project telehealth understanding the impact of virtual health care

The COVID-19 pandemic brought with it a rapid transition from in-person to telehealth visits. Project Telehealth hopes to understand the effects of this transition and the role that underlying social vulnerabilities may have had on these outcomes.

our question:

How did the rapid transition to telehealth during COVID-19 impact vulnerable populations?

Out of the COVID-19 pandemic grew a natural experiment in the effects of telehealth on the outcomes of disease control and health care use. We will examine and quantify these effects for individuals with chronic conditions and different and intersecting social vulnerabilities. Our ultimate goal: to help patients, families, policymakers, clinicians and payers make decisions to better address patients’ unique needs.

Doctor on computer

Project focus areas

t2d

Type 2 Diabetes

Randomized controlled trials have shown positive effects of telehealth for patients with T2D in terms of glycemic control and patient satisfaction.

htn

Hypertension

For those with hypertension, telehealth interventions have led to improvements in blood pressure control.

In our analysis we will focus on two of the nation’s most prevalent chronic health conditions. Nationally, approximately 30M and 108M persons suffer from type 2 diabetes and hypertension. These are also two of the most important risk factors for heart disease, which remains as the leading cause of death in the United States. Patients with these conditions are also at higher risk for COVID-19 mortality. Moreover, underrepresented minorities and individuals with high social vulnerability disproportionately bear the burden of these common chronic conditions.

Project aims

aim 1

Quantify the effects of the transition from in-person to telehealth

aim 2

Explore and examine experiences with shared decision-making

aim 3

Compare the telehealth implementation of statewide clinical partners

aim 4

Disseminate findings for shared learning

data partners

big data makes a big difference

OneFlorida+

This clinical research network and data warehouse unites scientists, clinicians, patients and stakeholders throughout Florida and in select metropolitan areas in Georgia and Alabama to address some of today’s biggest health challenges. The network’s academic institutions and health systems provide care for about 74% of Floridians in all 67 counties, together with large, diverse populations in greater Atlanta and Birmingham, Alabama. The OneFlorida+ Data Trust contains data for more than 16 million individuals in Florida and the Southeast, creating a dynamic resource to facilitate health care research, disseminate research findings, and improve health, health care and health policy.

OneFlorida+

meet the team

principal investigator

Elizabeth Shenkman, Ph.D.

Elizabeth Shenkman, PhD

PRINCIPAL INVESTIGATOR

Olveen Carrasquillo, M.D.

Carrasquillo