Launching a statewide COVID-19 primary care hotline and telemedicine service

Anthony Cheng, Heather Angier, Nathalie Huguet, Deborah J. Cohen, Kellen Strickland, Emily Barclay, Eric Herman, Craig McDougall, Frances E. Biagioli, Kam Pierce, Carliana Straub, Bennett Straub, Jennifer DeVoe

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

To respond to the COVID-19 pandemic and recover from its aftermath, primary care teams will face waves of overwhelming demand for information and the need to significantly transform care delivery. Innovation: Oregon Health & Science University’s primary care team envisioned and implemented the COVID-19 Connected Care Center, a statewide telephone “hotline” service. Results: The hotline has taken more than 5825 calls from patients in 33 of Oregon’s 36 counties in less than 3 months. In preliminary survey data, 86% of patients said their questions were answered during the call, 90% would recommend this service, and 70% reported a reduction in stress levels about coronavirus. In qualitative interviews, patients reported their questions answered, short wait times, nurses spent time as needed, and appropriate follow-up was arranged. Conclusion: Academic health centers may have the capacity to leverage their extensive resources to rapidly launch a multiphased pandemic response that meets peoples’ need for information and access to primary care, while minimizing risk of infection and emergency department use and rapidly supporting primary care teams to make the necessary operational changes to do the same in their communities. Such efforts require external funding in a fee-for-service payment model.

Original languageEnglish (US)
Pages (from-to)S170-S178
JournalJournal of the American Board of Family Medicine
Volume34
DOIs
StatePublished - Feb 2021

Keywords

  • COVID-19
  • Fee-for-service plans
  • Hotlines
  • Oregon
  • Pandemics
  • Primary health care
  • Telemedicine

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Family Practice

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