Variation in Telehealth Use for Patients With Atrial Fibrillation
A retrospective cohort study was conducted to evaluate the variation in telehealth use for patients with incident atrial fibrillation (AF) across the Veterans Health Administration.
Background and Objective
Telehealth has the potential to alleviate geographic clinician shortages, but there is limited data on its current use for common cardiology conditions, including AF. The objective of this study was to assess the variation in telehealth use in primary care and cardiology clinics for patients with incident AF.
Methods
Patient data was collected from January 2022 to September 2023, including those diagnosed with AF in the outpatient setting. The association between video visits and telehealth use (including phone) for primary care or cardiology visits within 90 days of an AF diagnosis was assessed, adjusting for patient- and facility-level characteristics using Bayesian logistic regression.
Results
The cohort included 36,929 patients with 80,596 visits across 125 facilities. The study evaluated facility variation in video visit and telehealth use using the median odds ratio (MOR).
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Author's summary: Telehealth use varies for atrial fibrillation patients across facilities.
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