{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:38:32Z","timestamp":1777876712339,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Telemedicine and e-Health"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Health care systems rose to the challenges of COVID-19 by creating or expanding telehealth programs to ensure that patients could access care without an in-person appointment. Traditionally, physicians receive limited formal telemedicine training, making preparedness for this transition uneven. To describe challenges to and attitudes toward providing virtual patient care, we distributed a survey to physicians within our system who largely had no formal prior training\/experience with telemedicine, but transitioned to routine telemedicine use. Data collected are then used to offer actionable recommendations for health system leaders and medical educators.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      Surveys were distributed to all faculty outpatient general internal medicine physicians working at any New York University Langone Health, New York City Health + Hospitals\/Bellevue and Gouverneur, and the VA NY Harbor Health System (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009378) in mid-2020. Survey items consisted of Likert and open-ended questions related to experience with televisits (13 items) and attitudes toward care (24 items).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Telehealth-related challenges varied by site and modality. Primary challenges included establishing a connection from the patient's (98%) or physician's end (84%) and difficulty in the following domains: working with team members (39%), physical examinations (95%), establishing new patient relationships (70%), and taking history (40%), among others. In thematic analysis, significant themes with illustrative qualitative commentary emerged related to technological challenges, new systems issues, and new patient\/physician communication experiences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Experience differences were rooted in the type of technology employed. Safety-net practices conducted mostly telephonic visits, whereas private outpatient sites utilized video, despite both using identical electronic medical records. As we consider a \u201cnew normal\u201d and prolonged community transmission of COVID-19 infection, it is essential to establish telemedicine training, tools, and protocols that meet the needs of both patients and physicians.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/tmj.2021.0035","type":"journal-article","created":{"date-parts":[[2021,6,11]],"date-time":"2021-06-11T12:34:25Z","timestamp":1623414865000},"page":"353-361","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":27,"title":["The Telemedicine Takeover: Lessons Learned During an Emerging Pandemic"],"prefix":"10.1177","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4096-8473","authenticated-orcid":false,"given":"Jeffrey A.","family":"Wilhite","sequence":"first","affiliation":[{"name":"Department of Medicine, NYU Langone Health, New York University Grossman School of Medicine, New York, New York, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Altshuler","sequence":"additional","affiliation":[{"name":"Department of Medicine, NYU Langone Health, New York University Grossman School of Medicine, New York, New York, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harriet","family":"Fisher","sequence":"additional","affiliation":[{"name":"Department of Medicine, NYU Langone Health, New York University Grossman School of Medicine, New York, New York, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colleen","family":"Gillespie","sequence":"additional","affiliation":[{"name":"Department of Medicine, NYU Langone Health, New York University Grossman School of Medicine, New York, New York, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathleen","family":"Hanley","sequence":"additional","affiliation":[{"name":"Department of Medicine, NYU Langone Health, New York University Grossman School of Medicine, New York, New York, USA."},{"name":"New York City Health + Hospitals, New York, New York, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric","family":"Goldberg","sequence":"additional","affiliation":[{"name":"Department of Medicine, NYU Langone Health, New York University Grossman School of Medicine, New York, New York, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Wallach","sequence":"additional","affiliation":[{"name":"Department of Medicine, NYU Langone Health, New York University Grossman School of Medicine, New York, New York, USA."},{"name":"New York City Health + Hospitals, New York, New York, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sondra","family":"Zabar","sequence":"additional","affiliation":[{"name":"Department of Medicine, NYU Langone Health, New York University Grossman School of Medicine, New York, New York, USA."},{"name":"New York City Health + Hospitals, New York, New York, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,3,10]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2020.00903"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocaa072"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X20941395"},{"key":"e_1_3_6_5_2","unstructured":"Pinsker J. The pandemic will cleave America in two. The Atlantic. Published 2020. Available at https:\/\/www.theatlantic.com\/family\/archive\/2020\/04\/two-pandemics-us-coronavirus-inequality\/609622\/ (last accessed October26 2020)."},{"key":"e_1_3_6_6_2","unstructured":"COVID-19 deaths analyzed by race and ethnicity. APM Research Lab. Published 2020. Available at https:\/\/www.apmresearchlab.org\/covid\/deaths-by-race (last accessed October15 2020)."},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12911-017-0489-2"},{"key":"e_1_3_6_8_2","unstructured":"Totten AM Womack DM Eden KB et al. Telehealth: Mapping the evidence for patient outcomes from systematic reviews. Rockville MD: Agency for Healthcare Research and Quality (US) June 2016."},{"key":"e_1_3_6_9_2","first-page":"40","article-title":"Patient and clinician experiences with telehealth for patient follow-up care","volume":"25","author":"Donelan K","year":"2019","unstructured":"Donelan K, , Barreto EA, , Sossong S, et al. Patient and clinician experiences with telehealth for patient follow-up care. Am J Manag Care, 2019; 25:40\u201344.","journal-title":"Am J Manag Care"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0221848"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-016242"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10459-016-9717-2"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11882-020-00969-7"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2020.0570"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2021.1143"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.1051\/ject\/201446033"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.1037\/e442002005-001"},{"key":"e_1_3_6_18_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0094207"},{"key":"e_1_3_6_19_2","first-page":"1423","article-title":"Effective physician-patient communication and health outcomes: A review","volume":"152","author":"Stewart MA.","year":"1995","unstructured":"Stewart MA. Effective physician-patient communication and health outcomes: A review. CMAJ, 1995; 152:1423\u20131433.","journal-title":"CMAJ"},{"key":"e_1_3_6_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1553-7250(09)35053-9"},{"key":"e_1_3_6_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-020-05673-w"},{"key":"e_1_3_6_22_2","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000001098"},{"key":"e_1_3_6_23_2","doi-asserted-by":"publisher","DOI":"10.1056\/CAT.20.0123"},{"key":"e_1_3_6_24_2","unstructured":"Velasquez D Mehrotra A. Ensuring the growth of telehealth during COVID-19 does not exacerbate disparities in Care. Healthaffairs.org. Published 2020. Available at https:\/\/www.healthaffairs.org\/do\/10.1377\/hblog20200505.591306\/full\/ (last accessed October26 2020)."},{"key":"e_1_3_6_25_2","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2021.S1.200517"}],"container-title":["Telemedicine and e-Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/tmj.2021.0035","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/tmj.2021.0035","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/tmj.2021.0035","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:30:39Z","timestamp":1777588239000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/tmj.2021.0035"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3]]},"references-count":24,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,3]]}},"alternative-id":["10.1089\/tmj.2021.0035"],"URL":"https:\/\/doi.org\/10.1089\/tmj.2021.0035","relation":{},"ISSN":["1530-5627","1556-3669"],"issn-type":[{"value":"1530-5627","type":"print"},{"value":"1556-3669","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3]]}}}