{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T07:02:43Z","timestamp":1784530963737,"version":"3.55.0"},"reference-count":22,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100003710","name":"Korea Health Industry Development Institute","doi-asserted-by":"publisher","award":["HI21C2122"],"award-info":[{"award-number":["HI21C2122"]}],"id":[{"id":"10.13039\/501100003710","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["INQUIRY"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The Korean government allowed for the temporary provision of non-face-to-face healthcare services (telemedicine) from 24 February 2020, due to the widespread outbreak of coronavirus disease 2019 (COVID-19). To provide further evidence to inform and support future policies on telemedicine, we compared its utilization rates for hypertension (HTN) treatments both before and during the COVID-19 pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This quasi-experimental study utilized 2019\u20132020 claims data from the Korean National Health Insurance Service to evaluate the numbers of outpatient visits for HTN by patients with disabilities in that period. Multivariable regression and difference-in-difference (DID) analyses were then conducted to compare the use of outpatient and telemedicine services due to HTN during the COVID-19 pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among patients with disabilities and also HTN identified in 2019, 9,254 accessed telemedicine appointments in 2020 compared to 635,959 cases in the control group. After 1:1 propensity score matching (PSM), the telemedicine and control patient groups each comprised 9,170 patients. Upon adjusting for other variables, the number of outpatient visits decreased by 0.57 cases in the telemedicine group compared to that in the control group. After 1:1 PSM, this decrease was 0.30 cases. DID analysis revealed that the number of outpatient visits in the telemedicine group had decreased by 0.9 cases compared to the control group, which was a higher decrease at 1.0 cases after PSM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Telemedicine services are a viable alternative mode of healthcare delivery for patients with limited access to in-person care, particularly during epidemics and pandemics.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00469580261470820","type":"journal-article","created":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T10:24:00Z","timestamp":1784283840000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Association Between Telemedicine Use and Outpatient Visits Among Hypertensive Patients With Disabilities During COVID-19"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4507-4877","authenticated-orcid":false,"given":"Rugyeom","family":"Lee","sequence":"first","affiliation":[{"name":"Kyung Hee University College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8593-9321","authenticated-orcid":false,"given":"Joon","family":"Lee","sequence":"additional","affiliation":[{"name":"University of Calgary Cumming School of Medicine"},{"name":"University of Calgary Cumming School of Medicine"},{"name":"University of Calgary Cumming School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min-Woo","family":"Jo","sequence":"additional","affiliation":[{"name":"University of Ulsan College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"In-Hwan","family":"Oh","sequence":"additional","affiliation":[{"name":"University of Ulsan College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,17]]},"reference":[{"key":"e_1_3_5_2_2","first-page":"445","article-title":"Issue analysis on the deregulation of telemedicine in the digital convergence era","volume":"18","author":"Kim JS","year":"2020","unstructured":"Kim JS, Oh SH. Issue analysis on the deregulation of telemedicine in the digital convergence era. J Digit Converg. 2020;18:445-457.","journal-title":"J Digit Converg"},{"key":"e_1_3_5_3_2","unstructured":"World Health Organization. WHO director-general\u2019s opening remarks at the media briefing on COVID-19-11. 2020. https:\/\/www.who.int\/dg\/speeches\/detail\/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020"},{"key":"e_1_3_5_4_2","unstructured":"Ministry of Health and Welfare. A plan to allow temporary telemedicine. Ministry of Health and Welfare notification No. 2020-177; 2020. https:\/\/www.mohw.go.kr\/react\/al\/sal0101ls.jsp?PAR_MENU_ID=04&MENU_ID=040101&BOARD_FLAG=00(Korean)"},{"key":"e_1_3_5_5_2","article-title":"Non-face-to-face treatment, an average of 5,166 cases per day","author":"Shin HY","year":"2022","unstructured":"Shin HY. Non-face-to-face treatment, an average of 5,166 cases per day. Press release of the National Assembly member office of Hyunyoung Shin. 2022. (Korean). https:\/\/www.assembly.go.kr\/members\/21st\/SHINHYUNYOUNG. Accessed March 18, 2026.","journal-title":"Press release of the National Assembly member office of Hyunyoung Shin"},{"key":"e_1_3_5_6_2","volume-title":"A study on the operation of non-medical health care services for the disabled in the community: focusing on non-face-to-face services","author":"Choi KS","year":"2021","unstructured":"Choi KS. A study on the operation of non-medical health care services for the disabled in the community: focusing on non-face-to-face services; 2021. Korea Disabled People\u2019s Development Institute. https:\/\/www.koddi.or.kr\/data\/research01_view.jsp?brdNum=7411659&brdTp=&searchParamUrl=brdRshYnData%3Ddata%26amp%3BsearchType%3D%26amp%3BpageSize%3D20%26amp%3BbrdType%3DRSH%26amp%3BbrdTp%3D%26amp%3Bpage%3D3%26amp%3BsearchKeyword%3Da%2Bstudy%2Bon%26amp%3BselBrdProgSt%3D (Korean)."},{"key":"e_1_3_5_7_2","first-page":"759","article-title":"A study on effectiveness of chronic disease online program due to COVID-19","volume":"20","author":"Kim Y","year":"2022","unstructured":"Kim Y, Kim H. A study on effectiveness of chronic disease online program due to COVID-19. J Digit Converg. 2022;20:759-768.","journal-title":"J Digit Converg"},{"key":"e_1_3_5_8_2","unstructured":"Korean Statistical Information Service (KOSIS). Current status of persons with disabilities. 2022. https:\/\/kosis.kr\/index\/index.do"},{"key":"e_1_3_5_9_2","first-page":"145","article-title":"Access barriers to health care among persons with physical disabilities: using three reasons for unmet need as indicators of access","volume":"31","author":"Jeon BY","year":"2015","unstructured":"Jeon BY, Kwon SM. Access barriers to health care among persons with physical disabilities: using three reasons for unmet need as indicators of access. Korean Soc Secur Stud. 2015;31:145-171. (Korean).","journal-title":"Korean Soc Secur Stud"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2023.01.034"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.dhjo.2007.11.006"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.5195\/ijt.2021.6402"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12911-022-01952-0"},{"key":"e_1_3_5_14_2","unstructured":"National Health Insurance Service (NHIS). https:\/\/www.nhis.or.kr\/english\/index.do. Accessed March 18 2026."},{"key":"e_1_3_5_15_2","volume-title":"National Health Insurance Sharing Service (NHISS)","unstructured":"National Health Insurance Sharing Service (NHISS). Accessed March 18, 2026. https:\/\/nhiss.nhis.or.kr\/"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocaa297"},{"key":"e_1_3_5_17_2","article-title":"Effectiveness assessment study upon non-face-to-face treatment (telephone consultation, prescription) that is temporarily allowed. Health insurance review and Assessment Research Institute","author":"Cho MH","year":"2022","unstructured":"Cho MH, Ye RM, Hwang YK, et al. Effectiveness assessment study upon non-face-to-face treatment (telephone consultation, prescription) that is temporarily allowed. Health insurance review and Assessment Research Institute. Health Insurance Review and Assessment Service. 2022. (Korean). https:\/\/www.hira.or.kr\/ra\/trend\/study\/getReportList.do?pgmid=HIRAA030095000000. Accessed March 18, 2026.","journal-title":"Health Insurance Review and Assessment Service"},{"key":"e_1_3_5_18_2","volume-title":"A study on the current status of telemedicine policies and countermeasures","author":"Kim JS","year":"2022","unstructured":"Kim JS, Lim JY, Kang JH. A study on the current status of telemedicine policies and countermeasures. Research Institute for Healthcare Policy, Korea Medical Association; 2022. https:\/\/www.rihp.re.kr\/bbs\/board.php?bo_table=research_report&wr_id=330(Korean). Accessed March 18, 2026."},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6943a3"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.dhjo.2020.100973"},{"key":"e_1_3_5_21_2","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2020.0369"},{"key":"e_1_3_5_22_2","doi-asserted-by":"publisher","DOI":"10.52937\/hira.21.1.1.36"},{"key":"e_1_3_5_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/00469580241226540"}],"container-title":["INQUIRY: The Journal of Health Care Organization, Provision, and Financing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00469580261470820","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00469580261470820","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00469580261470820","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T06:18:32Z","timestamp":1784528312000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00469580261470820"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":22,"alternative-id":["10.1177\/00469580261470820"],"URL":"https:\/\/doi.org\/10.1177\/00469580261470820","relation":{},"ISSN":["0046-9580","1945-7243"],"issn-type":[{"value":"0046-9580","type":"print"},{"value":"1945-7243","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3]]},"article-number":"00469580261470820"}}