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Continuity of Care in a Pandemic: Reflecting on the Rise of Telehealth

Published March 16, 2021 | 3 Minute Read

March 2021 comes with mixed emotions, as people across the United States reflect on one year of life in the era of COVID-19. From a rollercoaster of lockdown restrictions, isolation, mask-wearing and socially distancing, to finally experiencing a glimmer of hope with increasing vaccine distribution – it’s safe to say the past 12 months have been anything but ordinary. 

People living with chronic conditions have faced a unique set of challenges throughout the pandemic thus far; to capture a holistic understanding of patient attitudes and behaviors across multiple moments in time, Health Union fielded a series of online surveys among its condition-specific online communities. With a variety of restrictions, in-person access to healthcare providers became limited, which introduced a more widespread use of telehealth. 

At the one year mark – as Health Union prepares to survey its communities once again – let’s reflect on what we’ve learned about telehealth use and experiences, and the role it has played in continuity of care:

March 2020: Growing Concern and Social Distancing

To set the scene, many states were entering the first week of stay-at-home orders during the timeframe of Health Union’s first survey. Unsurprisingly, 71%* of respondents reported feeling “very concerned” about the novel coronavirus.

At the onset of lockdown in the U.S., just 23% said they either had or planned to have a telehealth appointment. 

April 2020: Telehealth Use Doubles 

The second survey captured an initial uptick in telehealth usage, with 48% of respondents reporting they either had or planned to have a telehealth appointment. 

At the time of the survey, roughly half of respondents found telehealth acceptable, but would prefer to return to face-to-face visits in the future. However, those who used telehealth due to COVID-19 reported that they are 75% more likely to want to continue using it for regular check-ups after the pandemic. 

Download Health Union’s webinar recording, COVID-19 and Chronic Conditions: The Critical Patient Perspective, for full findings from the first two survey waves.

May 2020: Experiences with Telehealth Largely Positive

Nearly six in 10 respondents living with chronic conditions said they were worried about resuming normal activities at the time of Health Union’s third survey. Nearly half of respondents reported a virtual visit in the past four months at the time surveyed, and 27% noted they’d want to use telehealth even after the pandemic. 

When asked about telehealth experiences, 39% felt their virtual visit was just as good (or better than) an in-person visit. Seven in ten reported a positive experience with telehealth, while 14% of respondents found the technology to be difficult to use. 

For a comprehensive overview of survey waves one through three, download the white paper,  COVID-19 and Chronic Health Conditions: Monitoring the lifecycle of patient attitudes and behaviors in a global pandemic.

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July 2020: Concern Returns, Telehealth Use Rises Significantly 

Feelings of unease returned to early pandemic levels in the wave 4 survey, and telehealth use significantly increased with 63% of respondents reporting a visit vs. 49% in the previous wave. At this time, 50% of respondents reported that they started using telehealth because of the pandemic – yet another significant increase – from 40% in wave 3. 

October – November, 2020: Telehealth Use Triples

Nearly three-fourths of respondents of the wave 5 survey reported having had at least one telehealth appointment – more than tripling since the pandemic began in March.

Two-third of respondents who had telehealth appointments at the time surveyed considered their experiences to be positive, with convenience being a primary reason. And 44% of all respondents said they were “extremely likely” to consider using telehealth after the pandemic is under control.

Telehealth and Continuity of Care

Looking back at the knowledge collected throughout 2020, it’s clear that patient attitudes and behaviors quickly shifted, with telehealth becoming an essential tool in continuity of care for people living with chronic conditions. 

Survey results over time continue to show that after the initial hurdle of familiarizing oneself with the technology, patients are more open to adapting and utilizing telehealth. However, there is still work to be done to optimize patient experiences and increase awareness of telehealth as an additional access point for care; Health Union’s recently published article in the Journal of Medical Internet Research provides a deeper dive into the long-term opportunities that address patient needs. 

Be on the lookout for another survey wave from Health Union, with an update on patient attitudes and behaviors after a full year of life in a pandemic. 


*
Top 2 box on a 7-pt scale

Wave 1: March 19-25, 2020, n=991; Wave 2: April 14-17, 2020, n=2,214 ; Wave 3: May 12-14, 2020, n=2,210; Wave 4: July 21-23, 2020, n=1,777; Wave 5: October 23-November 3, 2020, n=2,005

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At that time, 49% of respondents – all with chronic health conditions – had participated in a virtual visit with an HCP over the previous four months.

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Nearly three-fourths of respondents of this COVID-19 survey said they have had at least one telehealth appointment, up from 63% in July.

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Health Union survey shows 48% of respondents living with chronic health conditions had or plan to have a telehealth appointment since the COVID-19 pandemic.