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However, since peaking in late April, care has largely shifted back to in-person. Health systems are now challenged to further develop and integrate useful, usable, and sustainable virtual care tools into their broader care model in ways that benefit their organizations and the communities they serve.<\/jats:p>","DOI":"10.1038\/s41746-020-00379-z","type":"journal-article","created":{"date-parts":[[2021,1,8]],"date-time":"2021-01-08T11:19:34Z","timestamp":1610104774000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":36,"title":["Backslide or forward progress? Virtual care at U.S. healthcare systems beyond the COVID-19 pandemic"],"prefix":"10.1038","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5450-5635","authenticated-orcid":false,"given":"Spencer D.","family":"Dorn","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,1,8]]},"reference":[{"key":"379_CR1","unstructured":"Mehrotra, A. & Prewitt, E. New marketplace survey: convenient care\u2014opportunity, threat, or both? NEJM Catalyst. https:\/\/catalyst.nejm.org\/doi\/full\/10.1056\/CAT.19.0641;2019 (2019)."},{"key":"379_CR2","unstructured":"Mehrotra, A., Chernew, M., Linetsky, D., Hatch, H. & Culterr, D. The impact of the COVID-19 pandemic on outpatient visits: a rebound emerges. https:\/\/www.commonwealthfund.org\/publications\/2020\/apr\/impact-covid-19-outpatient-visits (2020)."},{"key":"379_CR3","unstructured":"Epic Health Research Network. 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(Agency for Healthcare Research and Quality, Rockville, MD, 2019)."},{"key":"379_CR9","unstructured":"Klein, S. \u201cHospital at home\u201d programs improve outcomes, lower costs but face resistance from providers and payers. https:\/\/www.commonwealthfund.org\/publications\/newsletter-article\/hospital-home-programs-improve-outcomes-lower-costs-face-resistance (The Commonwealth Fund, 2019)."},{"key":"379_CR10","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1016\/j.hjdsi.2016.05.005","volume":"5","author":"N Gleason","year":"2017","unstructured":"Gleason, N. et al. Adoption and impact of an eConsult system in a fee-for-service setting. Healthcare 5, 40\u201345 (2017).","journal-title":"Healthcare"},{"key":"379_CR11","doi-asserted-by":"publisher","first-page":"542","DOI":"10.1016\/j.jval.2017.01.014","volume":"20","author":"NW Dullet","year":"2017","unstructured":"Dullet, N. W. et al. Impact of a university-based outpatient telemedicine program on time savings, travel costs, and environmental pollutants. Value Health 20, 542\u2013546 (2017).","journal-title":"Value Health"},{"key":"379_CR12","doi-asserted-by":"publisher","first-page":"ofz196","DOI":"10.1093\/ofid\/ofz196","volume":"6","author":"RC Abdel-Massih","year":"2019","unstructured":"Abdel-Massih, R. C. & Mellors, J. W. Telemedicine and infectious diseases practice: a leap forward or a step back? Open Forum Infect. Dis. 6, ofz196 (2019).","journal-title":"Open Forum Infect. Dis."},{"key":"379_CR13","doi-asserted-by":"publisher","first-page":"64","DOI":"10.1038\/s41746-020-0279-6","volume":"3","author":"LH Schwamm","year":"2020","unstructured":"Schwamm, L. H., Erskine, A. & Licurse, A. A digital embrace to blunt the curve of COVID19 pandemic. Npj Digit Med. 3, 64 (2020).","journal-title":"Npj Digit Med."},{"key":"379_CR14","unstructured":"Hollander, J. E. & Sites, F. D. 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