biostudies-literatureUnknown4(4)Watson JDDespite decades of low utilization, telemedicine adoption expanded at an unprecedented rate during the COVID-19 pandemic. This study examined quantitative and qualitative data provided by a national online sample of 228 practicing physicians (64% were women, and 75% were White) to identify facilitators and barriers to the adoption of telemedicine in the United States (U.S.) at the beginning of the COVID-19 pandemic. Logistic regressions were used to predict the most frequently endorsed (20% or more) barriers and facilitators based on participant demographics and practice characteristics. The top five reported barriers were: lack of patient access to technology (77.6%), insufficient insurance reimbursement (53.5%), diminished doctor-patient relationship (46.9%), inadequate video/audio technPLOS digital healthe0000818https://www.ebi.ac.uk/biostudies/studies/S-EPMC11977993biostudies-literatureBarriers and facilitators to physicians' telemedicine uptake during the beginning of the COVID-19 pandemic.PMC11977993Watson JDPierce BSDini MEPerrin PBXia BChang CNSilverman ALfalseBarriers and facilitators to physicians' telemedicine uptake during the beginning of the COVID-19 pandemic.Despite decades of low utilization, telemedicine adoption expanded at an unprecedented rate during the COVID-19 pandemic. This study examined quantitative and qualitative data provided by a national online sample of 228 practicing physicians (64% were women, and 75% were White) to identify facilitators and barriers to the adoption of telemedicine in the United States (U.S.) at the beginning of the COVID-19 pandemic. Logistic regressions were used to predict the most frequently endorsed (20% or more) barriers and facilitators based on participant demographics and practice characteristics. The top five reported barriers were: lack of patient access to technology (77.6%), insufficient insurance reimbursement (53.5%), diminished doctor-patient relationship (46.9%), inadequate video/audio techn2025-01-01T00:00:00Z2025 Apr2025-07-06T03:04:46.415Z2025-07-06T03:04:46.415ZS-EPMC119779934019862010.1371/journal.pdig.0000818