{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T03:04:47Z","timestamp":1793502287924,"version":"4.5.0"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T00:00:00Z","timestamp":1770249600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T00:00:00Z","timestamp":1770249600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000102","name":"Health Resources and Services Administration","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000102","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Medicare annual wellness visits (AWVs) are vital for older adults' preventive care, which was transitioned to telehealth modalities during COVID\u201019. This study examined primary care providers' perceptions of telehealth\u2010delivered AWVs and explored the factors influencing telehealth implementation using the Practical Robust Implementation and Sustainability Model (PRISM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants and Setting<\/jats:title>\n                    <jats:p>Twenty\u2010five primary care providers from eight clinics within an integrated health system in the Midwestern United States were interviewed. Eligibility required having conducted at least one telehealth AWV for patients aged 65 or older between March 2023 and October 2023.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Semi\u2010structured interviews lasting 30\u201345\u2009min were conducted using purposeful sampling. Topics aligned with PRISM domains were addressed: program (telehealth utilization), recipient (organizational characteristics), external environment, and implementation infrastructure. Data were analyzed using NVivo software, using inductive and deductive thematic coding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Providers described telehealth AWV as flexible, convenient, and efficient. Benefits included shorter visit durations and the ability to observe patients' home environments. Challenges included difficulty conducting cognitive and mobility assessments, limitations in physical exams, and managing patients with hearing or visual impairments without caregiver support. Most providers did not perceive language as a major barrier, particularly for Spanish\u2010speaking patients (Program domain). Providers noted that limited internet, device access, and lack of community technology support, especially in underserved areas, hindered telehealth use. They also emphasized the importance of maintaining reimbursement parity between telehealth and in\u2010person visits (External Environment). Providers reported minimal formal training and inconsistent access to telehealth\u2010equipped rooms, though support from colleagues and workflow adaptations helped address these limitations (Implementation Infrastructure). Staff support, particularly through pre\u2010visit coordination, technical troubleshooting, and patient preparation, was crucial in implementing telehealth (Recipient).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study provided valuable insights into the implementation of telehealth AWVs and underscored the importance of organizational support for sustainable telehealth practices in primary care settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.70303","type":"journal-article","created":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T07:30:52Z","timestamp":1770363052000},"page":"1413-1420","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Primary Care Providers' Perspectives on Telehealth Medicare Annual Wellness Visits for Older Adults in a Midwestern Health System"],"prefix":"10.1111","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-4160-8420","authenticated-orcid":false,"given":"Vaibhavi","family":"Mone","sequence":"first","affiliation":[{"name":"Department of Health Service Research &amp; Administration University of Nebraska Medical Center, Nebraska Medical Center  Omaha Nebraska USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Estabrooks","sequence":"additional","affiliation":[{"name":"Department of Health &amp; Kinesiology University of Utah, College of Health  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Potter","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Geriatrics, Gerontology and Palliative Medicine University of Nebraska Medical Center  Omaha Nebraska USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongmei","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Health Service Research &amp; Administration University of Nebraska Medical Center, Nebraska Medical Center  Omaha Nebraska USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jungyoon","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Health Service Research &amp; Administration University of Nebraska Medical Center, Nebraska Medical Center  Omaha Nebraska USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,5]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"CMS \u201cNon\u2010Emergent Elective Medical Services and Treatment Recommendations \u201d2020 https:\/\/www.cms.gov\/."},{"key":"e_1_2_9_3_1","unstructured":"CMS \u201cCOVID\u201019 Emergency Declaration Blanket Waivers for Health Care Providers \u201d2022 https:\/\/www.cms.gov\/."},{"key":"e_1_2_9_4_1","unstructured":"Centers for Disease Control and Prevention (U.S.) \u201cDemographic Trends of COVID\u201019 cases and deaths in the US reported to CDC: Cases by Race\/Ethnicity; Deaths by Race\/Ethnicity; Cases by Age Group; Deaths by Age Group; Cases by Sex; Deaths by Sex \u201daccessed April 4 2025 https:\/\/stacks.cdc.gov\/view\/cdc\/99332."},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2017.09.001"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2019.06.001"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2019.00304"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14366"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afm045"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2020.2671"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2021.S1.200517"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.56305\/001c.77982"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2022.0378"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12875\u2010023\u201002085\u20107"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.2196\/24860"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1553\u20107250(08)34030\u20106"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.3029"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/tbm\/ibz085"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/ppar\/prx023"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/13814788.2017.1375091"},{"key":"e_1_2_9_21_1","volume-title":"Qualitative Inquiry and Research Design: Choosing Among Five Approaches","author":"Creswell J. 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[Computer Software] \u201daccessed May 19 2025 2025 https:\/\/lumivero.com\/products\/nvivo\/."},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877\u2010022\u201002860\u20108"},{"key":"e_1_2_9_26_1","unstructured":"L.Buis D.Singer E.Solway M.Kirch J.Kullgren andP.Malani \u201cTelehealth Use Among Older Adults Before and During COVID\u201019 | National Poll on Healthy Aging \u201d2020 https:\/\/www.healthyagingpoll.org\/reports\u2010more\/report\/telehealth\u2010use\u2010among\u2010older\u2010adults\u2010and\u2010during\u2010covid\u201019."},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.31640"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X16674087"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.2196\/34326"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010022\u201001234\u20103"}],"container-title":["Journal of the American Geriatrics Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.70303","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jgs.70303","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.70303","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T05:17:10Z","timestamp":1780031830000},"score":1,"resource":{"primary":{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/10.1111\/jgs.70303"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,5]]},"references-count":29,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1111\/jgs.70303"],"URL":"https:\/\/doi.org\/10.1111\/jgs.70303","archive":["Portico"],"relation":{},"ISSN":["0002-8614","1532-5415"],"issn-type":[{"value":"0002-8614","type":"print"},{"value":"1532-5415","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,5]]},"assertion":[{"value":"2025-06-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}