HOME /

Telemedicine for Specialty Care

Telemedicine has been touted as a means to increase access to specialty care and improve the quality of care that patients receive, particularly in areas that do not have access to specialists like rural areas. 

Our research group has assessed several aspects of telemedicine for specialty care. We have identified the use of telemedicine among Medicare beneficiaries, as well as the variation in use of telemental health. We have also assessed whether the introduction of a teledermatology service increased the utilization of dermatology care among enrollees in a Medicaid plan in California. 
 
Funded by a NINDS RO1 we have focused much of our attention on telestroke.
 
  • Wilcock AD, Schwamm LH, Zubizarreta JR, Zachrison KS, Uscher-Pines L, Richard JV, Mehrotra A. Reperfusion treatment and stroke outcomes in hospitals with telestroke capacity. JAMA neurology. 2021 May 1;78(5):527-35.
  • Zachrison KS, Richard JV, Wilcock A, Zubizarreta JR, Schwamm LH, Uscher-Pines L, Mehrotra A. Association of hospital telestroke adoption with changes in initial hospital presentation and transfers among patients with stroke and transient ischemic attacks. JAMA network open. 2021 Sep 1;4(9):e2126612
  • Zachrison KS, Cash RE, Adeoye O, Boggs KM, Schwamm LH, Mehrotra A, Camargo CA. Estimated population access to acute stroke and telestroke centers in the US, 2019. JAMA network open. 2022 Feb 1;5(2):e2145824-.
  • Richard JV, Wilcock AD, Schwamm LH, Uscher-Pines L, Zachrison KS, Siddiqui A, Mehrotra A. Assessment of telestroke capacity in US hospitals. JAMA neurology. 2020 Aug 1;77(8):1035-7.
  • Zachrison KS, Sharma R, Wang Y, Mehrotra A, Schwamm LH. National trends in telestroke utilization in a us commercial platform prior to the covid-19 pandemic. Journal of Stroke and Cerebrovascular Diseases. 2021 Oct 1;30(10):106035.
  • Wilcock AD, Rose S, Busch AB, Huskamp HA, Uscher-Pines L, Landon B, Mehrotra A. Is broadband internet a barrier to telemedicine use? JAMA Internal Medicine. In Press
  • Kanagasingam Y, Xiao D, Vignarajan J, Preetham A, Tay-Kearney ML, Mehrotra A. Evaluation of Artificial Intelligence-Based Grading of Diabetic Retinopathy in Primary Care. JAMA Network Open. 2018 Sep 7;1(5):e182665
  • Licurse AM, Mehrotra A. The Effect of Telehealth on Spending: Thinking Through the Numbers. Ann Intern Med. 2018 May 15;168(10):737-738. doi: 10.7326/M17-3070. Epub 2018 Apr 1 PubMed PMID: 29632952.
  • Uscher-Pines, Lori, Rosalie Malsberger, Lane Burgette, Andrew Mulcahy, and Ateev Mehrotra. “Effect of Teledermatology on Access to Dermatology Care Among Medicaid Enrollees.” JAMA Dermatology 152, no. 8 (August 1, 2016): 905–12. doi:10.1001/jamadermatol.2016.0938
  • Mehrotra A, Jena A, Busch A, MD, Souza J, Uscher-Pines L, Landon B. Utilization of Telemedicine among Rural Medicare Beneficiaries. JAMA. 2016 May 10;315(18):2015-6. doi: 10.1001/jama.2016.2186.
  • Mehrotra A, MD, Souza J, Uscher-Pines L, Landon B., Jena A, Busch A,  Rapid Growth In Mental Health Telemedicine Use Among Rural Medicare Beneficiaries, Wide Variation Across States. Health Affairs. 2017
  • Ray KN, Ashcraft LE, Mehrotra A, Miller E, Kahn JK. Family perspectives on telemedicine for pediatric subspecialty care. Telemedicine and e-Health. In press.
  • Uscher-Pines L, Rudin R, Mehrotra A. Leveraging Telehealth to Bring Volunteer Physicians Into Underserved Communities. Telemedicine Journal and eHealth. 2016 Nov 28.
  • Rudin R, Auerbach D, Zaydman M, Mehrotra A. Paying for Telemedicine, AJMC. 2014 Dec; ;20(12):983-5.