Telehealth Use among Community Health Centers and Cardio-Metabolic Health Outcomes

Public health interventions to manage the cardio-metabolic syndrome (CMS) have had modest success, necessitating the expansion of telehealth services to where people live. This effort analyzes the association between telehealth provision and the management of CMS-related quality measures (hypertensi...

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Main Authors: Navneet Kaur Baidwan, Ganisher Davlyatov, Tapan Mehta
Format: Article
Language:English
Published: MDPI AG 2020-06-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/8/2/165
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author Navneet Kaur Baidwan
Ganisher Davlyatov
Tapan Mehta
author_facet Navneet Kaur Baidwan
Ganisher Davlyatov
Tapan Mehta
author_sort Navneet Kaur Baidwan
collection DOAJ
description Public health interventions to manage the cardio-metabolic syndrome (CMS) have had modest success, necessitating the expansion of telehealth services to where people live. This effort analyzes the association between telehealth provision and the management of CMS-related quality measures (hypertension, diabetes, weight assessment and related counseling, lipid therapy for coronary artery disease, and antiplatelet therapy for ischemic vascular disease) using the Uniform Data System administrative database during the period 2016–2018. A total of 523, 600, and 586 community health centers (CHCs) were documented using telehealth, out of the 1367, 1373, and 1362 total CHCs, in the respective three years. Our primary analysis showed that there was no association between telehealth use and the outcomes. A difference in difference approach that compared the CHCs which transitioned from not using it to using it with those that did not use telehealth in two consecutive years also produced null results. However, among rural areas, the odds of better managing the outcomes were greater for certain outcomes. Our study provides limited support that the adoption of telehealth is potentially beneficial in improving certain outcomes in the CHCs setting that are based in rural areas. More specificity in data regarding the nature of telehealth implementation in the CHC setting could bring clarity in these associations.
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spelling doaj.art-c9647fb310c34825aba0f749bf20e9c62023-11-20T03:28:27ZengMDPI AGHealthcare2227-90322020-06-018216510.3390/healthcare8020165Telehealth Use among Community Health Centers and Cardio-Metabolic Health OutcomesNavneet Kaur Baidwan0Ganisher Davlyatov1Tapan Mehta2UAB/Lakeshore Research Collaborative, University of Alabama at Birmingham, Birmingham, AL 35294, USAUAB/Lakeshore Research Collaborative, University of Alabama at Birmingham, Birmingham, AL 35294, USAUAB/Lakeshore Research Collaborative, University of Alabama at Birmingham, Birmingham, AL 35294, USAPublic health interventions to manage the cardio-metabolic syndrome (CMS) have had modest success, necessitating the expansion of telehealth services to where people live. This effort analyzes the association between telehealth provision and the management of CMS-related quality measures (hypertension, diabetes, weight assessment and related counseling, lipid therapy for coronary artery disease, and antiplatelet therapy for ischemic vascular disease) using the Uniform Data System administrative database during the period 2016–2018. A total of 523, 600, and 586 community health centers (CHCs) were documented using telehealth, out of the 1367, 1373, and 1362 total CHCs, in the respective three years. Our primary analysis showed that there was no association between telehealth use and the outcomes. A difference in difference approach that compared the CHCs which transitioned from not using it to using it with those that did not use telehealth in two consecutive years also produced null results. However, among rural areas, the odds of better managing the outcomes were greater for certain outcomes. Our study provides limited support that the adoption of telehealth is potentially beneficial in improving certain outcomes in the CHCs setting that are based in rural areas. More specificity in data regarding the nature of telehealth implementation in the CHC setting could bring clarity in these associations.https://www.mdpi.com/2227-9032/8/2/165telehealthcommunity health centerscardio-metabolic outcomes
spellingShingle Navneet Kaur Baidwan
Ganisher Davlyatov
Tapan Mehta
Telehealth Use among Community Health Centers and Cardio-Metabolic Health Outcomes
Healthcare
telehealth
community health centers
cardio-metabolic outcomes
title Telehealth Use among Community Health Centers and Cardio-Metabolic Health Outcomes
title_full Telehealth Use among Community Health Centers and Cardio-Metabolic Health Outcomes
title_fullStr Telehealth Use among Community Health Centers and Cardio-Metabolic Health Outcomes
title_full_unstemmed Telehealth Use among Community Health Centers and Cardio-Metabolic Health Outcomes
title_short Telehealth Use among Community Health Centers and Cardio-Metabolic Health Outcomes
title_sort telehealth use among community health centers and cardio metabolic health outcomes
topic telehealth
community health centers
cardio-metabolic outcomes
url https://www.mdpi.com/2227-9032/8/2/165
work_keys_str_mv AT navneetkaurbaidwan telehealthuseamongcommunityhealthcentersandcardiometabolichealthoutcomes
AT ganisherdavlyatov telehealthuseamongcommunityhealthcentersandcardiometabolichealthoutcomes
AT tapanmehta telehealthuseamongcommunityhealthcentersandcardiometabolichealthoutcomes