{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T17:57:51Z","timestamp":1783792671989,"version":"3.55.0"},"reference-count":0,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2022,5,12]],"date-time":"2022-05-12T00:00:00Z","timestamp":1652313600000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To assess rheumatology clinicians\u2019 perceptions of telemedicine as well as their experiences before and during the COVID-19 pandemic.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We conducted a cross-sectional online survey and collected responses from rheumatology clinicians worldwide between November 2020 and February 2021, regarding use and perceptions of telemedicine in rheumatology. We summarized data with descriptive statistics and qualitative analysis for free-text responses.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The survey was completed by 349 rheumatology clinicians from 49 countries; 59% were female and one-third were 30\u201350\u2009years old. Academic affiliations were held by 55% of participants and 44% were from North America. Prior to the pandemic, 24% of participants had experience with telemedicine, while about three-quarters used telemedicine for the first time during the pandemic. Overall, 56% thought they provided less adequate care with telemedicine. More than half of clinicians felt that telemedicine was adequate for evaluating crystalline arthritis, inflammatory arthritis, and lupus flares. Telemedicine was felt to be inadequate for flares of myositis, vasculitis, and scleroderma. Technical problems were reported in 29% of telemedicine encounters and were most commonly related to patient-encountered difficulties.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>. Most rheumatology clinicians used telemedicine for the first time during the pandemic. The quality of care provided was thought to be inferior to that provided in-person for specific clinical situations. Additional efforts are needed to address barriers to effective telemedicine such as patient-related technology issues, challenges with building rapport, and performing a physical examination and to define the appropriate scope of clinical scenarios conducive to telemedicine.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/rap\/rkac039","type":"journal-article","created":{"date-parts":[[2022,5,12]],"date-time":"2022-05-12T15:55:09Z","timestamp":1652370909000},"source":"Crossref","is-referenced-by-count":13,"title":["Experience with telemedicine amongst rheumatology clinicians during the COVID-19 pandemic: an international survey"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1679-9745","authenticated-orcid":false,"given":"Yu Pei Eugenia","family":"Chock","sequence":"first","affiliation":[{"name":"Section of Rheumatology, Yale School of Medicine, New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Putman","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, The Medical College of Wisconsin, Milwaukee, WI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Conway","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, University College Dublin, Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria I","family":"Danila","sequence":"additional","affiliation":[{"name":"Division of Clinical Immunology and Rheumatology, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bimba","family":"Hoyer","sequence":"additional","affiliation":[{"name":"Department of Rheumatology and Clinical Immunology, Medical Department, University Medical Center Schleswig-Holstein, Kiel, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evelyn","family":"Hsieh","sequence":"additional","affiliation":[{"name":"Section of Rheumatology, Allergy and Immunology, Department of Medicine, Yale School of Medicine, New Haven, CT, USA"},{"name":"Section of Rheumatology, Department of Medicine, VA Connecticut Healthcare System, West Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arundathi","family":"Jayatilleke","sequence":"additional","affiliation":[{"name":"Section of Rheumatology, Department of Medicine, Lewis Katz School of Medicine, Temple University, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Kilian","sequence":"additional","affiliation":[{"name":"Saint Louis University School of Medicine, Division of Rheumatology St. Louis, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Leipe","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Department of Medicine V, University Medical Centre Mannheim, Medical Faculty Mannheim, University of Heidelberg, Heidelberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean W","family":"Liew","sequence":"additional","affiliation":[{"name":"Section of Rheumatology, Department of Medicine, Boston University School of Medicine, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedro M","family":"Machado","sequence":"additional","affiliation":[{"name":"Centre for Rheumatology & Department of Neuromuscular Diseases, University College London, London, UK"},{"name":"National Institute for Health Research (NIHR) University College London Hospitals Biomedical Research Centre, University College London Hospitals NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip C","family":"Robinson","sequence":"additional","affiliation":[{"name":"University of Queensland School of Clinical Medicine, HERSTON, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Namrata","family":"Singh","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Department of Medicine, University of Washington, WA, USA., Seattle"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natasha","family":"Ung","sequence":"additional","affiliation":[{"name":"NSW Health, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Su-Ann","family":"Yeoh","sequence":"additional","affiliation":[{"name":"Rheumatology, Division of Medicine, University College London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zachary S","family":"Wallace","sequence":"additional","affiliation":[{"name":"Clinical Epidemiology Program, Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital and Harvard Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Grainger","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Otago, Wellington, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura C","family":"Cappelli","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Department of Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,5,12]]},"container-title":["Rheumatology Advances in Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/rheumap\/advance-article-pdf\/doi\/10.1093\/rap\/rkac039\/43691120\/rkac039.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/rheumap\/advance-article-pdf\/doi\/10.1093\/rap\/rkac039\/43691120\/rkac039.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,12]],"date-time":"2022-05-12T15:55:10Z","timestamp":1652370910000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/rheumap\/advance-article\/doi\/10.1093\/rap\/rkac039\/6584836"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,12]]},"references-count":0,"URL":"https:\/\/doi.org\/10.1093\/rap\/rkac039","relation":{},"ISSN":["2514-1775"],"issn-type":[{"value":"2514-1775","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,5,12]]},"article-number":"rkac039"}}