Article Figures & Data
Tables
Total Variables N (%) Age < 18 1891 (5.1) 18 to 64 32,759 (87.5) > 64 2778 (7.4) Sex Female 24,983 (66.8) Male 12,445 (33.2) Race/ethnicity Hispanic 20,109 (57.1) Non-Hispanic White 9916 (28.1) Non-Hispanic Black 3630 (10.3) Asian 1142 (3.2) Other 165 (0.5) Mixed race 280 (0.8) Insurance coverage Private insurance 7317 (19.8) Medicare 21,195 (57.3) Medicaid 3065 (8.3) Uninsured 5441 (14.7) Metropolitan status of patient residence Nonmetropolitan 1758 (4.7) Metropolitan 35,658 (95.3) MUA status of patient residence Non-MUA 20,779 (55.5) MUA 16,637 (44.5) Commute time to clinic 0 to 10 minutes 10,051 (26.9) 11 to 20 minutes 14,588 (39.0) 21 to 30 minutes 7873 (21.0) 30 to 300 minutes 4916 (13.1) Provider characteristics (n = 42) Provider type Non-MD (APRN, FNP, PAC) 23 (54.8) MD 19 (25.2) Provider language English only 26 (61.9) English and Spanish 16 (38.1) Years in practice 0 to 5 years 7 (16.6) 6 to 10 years 12 (28.6) 11 to 20 years 12 (28.6) 21 + years 11 (26.2) Abbreviations: APRN, advanced practice registered nurse; FNP, family nurse practitioner; MUA, medically underserved area; PAC, certified physician assistant.
In-Person Appointment (n = 81,296) Telehealth Appointment (n = 25,309) Month N Rate (%) N Rate (%) January 2020 11,087 100 2 0 February 2020 10,429 100 2 0 March 2020 10,222 97 361 3 April 2020 4761 63 2807 37 May 2020 4992 61 3178 39 June 2020 6798 64 3764 36 July 2020 7085 64 3917 36 August 2020 6870 69 3042 31 September 2020 6504 69 2956 31 October 2020 6667 71 2686 29 November 2020 5881 69 2594 31 - Table 3.
Mixed-Effects Logistic Regression Model of the Relationship Between Telehealth Use in Family Practice Clinics, Patient and Provider Characteristics
MV-Adjusted OR Variables OR 95%CI P value Patient characteristics Age 18 to 64 Ref. <18 0.22 0.19 - 0.26 0.001 >65 0.89 0.81 - 0.98 0.013 Sex Female Ref. Male 1.01 0.87 1.03 0.87 Race/ethnicity Hispanic Ref. Non-Hispanic White 1.61 1.53 - 1.69 0.001 Non-Hispanic Black 1.37 1.27 - 1.47 0.001 Asian 1.05 0.92 - 1.20 0.920 Other 1.31 0.95 1.81 0.097 Mixed race 1.88 1.50 - 2.36 0.001 Insurance coverage Private insurance Ref. Medicare 0.91 0.83 - 1.01 0.068 Medicaid 1.03 0.96 - 1.12 0.068 Uninsured 0.81 0.77 - 0.86 0.001 Metropolitan status Nonmetropolitan Ref. Metropolitan 1.25 1.08 - 1.46 0.004 MUA status Non-MUA Ref. MUA 1.19 1.13 - 1.27 0.001 Commute time to clinic 0 to 10 minutes Ref. 11 to 20 minutes 1.04 0.99 - 1.10 0.135 21 to 30 minutes 1.14 1.07 - 1.21 0.001 >30 minutes 1.28 1.19 - 1.38 0.001 Provider characteristics Provider type Non-MD (APRN, FNP, PAC) Ref. MD 1.05 0.64 - 1.73 0.86 Provider language English only Ref. English and Spanish 1.35 0.84 - 2.17 0.22 Years in practice 0 to 5 years Ref. 6 to 10 years 1.78 0.93 - 3.41 0.08 11 to 20 years 1.42 0.73 - 2.78 0.30 21 + years 1.00 0.47 - 2.13 0.99 Intraclass correlation coefficient for provider and patient random effects Variance estimate 95% CI Std Err Patient (variance estimate, CI) 0.31 0.26 - 0.38 0.21 Patient | provider (variance estimate, CI) 0.38 0.35 - 0.41 0.02 Abbreviations: MV-Adjusted OR, Multi-variable-adjusted odds ratio; CI, confidence interval; APRN, advanced practice registered nurse; FNP, family nurse practitioner; MUA, medically underserved area; PAC, certified physician assistant.