American Journal of Managed Care: Health Systems and Telemedicine Adoption for Diabetes and Hypertension Care
This study examines whether practice size and ownership were associated with more extensive adoption and maintenance of telemedicine for adults with diabetes and/or hypertension during the early stages of the COVID-19 pandemic. The study found that solo physician and advanced practice clinician-only practices had significantly lower telemedicine use among adults with diabetes with or without hypertension, highlighting the need for technical support for small practices. However, practices with higher proportions of Black patients continued to expand telemedicine use through the end of 2020, while practices with lower proportions of Black patients were de-adopting or maintaining telemedicine use levels. Practices with high shares of Black patients may have redesigned care more extensively to accommodate patients during the pandemic.