist Telehealth Delivery at 1 Year Into COVID-19. aug: au: Miller, Matthew J Pak, Sang S Keller, Daniel R Gustavson, Allison M Barnes, Deborah E affil: Department of Physical Therapy and Rehabilitation Science, University of California , San Francisco, California, USA sug: subj: Physical Therapy Utilization COVID-19 Pandemic Physical Therapists Health Care Delivery Telehealth Human Semi-Structured Interview Content Analysis Motivation Descriptive Statistics Clinical Competence Implementation Science Quality Improvement Middle Age Adult Aged Male Female Patient Satisfaction Funding Source Middle Aged: 45-64 years Adult: 19-44 years Aged: 65+ years Male Female ab: Objective The purpose of this study was to examine telehealth physical therapy utilization 1 year into the COVID-19 pandemic and identify factors that influence physical therapists' delivery of telehealth in an urban academic medical center. Methods Electronic medical record data were extracted within the dates of interest (March 22, 2021 to May 15, 2021), the proportion of physical therapy sessions delivered via telehealth were identified, and patient characteristics were compared by telehealth volume (0 vs ≥1 session, 1 vs >1 session). Qualitative data also were collected from physical therapists via semi-structured interviews, and a directed content analysis was conducted, informed by the Capability, Opportunity, Motivation, and Behavior model, to identify factors influencing telehealth delivery. Results Telehealth was used for 3793 of 8038 (47.2%) physical therapist sessions, and 1028 unique patients had at least 2 physical therapist sessions (without telehealth: 6.6% [n = 68], telehealth once: 39.1% [n = 402], telehealth more than once: 54.3% [n = 558]). Patients without telehealth were older, non-English speaking, had non-commercial insurance, and had at least 1 chronic health condition. Patients with telehealth more than once had a neurologic diagnosis and lived farther from the treating clinic. Capabilities that influenced telehealth delivery were physical therapist clinical skills and knowledge, technical proficiency, telehealth-specific interpersonal skills, and cognitive flexibility. Factors external to physical therapists—including the environment, patient equipment and technology proficiency, physical therapist equipment, clinic factors, and patient and referring provider perspectives—also influenced telehealth delivery. Finally, patient needs and telehealth as a beneficial tool guided physical therapist intention to use telehealth. Conclusion Sustained telehealth utilization outcomes 1 year into the COVID-19 pandemic and an interaction among physical therapist, patient, and environmental factors support the long-term potential of telehealth physical therapy in an urban academic medical center. Impact These findings support the long-term potential of telehealth approaches and can be used to inform telehealth physical therapist training programs and clinical implementation, future research, and health policy. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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