{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T15:32:25Z","timestamp":1793287945525,"version":"4.5.0"},"reference-count":22,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T00:00:00Z","timestamp":1784851200000},"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":["Telemedicine and e-Health"],"published-print":{"date-parts":[[2026,11,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Telepsychiatry expanded rapidly during the COVID-19 pandemic to support continuity of psychiatric care, although its long-term durability following the expiration of pandemic-era policies remains uncertain. This study evaluated long-term utilization of telepsychiatry and patient and clinician acceptability within outpatient practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A repeated cross-sectional electronic health record analysis of outpatient psychiatric visits from 2020 to 2025 compared in-person and virtual visit completion and no-show rates across five annual intervals. Telepsychiatry acceptability was evaluated through a patient survey administered in 2021\u20132022 (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 655) and clinician surveys conducted in 2020 (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 50) and 2025 (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 38).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Among 219,007 visits, 44% were in-person and 56% were virtual. The overall no-show rate was 10.46%, with no significant difference between visit types (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.178). Two intervals demonstrated significant differences: 2021\u20132022 (virtual = 9.6%, in-person = 11.0%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001) and 2024\u20132025 (virtual = 11.9%, in-person = 10.9%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001). The percentage of no-show visits increased as virtual visits decreased (Spearman\u2019s correlation = \u22120.90,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.037). Most patients agreed that their telepsychiatry visit was as good as in-person (92.4%) and more convenient (97.1%). Provider belief that virtual visits were as effective as in-person decreased from 92.0% in 2020 to 74.3% in 2025 (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.026).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Telepsychiatry utilization remains a substantial component of outpatient care. Comparable no-show rates and high patient satisfaction support telepsychiatry as a viable and acceptable modality, although provider enthusiasm appears to have moderated over time.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15305627261471704","type":"journal-article","created":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T09:23:45Z","timestamp":1784885025000},"page":"1130-1137","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Sustained Utilization of Video-Based Outpatient Psychiatry Visits Following the COVID-19 Public Health Emergency at an Academic Health Center"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3867-1216","authenticated-orcid":false,"given":"Brent","family":"Heineman","sequence":"first","affiliation":[{"name":"Department of Psychiatry, UConn Health, Farmington, Connecticut, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grace","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, UConn Health, Farmington, Connecticut, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neha","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, UConn Health, Farmington, Connecticut, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,24]]},"reference":[{"issue":"8","key":"e_1_3_4_2_1","first-page":"e16974","article-title":"Emerging needs and viability of telepsychiatry during and post COVID-19 Era: A literature review","volume":"13","author":"Gude J","year":"2021","unstructured":"1.Gude J, , Subhedar RV, , Zhang MH, et al. Emerging needs and viability of telepsychiatry during and post COVID-19 Era: A literature review. Cureus 2021;13(8):e16974.","journal-title":"Cureus"},{"key":"e_1_3_4_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X211022907"},{"key":"e_1_3_4_4_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2023.86"},{"key":"e_1_3_4_5_1","doi-asserted-by":"publisher","DOI":"10.5498\/wjp.v6.i2.269"},{"key":"e_1_3_4_6_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2011.0086"},{"key":"e_1_3_4_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2022.3330"},{"key":"e_1_3_4_8_1","doi-asserted-by":"publisher","DOI":"10.26099\/ds9e-jm36"},{"key":"e_1_3_4_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pop.2022.04.002"},{"key":"e_1_3_4_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.2618"},{"key":"e_1_3_4_11_1","doi-asserted-by":"publisher","DOI":"10.15620\/cdc:141934"},{"issue":"205","key":"e_1_3_4_12_1","first-page":"1","article-title":"Declines in telemedicine use among adults: United States, 2021 and 2022","author":"Lucas JW","year":"2024","unstructured":"11.Lucas JW, , Wang X. Declines in telemedicine use among adults: United States, 2021 and 2022. Natl Health Stat Report 2024(205):1\u201311.","journal-title":"Natl Health Stat Report"},{"key":"e_1_3_4_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.20853"},{"key":"e_1_3_4_14_1","unstructured":"13.Lessard R. CT business restrictions for COVID-19 to be lifted May 19. fox61: Hartford CT; 2021. Available from: https:\/\/www.fox61.com\/article\/money\/business\/ct-covid-19-business-restrictions-to-be-lifted-by-may-19\/520-0c09dafe-e7a6-4005-a47b-67701c8b10f1 [Last accessed: November12 2025]."},{"key":"e_1_3_4_15_1","unstructured":"14.Statement on the fifteenth meeting of the IHR Emergency Committee on the COVID-19 pandemic. WHO: Geneva Switzerland; 2005. Available from: https:\/\/www.who.int\/news\/item\/05-05-2023-statement-on-the-fifteenth-meeting-of-the-international-health-regulations-(2005)-emergency-committee-regarding-the-coronavirus-disease-(covid-19)-pandemic [Last accessed: November12 2025]."},{"key":"e_1_3_4_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11126-022-09983-6"},{"key":"e_1_3_4_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-025-12826-2"},{"key":"e_1_3_4_18_1","doi-asserted-by":"publisher","DOI":"10.2196\/39433"},{"key":"e_1_3_4_19_1","doi-asserted-by":"publisher","DOI":"10.2196\/24761"},{"key":"e_1_3_4_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2024.02.012"},{"key":"e_1_3_4_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaclp.2021.10.005"},{"key":"e_1_3_4_22_1","unstructured":"21.Karimi M Lee EC Couture SJ et al. National Survey Trends in Telehealth Use in 2021:Disparities in Utilization and Audio vs. Video Services. 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