“There Is Something Very Personal About Seeing Someone’s Face”: Provider Perceptions of Video Visits in Home-Based Primary Care During COVID-19-Reference-Cited by-同舟云学术

“There Is Something Very Personal About Seeing Someone’s Face”: Provider Perceptions of Video Visits in Home-Based Primary Care During COVID-19

Published:2021-07-01 Issue:11 Volume:40 Page:1417-1424
ISSN:0733-4648
Container-title:Journal of Applied Gerontology
language:en
Short-container-title:J Appl Gerontol

Author:

Franzosa Emily¹²^ORCID,Gorbenko Ksenia¹,Brody Abraham A.³,Leff Bruce⁴^ORCID,Ritchie Christine S.⁵,Kinosian Bruce⁶,Sheehan Orla C.⁴,Federman Alex D.¹,Ornstein Katherine A.¹^ORCID

Affiliation:

1. Icahn School of Medicine at Mount Sinai, New York, NY, USA

2. James J. Peters VA Medical Center, Bronx, NY, USA

3. New York University, New York City, USA

4. Johns Hopkins University, Baltimore, MD, USA

5. Harvard Medical School, Boston, MA, USA

6. University of Pennsylvania, Philadelphia, USA

Abstract

The rapid deployment of video visits during COVID-19 may have posed unique challenges for home-based primary care (HBPC) practices due to their hands-on model of care and older adult population. This qualitative study examined provider perceptions of video visits during the first wave of the COVID-19 crisis in New York City (NYC) through interviews with HBPC clinical/medical directors, program managers, nurse practitioners/nurse managers, and social work managers ( n = 13) at six NYC-area practices. Providers reported a combination of commercial (health system-supported) and consumer (e.g., FaceTime) technological platforms was essential. Video visit benefits included triaging patient needs, collecting patient information, and increasing scheduling capacity. Barriers included cognitive and sensory abilities, technology access, reliance on caregivers and aides, addressing sensitive topics, and incomplete exams. Effectively integrating video visits requires considering how technology can be proactively integrated into practice. A policy that promotes platform flexibility will be crucial in fostering video integration.

Funder

national institute on aging

Publisher

SAGE Publications

Subject

Geriatrics and Gerontology,Gerontology

Link

http://journals.sagepub.com/doi/pdf/10.1177/07334648211028393

Reference26 articles.

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2. The promise of municipal WiFi and failed policies of inclusion: The disability divide

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