{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T03:49:48Z","timestamp":1792036188769,"version":"4.4.0"},"reference-count":37,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2020,7,19]],"date-time":"2020-07-19T00:00:00Z","timestamp":1595116800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Telemed Telecare"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The coronavirus disease 2019 (COVID-19) pandemic has significantly impacted the health-care system both in Australia and internationally, and has rapidly transformed the delivery of health care in hospitals and the community. Implementation of social isolation and distancing measures to stop the spread of the disease and to reduce potential harm to patients has necessitated the use of alternate models of health-care delivery. Changes that would normally take months or years have occurred within days to weeks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted analysis of outpatient clinic data during the period of the pandemic and compared this to previous telehealth use. We also present the results of clinician and patient telehealth experience surveys.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We describe a 2255% increase in the use of telehealth at a tertiary hospital within a period of six weeks, and a significant simultaneous reduction in the outpatient clinic failure-to-attend rate. The vast majority of patients and clinicians agreed that the standard of care provided by telehealth was the same as that provided by on-site appointments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Telehealth that previously had only limited utilisation has now become a main method for the delivery of outpatient care. Clinicians and patients agreed that consultations provided by telehealth were of the same standard as those provided on site. Health care in the post-pandemic period should embed the use of telehealth for outpatient care and consider the range of other clinical contexts where this can be utilised.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1357633x20942045","type":"journal-article","created":{"date-parts":[[2020,7,20]],"date-time":"2020-07-20T02:26:12Z","timestamp":1595211972000},"page":"445-451","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":56,"title":["Telehealth during the coronavirus disease 2019 pandemic: Rapid expansion of telehealth outpatient use during a pandemic is possible if the programme is previously established"],"prefix":"10.1177","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1185-0030","authenticated-orcid":false,"given":"Thomas","family":"Schulz","sequence":"first","affiliation":[{"name":"Victorian Infectious Diseases Service, Royal Melbourne Hospital, Australia"},{"name":"University of Melbourne, Department of Medicine, Australia"},{"name":"Royal Melbourne Hospital, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karrie","family":"Long","sequence":"additional","affiliation":[{"name":"Royal Melbourne Hospital, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kudzai","family":"Kanhutu","sequence":"additional","affiliation":[{"name":"Victorian Infectious Diseases Service, Royal Melbourne Hospital, Australia"},{"name":"University of Melbourne, Department of Medicine, Australia"},{"name":"Royal Melbourne Hospital, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilana","family":"Bayrak","sequence":"additional","affiliation":[{"name":"Royal Melbourne Hospital, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas","family":"Johnson","sequence":"additional","affiliation":[{"name":"Victorian Infectious Diseases Service, Royal Melbourne Hospital, Australia"},{"name":"University of Melbourne, Department of Medicine, Australia"},{"name":"Royal Melbourne Hospital, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy","family":"Fazio","sequence":"additional","affiliation":[{"name":"University of Melbourne, Department of Medicine, Australia"},{"name":"Royal Melbourne Hospital, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,7,19]]},"reference":[{"key":"bibr1-1357633X20942045","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X16674087"},{"key":"bibr2-1357633X20942045","unstructured":"Primary Health Network. COVID-19 and Australian general practice: A preliminary analysis of changes due to telehealth use. Insights Paper No. 3, https:\/\/www.digitalhealthcrc.com\/wp-content\/uploads\/2020\/05\/COVID19-Insights-Paper-3-Telehealth.pdf (5 May 2020)."},{"key":"bibr3-1357633X20942045","volume":"1","author":"Mehrotra A","year":"2020","journal-title":"New Engl J Med Catalyst"},{"key":"bibr4-1357633X20942045","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X20916567"},{"key":"bibr5-1357633X20942045","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocaa072"},{"key":"bibr6-1357633X20942045","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocaa067"},{"key":"bibr7-1357633X20942045","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp2003539"},{"key":"bibr8-1357633X20942045","unstructured":"MBS. COVID-19 Telehealth MBS items \u2013 complete list: Australian Government, http:\/\/www.mbsonline.gov.au\/internet\/mbsonline\/publishing.nsf\/Content\/news-2020-03-29-latest-news-March (2020, accessed 15 May 2020)."},{"key":"bibr9-1357633X20942045","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2006.099622"},{"key":"bibr10-1357633X20942045","first-page":"4268","volume":"16","author":"Bradford NK","year":"2016","journal-title":"Rural Remote Health"},{"key":"bibr11-1357633X20942045","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsr1503323"},{"key":"bibr12-1357633X20942045","doi-asserted-by":"publisher","DOI":"10.1111\/imj.12537"},{"key":"bibr13-1357633X20942045","doi-asserted-by":"crossref","unstructured":"Flamm K. Measuring Moore\u2019s law: evidence from price, cost, and quality indexes. In:\n                      Measuring and accounting for innovation in the twenty-first century\n                      . Boston: National Bureau of Economic Research, 2018.","DOI":"10.3386\/w24553"},{"key":"bibr14-1357633X20942045","unstructured":"Victorian Refugee Health Network. Access to specialist services by refugees in Victoria: A report prepared for the Department of Human Services by the Victorian Refugee Health Network, https:\/\/refugeehealthnetwork.org.au\/wp-content\/uploads\/Specialist_access_reportNov301.pdf (2009, accessed 8 July 2020)."},{"key":"bibr15-1357633X20942045","unstructured":"Evershed N, Ball A, Izzard H, et\u00a0al. Coronavirus Australia stats: Covid-19 active and new cases, numbers, map and data update 2020.\n                      The Guardian\n                      , 25 May 2020, https:\/\/www.theguardian.com\/australia-news\/datablog\/ng-interactive\/2020\/may\/25\/coronavirus-active-cases-australia-data-update-how-many-new-numbers-today-map-stats-statistics-hotspots-postcode-covid-19-deaths-death-toll (2020, accessed 25 May 2020)."},{"key":"bibr16-1357633X20942045","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2020.0106"},{"key":"bibr17-1357633X20942045","doi-asserted-by":"publisher","DOI":"10.2196\/19106"},{"key":"bibr18-1357633X20942045","doi-asserted-by":"publisher","DOI":"10.1159\/000488004"},{"key":"bibr19-1357633X20942045","unstructured":"Neate R. 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