{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T11:45:26Z","timestamp":1782992726074,"version":"3.54.5"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2026,3,17]]},"abstract":"<jats:sec xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">During the COVID\u201019 pandemic, the Centers for Medicare and Medicaid Services created a waiver to reimburse telemedicine services. It is important to understand factors that facilitate incorporation of telemedicine into ongoing cardiovascular practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p xml:lang=\"en\">This was a retrospective cohort study of telemedicine and office visits delivered by cardiologists between January 1, 2022, and December 31, 2023, for Medicare beneficiaries. We calculated the adjusted incidence rate ratio (aIRR) of telemedicine visits, representing the proportion of a physician's visits delivered by telemedicine, to identify factors associated with telemedicine use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p xml:lang=\"en\">There were 23\u2009334 physicians in our cohort; they were predominantly men (84.8%) and affiliated with a hospital (93.5%), and the majority were general cardiologists (66.1%). During 2022 and 2023, 3.4% of visits were delivered by telemedicine. In a regression model adjusted for beneficiary and provider characteristics, several physician\u2010level factors were associated with increased telemedicine: female sex (aIRR, 1.48 [95% CI, 1.41\u20131.57]), electrophysiology specialty (aIRR, 1.57 [95% CI, 1.47\u20131.67] compared with general cardiology), and caring for a high proportion of beneficiaries living in areas of social vulnerability (quartile 3 aIRR, 1.22 [95% CI, 1.12\u20131.32]; quartile 4 aIRR, 1.27 [95% CI, 1.16\u20131.39]). Caring for more beneficiaries residing in a rural area (aIRR, 0.71 [95% CI, 0.66\u20130.76]) or the South (aIRR, 0.61 [95% CI, 0.55\u20130.66]) and for beneficiaries aged &gt;85\u2009years (aIRR, 0.77 [95% CI, 0.73\u20130.81] were associated with lower use of telemedicine).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">Telemedicine is used relatively sparsely among cardiologists. Physician factors, including sex; specialty; and the vulnerability, rurality, and age of beneficiary panels, impact the degree to which telemedicine is a major part of clinical practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.125.046273","type":"journal-article","created":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T11:34:55Z","timestamp":1773401695000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Factors Associated With Telemedicine Use by Cardiologists for Medicare Beneficiaries in 2022 to 2023: An Observational Study"],"prefix":"10.1161","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1778-3537","authenticated-orcid":false,"given":"Samantha","family":"Harris","sequence":"first","affiliation":[{"name":"Washington University School of Medicine in St Louis","place":["Saint Louis, USA"]},{"name":"Cornell University Medical Center","place":["New York, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6678-7764","authenticated-orcid":false,"given":"R. J.","family":"Waken","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine","place":["Saint Louis, USA"]},{"name":"Washington University School of Medicine","place":["Saint Louis, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7677-5406","authenticated-orcid":false,"given":"Fengxian","family":"Wang","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine in St Louis","place":["Saint Louis, USA"]},{"name":"Washington University School of Medicine","place":["Saint Louis, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khavya C.","family":"Avula","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine in St Louis","place":["Saint Louis, USA"]},{"name":"Washington University School of Medicine","place":["Saint Louis, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1089-3896","authenticated-orcid":false,"given":"Rishi K.","family":"Wadhera","sequence":"additional","affiliation":[{"name":"Beth Israel Deaconess Medical Center","place":["Boston, USA"]},{"name":"Smith Center for Outcomes Research","place":["Boston, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose F.","family":"Figueroa","sequence":"additional","affiliation":[{"name":"Harvard T. H. Chan School of Public Health","place":["Boston, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8886-7252","authenticated-orcid":false,"given":"E. John","family":"Orav","sequence":"additional","affiliation":[{"name":"Brigham and Women\u2019s Hospital","place":["Boston, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4723-4109","authenticated-orcid":false,"given":"Uchenna","family":"Ofoma","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine","place":["Saint Louis, USA"]},{"name":"Washington University School of Medicine","place":["Saint Louis, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3779-8653","authenticated-orcid":false,"given":"Karen E.","family":"Joynt Maddox","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine in St Louis","place":["Saint Louis, USA"]},{"name":"Washington University School of Medicine","place":["Saint Louis, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","unstructured":"Centers for Medicare and Medicaid Services . 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