@article{c1f2747c82cf404ab4f4a0cd518b423d,
title = "“There Is Something Very Personal About Seeing Someone{\textquoteright}s Face”: Provider Perceptions of Video Visits in Home-Based Primary Care During COVID-19",
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.",
keywords = "COVID-19, home health, homebound, primary care, telehealth, telemedicine",
author = "Emily Franzosa and Ksenia Gorbenko and Brody, {Abraham A.} and Bruce Leff and Ritchie, {Christine S.} and Bruce Kinosian and Sheehan, {Orla C.} and Federman, {Alex D.} and Ornstein, {Katherine A.}",
note = "Funding Information: The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study is funded by the National Institute on Aging (NIA, 1R01AG052557). The sponsors played no role in any of the design, conduct, or preparation of this article. Funding Information: The authors declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: A.A.B. reports funding from the National Institutes of Health and the Patient-Centered Outcomes Research Institute (PCORI) and personal fees from Abbott Nutrition. C.S.R. reports funding from the National Institutes of Health, The John A. Hartford Foundation, and Centene Foundation; royalties from Wiley Inc. and Wolters Kluwer, and is a consultant for the American Academy of Hospice and Palliative Medicine. B.L. reports personal fees from Medzed, and grants from The John A. Hartford Foundation, Centene Foundation, and the California Healthcare Foundation. B.K. is a Board member of the American Academy of Home Care Medicine. K.A.O. and A.D.F. report funding from the National Institute on Aging during the conduct of the study. E.F., K.G., and O.C.S. have no conflicts of interest to report. Publisher Copyright: {\textcopyright} The Author(s) 2021.",
year = "2021",
month = nov,
doi = "10.1177/07334648211028393",
language = "English",
volume = "40",
pages = "1417--1424",
journal = "Journal of Applied Gerontology",
issn = "0733-4648",
publisher = "SAGE Publications Inc.",
number = "11",
}