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Examining How Variations in Primary Care Telehealth Utilization Influence Healthcare Utilization and Health Outcomes of U.S. Veterans
Examining How Variations in Primary Care Telehealth Utilization Influence Healthcare Utilization and Health Outcomes of U.S. Veterans
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20260202105151
- ISBN
- 9798293833771
- DDC
- 614
- 서명/저자
- Examining How Variations in Primary Care Telehealth Utilization Influence Healthcare Utilization and Health Outcomes of U.S. Veterans
- 발행사항
- [Sl] : University of California, Los Angeles, 2025
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2025
- 형태사항
- 183 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 87-03, Section: B.
- 주기사항
- Advisor: McCarthy, William J.;Gelberg, Lillian.
- 학위논문주기
- Thesis (Ph.D.)--University of California, Los Angeles, 2025.
- 초록/해제
- 요약The adoption of telehealth in primary care was accelerated by the COVID-19 pandemic, particularly within the Veterans Health Administration (VA), which has been a national leader in providing telehealth services. This dissertation examines how hybrid (in-person and telehealth) primary care utilization influences downstream healthcare utilization and health outcomes among U.S. Veterans with type 2 diabetes (T2D), a population with high chronic disease burden and unique barriers to care. Using a mixed-methods approach, the three papers in this dissertation provide complementary perspectives on the role of hybrid care in primary care and T2D management.The first paper investigates the association between the frequency of hybrid primary care visits and meeting Healthcare Effectiveness Data and Information Set (HEDIS) diabetes care quality metrics. The second paper examines the relationship between hybrid primary care utilization and emergency department visits for acute preventable diabetes complications. Both papers' quantitative analyses draw on electronic health records from over two years of national VA administrative data. The third paper qualitatively explores both Veterans' and primary care providers' perspectives on video telehealth, identifying barriers and facilitators to its sustained use and comparing how high and low video telehealth-using sites differed in their implementation of the technology. Together, these papers highlight the potential of hybrid care versus solely in-person care to enhance chronic disease management and reduce acute care utilization for chronic disease patients such as Veterans with T2D, while also identifying challenges to equitable and effective implementation. The findings may be used to inform future policy and practice for integrating telehealth into routine primary care for vulnerable populations.
- 일반주제명
- Public health
- 일반주제명
- Clinical psychology
- 키워드
- Chronic disease
- 키워드
- Primary care
- 키워드
- Type 2 diabetes
- 키워드
- U.S. Veterans
- 기타저자
- University of California, Los Angeles Health Policy and Management 007I
- 기본자료저록
- Dissertations Abstracts International. 87-03B.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
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■020 ▼a9798293833771
■035 ▼a(MiAaPQ)AAI32242304
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a614
■1001 ▼aHou, Cynthia Guo.
■24510▼aExamining How Variations in Primary Care Telehealth Utilization Influence Healthcare Utilization and Health Outcomes of U.S. Veterans
■260 ▼a[Sl]▼bUniversity of California, Los Angeles▼c2025
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2025
■300 ▼a183 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 87-03, Section: B.
■500 ▼aAdvisor: McCarthy, William J.;Gelberg, Lillian.
■5021 ▼aThesis (Ph.D.)--University of California, Los Angeles, 2025.
■520 ▼aThe adoption of telehealth in primary care was accelerated by the COVID-19 pandemic, particularly within the Veterans Health Administration (VA), which has been a national leader in providing telehealth services. This dissertation examines how hybrid (in-person and telehealth) primary care utilization influences downstream healthcare utilization and health outcomes among U.S. Veterans with type 2 diabetes (T2D), a population with high chronic disease burden and unique barriers to care. Using a mixed-methods approach, the three papers in this dissertation provide complementary perspectives on the role of hybrid care in primary care and T2D management.The first paper investigates the association between the frequency of hybrid primary care visits and meeting Healthcare Effectiveness Data and Information Set (HEDIS) diabetes care quality metrics. The second paper examines the relationship between hybrid primary care utilization and emergency department visits for acute preventable diabetes complications. Both papers' quantitative analyses draw on electronic health records from over two years of national VA administrative data. The third paper qualitatively explores both Veterans' and primary care providers' perspectives on video telehealth, identifying barriers and facilitators to its sustained use and comparing how high and low video telehealth-using sites differed in their implementation of the technology. Together, these papers highlight the potential of hybrid care versus solely in-person care to enhance chronic disease management and reduce acute care utilization for chronic disease patients such as Veterans with T2D, while also identifying challenges to equitable and effective implementation. The findings may be used to inform future policy and practice for integrating telehealth into routine primary care for vulnerable populations.
■590 ▼aSchool code: 0031.
■650 4▼aPublic health
■650 4▼aClinical psychology
■653 ▼aChronic disease
■653 ▼aPrimary care
■653 ▼aTelehealth services
■653 ▼aType 2 diabetes
■653 ▼aU.S. Veterans
■690 ▼a0769
■690 ▼a0622
■690 ▼a0573
■71020▼aUniversity of California, Los Angeles▼bHealth Policy and Management 007I.
■7730 ▼tDissertations Abstracts International▼g87-03B.
■790 ▼a0031
■791 ▼aPh.D.
■792 ▼a2025
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17359644▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
