More than half of primary care practices surveyed said less than 50% of visits during the previous week (in late April), were reimbursable. Nearly half rate the COVID-19 stress on their practice as severe.
The strain on primary care practices continues take a toll. More than half of respondents said that less than half of the visits they conducted in the previous week were not reimbursable. Nearly half rate the COVID-19 stress on their practice as severe.
No testing capacity, no PPE left, and staff home in quarantine. One-third of respondents report having no COVID-19 testing supplies - they are also out of PPE, using makeshift versions, and are down in manpower due to staff illness or quarantine - all of which would make testing difficult nonetheless.
“We call all of our patients over 65 to assess needs and answer questions. Patient volume is down 75%. We let our temps go.” Washington, DC
Virtual healthcare falls short. Approximately 2/3 of respondents note they have patients who can not use virtual services because of lack of home technology. And while more than 1/3 are relying on video visits, nearly half of practices are conducting the majority of virtual visits by phone.
“I am in a rural setting with 60% of my patients having Medicare and/or Medicaid. Many patients only have a land line. For those [with internet], data speed is not useful for video [visit]. The elderly frequently can't or won't use video applications.” Virginia
COVID-19 related health burden increasing for the most vulnerable patients. More than half of respondents noted a moderate or shockingly high increase in the pandemic's impact on those who have lost jobs.
Elderly patients at home with no support. One-third of respondents report a shockingly high (10%) or meaningful (24%) increase in COVID-19-related health burdens among elderly patients without home support.
Patients with pre-existing mental health conditions. More than half of respondents report either a shockingly high (10%) or a meaningful (45%) increase in pandemic-related health burden among patients with mental health conditions.
Meaningful increase in COVID-19-related health burden also was noted among those: in “essential” jobs 27%; unable to work from home 22%; and those without strong social networks 21%.
“Patients missing work w/o ability to prove they don’t have C19. Unable to do basic screenings like EKG for angina plus a fever. Patients afraid to go outside, no family support, no internet - lack of community resources to assist those persons.” Florida
"No way to know..." Depending on the patient group being asked about 31% to 63% of clinician respondents report that they were unsure of, or had “no way to know,” the group’s increased COVID-related health burden.