{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T08:54:40Z","timestamp":1775292880972,"version":"3.50.1"},"reference-count":48,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2019,3,13]],"date-time":"2019-03-13T00:00:00Z","timestamp":1552435200000},"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\/100000867","name":"Robert Wood Johnson Foundation","doi-asserted-by":"publisher","award":["73058"],"award-info":[{"award-number":["73058"]}],"id":[{"id":"10.13039\/100000867","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The study sought to assess awareness, perceptions, and value of telehealth in primary care from the perspective of patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>We conducted a cross-sectional, Web-based survey of adults with access to telehealth services who visited healthcare providers for any of the 20 most-commonly seen diagnoses during telehealth visits. Three groups were studied: registered users (RUs) of telehealth had completed a LiveHealth Online (a\u00a0health plan telehealth service provider) visit, registered nonusers (RNUs) registered for LiveHealth Online but had not conducted a visit, and nonregistered nonusers (NRNUs) completed neither step.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 32\u2009831 patients invited, 3219 (9.8%) responded and 766 met eligibility criteria and completed surveys: 390 (51%) RUs, 117 (15%) RNUs, and 259 (34%) NRNUs. RUs were least likely to have a primary care usual source of care (65.6% vs 78.6% for RNUs vs 80.0% for NRNUs; P\u2009&amp;lt;\u2009.001). Nearly half (46.8%) of RUs were unable to get an appointment with their doctor, and 34.8% indicated that their doctor\u2019s office was closed. Among the 3 groups, RUs were most likely to be employed (89.5% vs 88.9% vs 82.2%; P\u2009=\u2009.007), have post\u2013high school education (94.4% vs 93.2% vs 86.5%; P\u2009=\u2009.003), and live in urban areas (81.0% vs 69.2% vs 76.0%; P\u2009=\u2009.021).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Telehealth users reported that they relied on live video for enhanced access and were less connected to primary care than nonusers were. Telehealth may expand service access but risks further fragmentation of care and undermining of the primary care function absent better coordination and information sharing with usual sources of patients\u2019 care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/jamia\/ocy182","type":"journal-article","created":{"date-parts":[[2018,12,3]],"date-time":"2018-12-03T02:25:18Z","timestamp":1543803918000},"page":"420-428","source":"Crossref","is-referenced-by-count":43,"title":["Disconnected: a survey of users and nonusers of telehealth and their use of primary care"],"prefix":"10.1093","volume":"26","author":[{"given":"Winston R","family":"Liaw","sequence":"first","affiliation":[{"name":"Robert Graham Center, Washington, DC, USA"},{"name":"Department of Health Systems and Population Health Sciences, College of Medicine,\u00a0University of Houston, Houston, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anuradha","family":"Jetty","sequence":"additional","affiliation":[{"name":"Robert Graham Center, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megan","family":"Coffman","sequence":"additional","affiliation":[{"name":"Robert Graham Center, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"Petterson","sequence":"additional","affiliation":[{"name":"Robert Graham Center, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miranda A","family":"Moore","sequence":"additional","affiliation":[{"name":"Department of Family & Preventive Medicine, School of Medicine, Emory University, Atlanta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gayathri","family":"Sridhar","sequence":"additional","affiliation":[{"name":"HealthCore, Wilmington, Delaware, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aliza S","family":"Gordon","sequence":"additional","affiliation":[{"name":"HealthCore, Wilmington, Delaware, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judith J","family":"Stephenson","sequence":"additional","affiliation":[{"name":"HealthCore, Wilmington, Delaware, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wallace","family":"Adamson","sequence":"additional","affiliation":[{"name":"LiveHealth Online, Columbus, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew W","family":"Bazemore","sequence":"additional","affiliation":[{"name":"Robert Graham Center, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2019,3,13]]},"reference":[{"issue":"3","key":"2021010612301114000_ocy182-B1","doi-asserted-by":"crossref","first-page":"e009738","DOI":"10.1136\/bmjopen-2015-009738","article-title":"Cross-sectional study examining whether the extent of first-contact access to primary care differentially benefits those with certain personalities to receive preventive services","volume":"6","author":"Pandhi","year":"2016","journal-title":"BMJ Open"},{"key":"2021010612301114000_ocy182-B2","doi-asserted-by":"crossref","DOI":"10.1093\/oso\/9780195125429.001.0001","volume-title":"Primary Care: Balancing Health Needs, Services, and Technology","author":"Starfield","year":"1998"},{"issue":"6","key":"2021010612301114000_ocy182-B3","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1046\/j.1525-1497.2002.10733.x","article-title":"Influence of usual source of care on differences by race\/ethnicity in receipt of preventive services","volume":"17","author":"Corbie-Smith","year":"2002","journal-title":"J Gen Intern Med"},{"issue":"6","key":"2021010612301114000_ocy182-B4","doi-asserted-by":"crossref","first-page":"336","DOI":"10.4082\/kjfm.2012.33.6.336","article-title":"Effects of having usual source of care on preventive services and chronic disease control: a systematic review","volume":"33","author":"Kim","year":"2012","journal-title":"Korean J Fam Med"},{"issue":"9","key":"2021010612301114000_ocy182-B5","doi-asserted-by":"crossref","first-page":"1059","DOI":"10.1007\/s11606-011-1666-0","article-title":"The case for synergy between a usual source of care and health insurance coverage","volume":"26","author":"DeVoe","year":"2011","journal-title":"J Gen Intern Med"},{"key":"2021010612301114000_ocy182-B6","unstructured":"Weinick RM , ZuekasSH, DrileaS. 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