{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T02:15:17Z","timestamp":1778120117241,"version":"3.51.4"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2020,11,9]],"date-time":"2020-11-09T00:00:00Z","timestamp":1604880000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["R01HS022497"],"award-info":[{"award-number":["R01HS022497"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,2,15]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>This research brief contains results from a national survey about telehealth use reported in a random sample of U.S. nursing homes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and Materials<\/jats:title>\n                  <jats:p>The sample includes nursing homes (N\u2009=\u2009664) that completed surveys about information technology maturity, including telehealth use, beginning January 1, 2019, and ending August 4, 2020. A pre\/post design was employed to examine differences in nursing home telehealth use for nursing homes completing surveys prior to and after telehealth expansion, on March 6, 2020. We calculated a cumulative telehealth score using survey data from 6 questions about extent of nursing home telehealth use (score range 0-42). We calculated proportions of nursing homes using telehealth and used logistic regression to look for differences in nursing homes based on organizational characteristics and odds ratios.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Significant relationships were found between nursing home characteristics and telehealth use, and specifically, larger metropolitan homes reported greater telehealth use. Ownership had little effect on telehealth use. Nursing homes postexpansion used telehealth applications for resident evaluation 11.24 times more (P &amp;lt; .01) than\u00a0did nursing homes pre-expansion.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Administrators completing our survey reported a wide range of telehealth use, including approximately 16% having no telehealth use and 5% having the maximum amount of telehealth use. Mean telehealth use scores reported by the majority of these nursing homes is on the lower end of the range.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>One solution for the current pandemic is to encourage the proliferation of telehealth with continued relaxed regulations, which can reduce isolation and preserve limited resources (eg, personal protective equipment) while maintaining proper distancing parameters.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jamia\/ocaa253","type":"journal-article","created":{"date-parts":[[2020,9,24]],"date-time":"2020-09-24T19:18:16Z","timestamp":1600975096000},"page":"342-348","source":"Crossref","is-referenced-by-count":37,"title":["An evaluation of telehealth expansion in U.S. nursing homes"],"prefix":"10.1093","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4500-8797","authenticated-orcid":false,"given":"Gregory L","family":"Alexander","sequence":"first","affiliation":[{"name":"School of Nursing, Columbia University, New York, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberly R","family":"Powell","sequence":"additional","affiliation":[{"name":"Sinclair School of Nursing, University of Missouri, Columbia, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chelsea B","family":"Deroche","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Missouri, Columbia, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,11,9]]},"reference":[{"key":"2021111800402429400_ocaa253-B1"},{"key":"2021111800402429400_ocaa253-B2","author":"Lee"},{"key":"2021111800402429400_ocaa253-B3","year":"2020"},{"issue":"6","key":"2021111800402429400_ocaa253-B4","doi-asserted-by":"crossref","first-page":"967","DOI":"10.1093\/jamia\/ocaa048","article-title":"Electronic personal protective equipment: a strategy to protect emergency department providers in the age of COVID-19","volume":"27","author":"Turer","year":"2020","journal-title":"J Am Med Inform Assoc"},{"issue":"1","key":"2021111800402429400_ocaa253-B5","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jamda.2015.10.012","article-title":"Telemedicine: coming to nursing homes in the near future","volume":"17","author":"Morley","year":"2016","journal-title":"J Am Med Dir Assoc"},{"issue":"8","key":"2021111800402429400_ocaa253-B6","doi-asserted-by":"crossref","first-page":"995","DOI":"10.1016\/j.jamda.2018.11.002","article-title":"Adoption of health information technology among U.S. nursing facilities","volume":"20","author":"Vest","year":"2019","journal-title":"J Am Med Dir Assoc"},{"key":"2021111800402429400_ocaa253-B7"},{"issue":"6","key":"2021111800402429400_ocaa253-B8","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1093\/jamia\/ocz006","article-title":"Building consensus toward a national nursing home information technology maturity model","volume":"26","author":"Alexander","year":"2019","journal-title":"J Am Med Inform Assoc"},{"issue":"3","key":"2021111800402429400_ocaa253-B9","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1007\/s10916-020-1528-6","article-title":"Forecasting content and stage in a nursing home information technology maturity instrument using a Delphi method","volume":"44","author":"Alexander","year":"2020","journal-title":"J Med Syst"},{"issue":"10","key":"2021111800402429400_ocaa253-B10","doi-asserted-by":"crossref","first-page":"1134","DOI":"10.1177\/0733464819862928","article-title":"Ternary trends in nursing home information technology and quality measures in the U.S","volume":"39","author":"Alexander","year":"2020","journal-title":"J Appl Gerontol"},{"key":"2021111800402429400_ocaa253-B11","article-title":"Health data sharing in U.S. nursing homes","author":"Powell","year":"2020","journal-title":"J Am Med Dir Assoc"},{"key":"2021111800402429400_ocaa253-B12"},{"issue":"3","key":"2021111800402429400_ocaa253-B13","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1111\/jrh.12188","article-title":"The state of nursing home information technology sophistication in rural and nonrural US markets","volume":"33","author":"Alexander","year":"2017","journal-title":"J Rural Health"},{"key":"2021111800402429400_ocaa253-B14","volume-title":"Rural Urban Commuting Area Codes","author":"Cromartie","year":"2019"},{"issue":"1","key":"2021111800402429400_ocaa253-B15","doi-asserted-by":"crossref","first-page":"17","DOI":"10.3928\/00989134-20161215-05","article-title":"M. Analyzing change in nursing home information technology sophistication","volume":"43","author":"Alexander","year":"2017","journal-title":"J Gerontol Nurs"},{"key":"2021111800402429400_ocaa253-B16","doi-asserted-by":"crossref","first-page":"4695801877890","DOI":"10.1177\/0046958018778902","article-title":"Nursing home implementation of health information technology: review of the literature finds inadequate investment in preparation, infrastructure, and training","volume":"55","author":"Ko","year":"2018","journal-title":"Inquiry"},{"issue":"3","key":"2021111800402429400_ocaa253-B17","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1108\/JHOM-11-2011-0118","article-title":"Management attitudes and technology adoption in long-term care facilities","volume":"28","author":"Bezboruah","year":"2014","journal-title":"J Health Organ Manag"},{"issue":"1","key":"2021111800402429400_ocaa253-B18","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1056\/NEJMp1900329","article-title":"Meaningful use of cost-measurement systems - incentives for health care providers","volume":"381","author":"Ederhof","year":"2019","journal-title":"N Engl J Med"},{"issue":"4","key":"2021111800402429400_ocaa253-B19","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1197\/jamia.M2971","article-title":"Health IT-enabled care for underserved rural populations: The role of nursing","volume":"16","author":"Effken","year":"2009","journal-title":"J Am Med Inform Assoc"},{"key":"2021111800402429400_ocaa253-B20","first-page":"268","article-title":"Telehealth can bridge the gap for rural, disabled, and elderly patients","author":"Win","year":"2015"}],"container-title":["Journal of the American Medical Informatics Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jamia\/article-pdf\/28\/2\/342\/41139480\/ocaa253.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jamia\/article-pdf\/28\/2\/342\/41139480\/ocaa253.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,11,18]],"date-time":"2021-11-18T00:40:48Z","timestamp":1637196048000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jamia\/article\/28\/2\/342\/5961435"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,9]]},"references-count":20,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2020,11,9]]},"published-print":{"date-parts":[[2021,2,15]]}},"URL":"https:\/\/doi.org\/10.1093\/jamia\/ocaa253","relation":{},"ISSN":["1067-5027","1527-974X"],"issn-type":[{"value":"1067-5027","type":"print"},{"value":"1527-974X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,2,1]]},"published":{"date-parts":[[2020,11,9]]}}}