Experiences with Telemedicine for HIV Care During the COVID-19 Pandemic: A Mixed-Methods Study

Dini Harsono*, Yanhong Deng, Sangyun Chung, Lydia A. Barakat, Gerald Friedland, Jaimie P. Meyer, Elizabeth Porter, Merceditas Villanueva, Michael S. Wolf, Jessica E. Yager, E. Jennifer Edelman

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

To characterize perspectives and experiences with telemedicine during the COVID-19 pandemic, we conducted a mixed-methods study in two HIV clinics in the US Northeast. Among surveyed patients with HIV (PWH) who had a telemedicine appointment (n = 205), 42.4% perceived telemedicine visits as useful during the pandemic. PWH and clinical staff identified benefits of telemedicine: (1) ability to engage and re-engage patients in care; (2) perceived patient-centeredness and flexibility; (3) opportunity to engage family and multidisciplinary care team members; and (4) opportunity to enhance telemedicine use proficiency through practice and support. Identified barriers included: (1) technical challenges; (2) privacy concerns; (3) loss of routine clinical experiences and interactions; (4) limited objective patient remote monitoring; and (5) reimbursement concerns. Efforts to optimize telemedicine for HIV care should consider strategies to improve technology support for PWH, flexible options to access care, additional platforms to allow patient remote monitoring, and appropriate billing and reimbursement methods.

Original languageEnglish (US)
Pages (from-to)2099-2111
Number of pages13
JournalAIDS and behavior
Volume26
Issue number6
DOIs
StatePublished - Jun 2022

Keywords

  • COVID-19
  • HIV
  • Mixed-methods
  • Telehealth
  • Telemedicine

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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