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Evaluation of Telemedicine for Chronic Disease Specialty Care

Award Number: R01HS026208
ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY
OPDIV: AHRQ
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 04/01/2019
PERIOD OF PERFORMANCE END DATE: 03/31/2025

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Evaluation of Telemedicine for Chronic Disease Specialty Care - Project Summary/Abstract: Chronic diseases have a significant impact on the population, disproportionately affecting rural and minority populations. For patients with chronic diseases, access to specialist care improves outcomes. However, there are many barriers to access to specialists, especially for rural and minority populations. Telemedicine is a potential solution to the problem of access and the uptake of telemedicine for clinical care has been increasing worldwide. Alaska has been a leader in telemedicine innovation. Recently, the use of telemedicine video teleconference (VTC) has expanded dramatically in Alaska for chronic disease specialty care. Few studies have evaluated the outcomes or costs associated with the use of telemedicine VTC in the care of chronic diseases. The objective of this proposal is to evaluate the impact of telemedicine specialty care on chronic disease outcomes and costs. In order to achieve this objective, we propose the following specific aims: 1) determine the predictors of receiving care by telemedicine VTC for chronic disease, including patient, provider, community, and disease characteristics; 2) investigate the relationship between telemedicine VTC care and clinical outcomes of chronic diseases; and 3) perform a cost comparison of telemedicine VTC and in- person visits for chronic disease specialty care. The first aim will be achieved using a mixed methods approach. Quantitative data from the first aim will be used for propensity score matching of cases and controls in Aims 2 and 3. Alternative analyses will include instrumental variable analysis for Aims 2 and 3 and a difference in difference approach for Aim 3. Data for all aims will be obtained from a variety of sources, including administrative data, quantitative patient-reported data, qualitative patient-reported data, medical record abstraction, quantitative data collected from providers, and cost data from health care system and payer sources. Data will be integrated to fully inform all study aims. This study will contribute substantially to the literature on outcomes and costs associated with the use of telemedicine in chronic disease care. It is relevant to the mission of AHRQ to produce evidence to make health care safer, higher quality, more accessible, equitable and affordable, and specifically relevant to the priority area of focus on improving health care affordability, efficiency and cost transparency.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = $0 )
2024	2023	ALASKA NATIVE TRIBAL HEALTH CONSORTIUM	4000 AMBASSADOR DR	ANCHORAGE	AK	99508	ANCHORAGE	USA	Research on Healthcare Costs, Quality and Outcomes	000	5	1/9/2024	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2023 ( Subtotal = $374,614 )
2023	2023	ALASKA NATIVE TRIBAL HEALTH CONSORTIUM	4000 AMBASSADOR DR	ANCHORAGE	AK	99508	ANCHORAGE	USA	Research on Healthcare Costs, Quality and Outcomes	000	5	3/29/2023	NON-COMPETING CONTINUATION	$374,614
														Subtotal = $374,614

Issue Date FY: 2022 ( Subtotal = $370,917 )
2022	2022	ALASKA NATIVE TRIBAL HEALTH CONSORTIUM	4000 AMBASSADOR DR	ANCHORAGE	AK	99508	ANCHORAGE	USA	Research on Healthcare Costs, Quality and Outcomes	000	4	3/25/2022	NON-COMPETING CONTINUATION	$370,917
														Subtotal = $370,917

Issue Date FY: 2021 ( Subtotal = $367,066 )
2021	2021	ALASKA NATIVE TRIBAL HEALTH CONSORTIUM	4000 AMBASADOR DR	ANCHORAGE	AK	99508	ANCHORAGE	USA	Research on Healthcare Costs, Quality and Outcomes	000	3	3/24/2021	NON-COMPETING CONTINUATION	$367,066
														Subtotal = $367,066

Issue Date FY: 2020 ( Subtotal = $368,995 )
2020	2020	ALASKA NATIVE TRIBAL HEALTH CONSORTIUM INC	4000 AMBASADOR DR	ANCHORAGE	AK	99508	ANCHORAGE	USA	Research on Healthcare Costs, Quality and Outcomes	000	2	2/27/2020	NON-COMPETING CONTINUATION	$368,995
														Subtotal = $368,995

Issue Date FY: 2019 ( Subtotal = $393,712 )
2019	2019	ALASKA NATIVE TRIBAL HEALTH CONSORTIUM INC	4000 AMBASADOR DR	ANCHORAGE	AK	99508	ANCHORAGE	USA	Research on Healthcare Costs, Quality and Outcomes	000	1	3/25/2019	NEW	$393,712
														Subtotal = $393,712

Grand Total All Awards = $1,875,304

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Evaluation of Telemedicine for Chronic Disease Specialty Care

Award Number: R01HS026208

ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY

OPDIV: AHRQ

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 04/01/2019

PERIOD OF PERFORMANCE END DATE: 03/31/2025

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