Publications

Michigan physicians share perspectives on telehealth opportunities and challenges

February 10, 2022

The COVID-19 pandemic led to an unprecedented expansion of telehealth in Michigan and across the United States.

Telehealth expansion was due, in large part, to a series of pandemic-related policy changes, such as the expansion of insurance coverage for telehealth and the loosening of telehealth delivery restrictions.

These new policies allowed patients greater access to remote care to reduce exposure to the COVID-19 virus and had far reaching impacts on physicians, hospitals, health systems, and consumers. However, many of these new policies were designed to expire once the COVID-19 public health emergency period ends.

With the federal public health emergency drawing to a close, policymakers and decision leaders–in Michigan and at the federal level–are discussing which telehealth policies to continue and which to abandon or alter.

The perspective of physicians, who have firsthand experience with and knowledge of telehealth delivery, must be factored into this decision-making process.

In this brief, the Center for Health and Research Transformation (CHRT) at the University of Michigan shares Michigan physician views on how telehealth has impacted patient care (see details below).

At the conclusion of this brief, CHRT discusses the implications of these findings for state and federal policy, especially as it relates to the accessibility, quality, and equity of care.

Key Findings

  • 75 percent of Michigan physicians report that they have used telehealth. Of these physicians, one-third began using telehealth within the last year.
  • Regional differences in telehealth use are dramatic, with the lowest use among physicians in Michigan’s Upper Peninsula (54 percent) and the highest among physicians in Southeast Michigan (85 percent).
  • Telehealth use varies significantly by practice type. Michigan physicians employed by a Federally Qualified Health Center (FQHC) are most likely to report use of telehealth (92 percent), while those employed by Urgent Care Clinics are least likely to report use (48 percent).
  • Only one in every three Michigan physicians (32 percent) reports that telehealth improves the quality of health care, but the majority of Michigan Physicians report that it improves access to care (60 percent). These findings suggest that, although telehealth may not be a replacement for in-person care, it can be a valuable tool for reducing health disparities resulting from barriers to accessing care.
  • Technology challenges for patients (61 percent) and reimbursement for telehealth (51 percent) were the two most commonly reported barriers to continuing the use of telehealth.

Survey detail: The 2021 Michigan Physician Survey was fielded online to licensed physicians in Michigan from April 7, 2021 to May 11, 2021. 2,188 physicians responded to the survey (8% response rate). To adjust for non-response, the final sample was weighted by the region in which the physician practices, as well as years in practice.

READ THE BRIEF