biostudies-literatureUnknown9(2)Staloff J<h4>Importance</h4>As telehealth (ie, telephone and video) becomes a larger component of primary care, understanding its impact on care quality is critical.<h4>Objective</h4>To evaluate whether the proportion of primary care received via telehealth is associated with differences in quality-of-care outcomes among veterans who frequently use primary care.<h4>Design, setting, and participants</h4>This is a retrospective cohort study of veterans empaneled to Veterans Health Administration (VHA) primary care in fiscal years 2022 and 2023 (October 1, 2021, to September 30, 2023) with 3 or more primary care visits. Telehealth proportion categories were none (0.0% primary care visits telehealth), low (>0.0% to <28.6%), intermediate (28.6% to <50.0%), or high (≥50.0%).<h4>Exposure</h4>Proportion ofJAMA network opene2559940https://www.ebi.ac.uk/biostudies/studies/S-EPMC12914489biostudies-literaturePrimary Care by Telehealth and Care Quality in the Veterans Health Administration.PMC12914489Staloff JZulman DMRojas JWong ESFerguson JMNelson KGunnink EReddy AfalsePrimary Care by Telehealth and Care Quality in the Veterans Health Administration.<h4>Importance</h4>As telehealth (ie, telephone and video) becomes a larger component of primary care, understanding its impact on care quality is critical.<h4>Objective</h4>To evaluate whether the proportion of primary care received via telehealth is associated with differences in quality-of-care outcomes among veterans who frequently use primary care.<h4>Design, setting, and participants</h4>This is a retrospective cohort study of veterans empaneled to Veterans Health Administration (VHA) primary care in fiscal years 2022 and 2023 (October 1, 2021, to September 30, 2023) with 3 or more primary care visits. Telehealth proportion categories were none (0.0% primary care visits telehealth), low (>0.0% to <28.6%), intermediate (28.6% to <50.0%), or high (≥50.0%).<h4>Exposure</h4>Proportion of2026-01-01T00:00:00Z2026 Feb2026-07-16T06:40:56.903Z2026-07-09T10:41:10.263ZS-EPMC129144894170149210.1001/jamanetworkopen.2025.59940