Table 2.

Results Summary Table

ThemePositive ImpactNegative Impact
  • Having fewer bureaucratic rules allowed for more initiatives to move forward

  • Local initiatives that had been on hold moved ahead

  • New ideas easily implemented in practices

  • It was unclear how to sustain changes post-pandemic (sustainability)

  • There was anxiety that bureaucracy would return post-pandemic

  • There were opportunities to accept new leadership positions

  • Respondents led COVID-19 related operations

  • Respondents had opportunities to create and deliver trainings related to telemedicine

  • Leaders needed to address burnout and resilience at a time when everyone was overwhelmed

Telemedicine and Patient Care
  • Telemedicine was more efficient, flexible, accessible, and convenient for patients

  • Telemedicine allowed more frequent connection with patients

  • Telemedicine restored the importance of the patient interview

  • Telemedicine strengthened patient relationships via more relaxed virtual visits

  • Not all populations can access telemedicine, so some patients were left behind

  • It was difficult to address social issues without the full team in the office and the ability to make warm hand-offs

  • It was difficult to build relationships with new patients

  • Virtual exam room was not ready for the transition to telehealth

  • There were inadequate diagnosis processes via telemedicine

Clinician Work-life
  • Respondents found that telemedicine increased their work-life balance

  • Some respondents found they had a higher level of exhaustion from telemedicine sessions

  • Respondents were frustrated and dissatisfied by the imperfect rollout of telehealth