Clinician Experiences With Tele-Emergency Care: Qualitative Study - Report - MDSpire
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Insights from Clinicians on Tele-Emergency Care: A Qualitative Analysis

  • By

  • Jessica Faiz

  • Caroline Gray

  • Allison Engstrom

  • Justine Seidenfeld

  • Anita A Vashi

  • October 5, 2026

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Clinical Report: Insights from Clinicians on Tele-Emergency Care

Overview

The Tele-Emergency Care (TEC) program initiated by the Veterans Health Administration has expanded nationally, allowing veterans to connect with emergency clinicians remotely.

Background

Emergency departments face significant challenges, including overcrowding and high physician burnout rates, exacerbated by systemic issues such as inadequate primary care access. The COVID-19 pandemic has accelerated the adoption of telemedicine.

Data Highlights

No specific numerical or trial data provided in the source material.

Key Findings

  • The TEC program allows veterans to connect with emergency clinicians via telephone or video.
  • TEC operates within the VA's integrated framework, utilizing a national electronic health record and coordinated follow-up processes.
  • Since its inception, TEC has expanded to include over 400 physicians nationwide.
  • Initial assessments of TEC have focused on its impact on healthcare utilization and safety.
  • Similar virtual urgent and emergency care models have been established outside the VA.

Clinical Implications

Clinicians should consider the integration of virtual care options.

Conclusion

The expansion of the TEC program represents a significant step towards innovative emergency care solutions.

Related Resources & Content

  1. Kanzaria HK, Cooper RJ, Ann Emerg Med, 2023 -- The unspoken inequities of our boarding crisis
  2. Ferguson JM et al., J Am Med Inform Assoc, 2021 -- Virtual care expansion in the Veterans Health Administration during the COVID-19 pandemic
  3. Li KY et al., Acad Emerg Med, 2023 -- Standard nurse phone triage versus tele-emergency care pilot
  4. DIGITAL HEALTH — Exploring the Ethical Competence of Emergency Nurses in Digital Health Settings: A Qualitative Analysis of Tensions and Adaptation
  5. Journal of Medical Internet Research (JMIR) — Clinician-Patient Asynchronous Text Messaging Communication in Hospital-at-Home Care: Qualitative Study
  6. ASCO Publications — Understanding what drives patients with cancer to visit the emergency department: A qualitative study.
  7. DIGITAL HEALTH — Obstacles to Quality in Online Healthcare Consultations: A Qualitative Analysis of Provider Factors and Misaligned Incentives
  8. Telehealth FAQ CY 2026
  9. 2026 Guideline for the Early Management of Patients With Acute Ischemic Stroke
  10. Acute Care Use and Mortality by Tele-Emergency Care Use, Modality, and Clinician Type | JAMA Network Open | JAMA Network

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