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Infect Control Hosp Epidemiol ; 42(5): 641-642, 2021 05.
Article in English | MEDLINE | ID: covidwho-1392700
Med Care ; 59(7): 646-652, 2021 07 01.
Article in English | MEDLINE | ID: covidwho-1276272


BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has led to a dramatic increase in virtual care (VC) across outpatient specialties, but little is known regarding provider acceptance of VC. OBJECTIVE: The objective of this study was to assess provider perceptions of the quality, efficiency, and challenges of VC versus in-person care with masks. DESIGN: This was a voluntary survey. PARTICIPANTS: Mental health (MH), primary care, medical specialty, and surgical specialty providers across the 8 VA New England Healthcare System medical centers. MEASURES: Provider ratings of: (1) quality and efficiency of VC (phone and video telehealth) compared with in-person care with masks; (2) challenges of VC; and (3) percentage of patients that providers are comfortable seeing via VC in the future. RESULTS: The sample included 998 respondents (49.8% MH, 20.6% primary care, 20.4% medical specialty, 9.1% surgical specialty; 61% response rate). Most providers rated VC as equivalent to or higher in quality and efficiency compared with in-person care with masks. Quality ratings were significantly higher for video versus phone (χ2=61.4, P<0.0001), but efficiency ratings did not differ significantly. Ratings varied across specialties (highest in MH, lowest in SS; all χ2s>24.1, Ps<0.001). Inability to conduct a physical examination and patient technical difficulties were significant challenges. MH providers were comfortable seeing a larger proportion of patients virtually compared with the other specialties (all χ2s>12.2, Ps<0.01). CONCLUSIONS: Broad provider support for VC was stratified across specialties, with the highest ratings in MH and lowest ratings in SS. Findings will inform the improvement of VC processes and the planning of health care delivery during the COVID-19 pandemic and beyond.

Attitude of Health Personnel , Telemedicine , COVID-19/psychology , Humans , Mental Health , Primary Health Care , SARS-CoV-2 , Specialties, Surgical , Surveys and Questionnaires , United States , United States Department of Veterans Affairs
Open Forum Infect Dis ; 8(2): ofaa618, 2021 Feb.
Article in English | MEDLINE | ID: covidwho-1214656


Among 3926 healthcare personnel in a multisite healthcare system, the minimal population prevalence of coronavirus disease 2019 (COVID-19) was 4.4% (bootstrap 95% confidence interval [CI], 3.7%-5.0%), and the infection fatality rate was 0.6% (bootstrap 95% CI, 0.0%-1.7%). Rates reflected both local community prevalence and hospital exposures but not specifically exposure on COVID-19 units.