{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T06:53:06Z","timestamp":1773989586812,"version":"3.50.1"},"reference-count":16,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,2,9]],"date-time":"2021-02-09T00:00:00Z","timestamp":1612828800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,2,9]],"date-time":"2021-02-09T00:00:00Z","timestamp":1612828800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["npj Digit. Med."],"abstract":"<jats:title>Abstract<\/jats:title><jats:p>It took the advent of SARS-CoV-2, a \u201cblack swan event\u201d, to widely introduce telehealth, remote care, and virtual house calls. Prior to the epidemic (2019), the American Medical Association (AMA) conducted a routine study to compare physicians\u2019 adoption of emerging technologies to a similar survey in 2016. Most notable was a doubling in the adoption of telehealth\/virtual technology to 28% and increases in the use of remote monitoring and management for improved care (13\u201322%). These results may now seem insignificant when compared to the unprecedented surge in telehealth visits because of SARS-CoV-2. Even as this surge levels off and begins to decline, many observers believe we will continue to see a persistent increase in the use of virtual visits compared to face-to-face care. The requirements for adoption communicated by physicians in both the 2016 and 2019 surveys are now more relevant than ever: Is remote care as effective as in-person care and how best to determine when to use these modalities? How do I safeguard my patients and my practice from liability and privacy concerns? How do I optimize using these technologies in my practice and, especially integration with my EHR and workflows to improve efficiency? And how will a mix of virtual and in-person visits affect practice revenue and sustainability? Consumers have also expressed concerns about payment for virtual visits as well as privacy and quality of care. If telehealth and remote care are here to stay, continuing to track their impact during the current public health emergency is critically important to address so that policymakers and insurers will take necessary steps to ensure that the \u201cnew normal\u201d will reflect a health care delivery model that can provide comparable or improved results today and into the future.<\/jats:p>","DOI":"10.1038\/s41746-021-00390-y","type":"journal-article","created":{"date-parts":[[2021,2,9]],"date-time":"2021-02-09T21:23:32Z","timestamp":1612905812000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Physician requirements for adoption of telehealth following the SARS-CoV-2 pandemic"],"prefix":"10.1038","volume":"4","author":[{"given":"Michael","family":"Hodgkins","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meg","family":"Barron","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shireesha","family":"Jevaji","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1919-8208","authenticated-orcid":false,"given":"Stacy","family":"Lloyd","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,2,9]]},"reference":[{"key":"390_CR1","unstructured":"American Medical Association. AMA digital health care 2016 & 2019 study findings. https:\/\/www.ama-assn.org\/system\/files\/2020-02\/ama-digital-health-study.pdf (2020)."},{"key":"390_CR2","unstructured":"American Medical Association. AMA Digital health research. https:\/\/www.ama-assn.org\/system\/files\/2020-02\/ama-digital-health-study.pdf (2020)."},{"key":"390_CR3","unstructured":"Bosworth A., et al, Medicare Beneficiary Use of Telehealth Visits: Early Data from the Start of COVID-19 Pandemic (Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services, 2020)."},{"key":"390_CR4","unstructured":"Iqvia.com. Monitoring The Impact Of COVID-19 On The Pharmaceutical Market. https:\/\/www.iqvia.com\/library\/white-papers\/monitoring-the-impact-of-covid-19-on-the-pharmaceutical-market (2020)."},{"key":"390_CR5","unstructured":"McKinsey & Company. COVID-19 And Commercial Pharma: Navigating An Uneven Recovery. [online] https:\/\/www.mckinsey.com\/~\/media\/McKinsey\/Industries\/Pharmaceuticals%20and%20Medical%20Products\/Our%20Insights\/COVID%2019%20and%20commercial%20pharma%20Navigating%20an%20uneven%20recovery\/COVID-19-and-commercial-pharma-navigating-an-uneven-recovery-vF.pdf (2020)."},{"key":"390_CR6","doi-asserted-by":"publisher","first-page":"1580","DOI":"10.1001\/jamainternmed.2019.2234","volume":"179","author":"AD Wilcock","year":"2019","unstructured":"Wilcock, A. D. et al. Association between broadband internet availability and telemedicine use. JAMA Intern Med 179, 1580\u20131582, https:\/\/doi.org\/10.1001\/jamainternmed.2019.2234 (2019).","journal-title":"JAMA Intern Med"},{"key":"390_CR7","doi-asserted-by":"publisher","DOI":"10.2196\/11951","volume":"3","author":"RS Palacholla","year":"2019","unstructured":"Palacholla, R. S. et al. Provider- and patient-related barriers to and facilitators of digital health technology adoption for hypertension management: scoping review. JMIR Cardio. 3, e11951, https:\/\/doi.org\/10.2196\/11951 (2019).","journal-title":"JMIR Cardio."},{"key":"390_CR8","unstructured":"Buis, L. et al. Telehealth Use Among Older Adults Before and During COVID-19 (University of Michigan National Poll on Healthy Aging, 2020)."},{"key":"390_CR9","unstructured":"Blumenthal, D. Where Telemedicine Falls Short. Harvard Business Review. https:\/\/hbr.org\/2020\/06\/wheretelemedicine--falls-short (2020)."},{"key":"390_CR10","unstructured":"Mgma.com. COVID-19 Financial Impact on Medical Practices. https:\/\/www.mgma.com\/getattachment\/9b8be0c2-0744-41bf-864f-04007d6adbd2\/2004-G09621D-COVID-Financial-Impact-One-Pager-8-5x11-MW-2.pdf.aspx?lang=en-US&ext=pdf (2020)."},{"key":"390_CR11","unstructured":"American Medical Association. Survey finds physicians enthusiastic about digital health innovation. https:\/\/www.ama-assn.org\/system\/files\/2020-02\/ama-digital-health-study.pdf (2020)."},{"key":"390_CR12","unstructured":"Weisbrod, J., Brookshire, M. & Ney, E. U.S. Doctors Turn To Telehealth As Covid-19 Limits In-Person Care. [online] Bain. https:\/\/www.bain.com\/insights\/us-doctors-turn-to-telehealth-as-covid-19-limits-in-person-care-snap-chart\/ (2020)."},{"key":"390_CR13","unstructured":"Sermo. Practice Reopenings, Telehealth, & Sales Rep Access: A Look At COVID-19 Industry Implications From Part III Of Sermo\u2019S HCP Sentiment Series - Sermo. https:\/\/www.sermo.com\/blog-practice-reopenings-telehealth-sales-rep-access-a-look-at-covid-19-industry-implications-from-part-iii-of-sermos-hcp-sentiment-series\/ (2020)."},{"key":"390_CR14","unstructured":"American Medical Association. COVID Telehealth Payment Policies\u2014Comparison Between Medicare FFS and Other Payors. https:\/\/www.ama-assn.org\/system\/files\/2020-09\/covid-19-telehealth-payment-policies.pdf (2020)."},{"key":"390_CR15","unstructured":"Letter to Speaker Pelosi, Leader McCarthy, Leader McConnell, and Leader Schumer. https:\/\/searchlf.ama-assn.org\/undefined\/documentDownload?uri=%2Funstructured%2Fbinary%2Fletter%2FLETTERS%2F2020-06-25-Signed-On-Letter-Coalition-Telehealth-Permanent-FINAL.pdf. (2020)."},{"key":"390_CR16","unstructured":"American Medical Association. AMA House of Delegates\u2014November 2020 Meeting. https:\/\/www.ama-assn.org\/system\/files\/2020-11\/nov20-ref-com-b-annotated.pdf (2020)."}],"container-title":["npj Digital Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/s41746-021-00390-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41746-021-00390-y","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41746-021-00390-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,12,3]],"date-time":"2022-12-03T19:12:38Z","timestamp":1670094758000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/s41746-021-00390-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,9]]},"references-count":16,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2021,12]]}},"alternative-id":["390"],"URL":"https:\/\/doi.org\/10.1038\/s41746-021-00390-y","relation":{},"ISSN":["2398-6352"],"issn-type":[{"value":"2398-6352","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2,9]]},"assertion":[{"value":"27 April 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 January 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 February 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no competing interests.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"19"}}