Outpatient Virtual Visits and the “Right” Amount of Telehealth Going Forward

Thomson, Andrew J.; Chapman, Christopher B; Lang, Hannah; Sosin, Anne N.; Curtis, Kevin M.

doi:10.1089/tmj.2020.0468

Cited by 15 publications

(17 citation statements)

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“…Indeed, other clinician surveys have identified difficulties in conducting physical examinations and performing procedures as barriers to remote SC. 28 , 29 , 30 …”

Section: Discussionmentioning

confidence: 99%

“…Indeed, other clinician surveys have identified difficulties in conducting physical examinations and performing procedures as barriers to remote SC. [28][29][30] PC clinicians conducted the highest proportion of phone visits when providing care for established patients. This could be owing, in part, to their increased likelihood of endorsing challenges of video care coupled with a tendency to believe that video and phone care are equivalent in quality, particularly for established patients.…”

Section: Discussionmentioning

confidence: 99%

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Perceptions and Use of Telehealth Among Mental Health, Primary, and Specialty Care Clinicians During the COVID-19 Pandemic

et al. 2022

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Key Points Question Are clinician perceptions of telehealth quality associated with use? Findings In this survey study of 866 mental health (MH), primary care (PC), and specialty care (SC) clinicians, MH clinicians rated the quality of video care the highest and were more likely to prefer video over phone when providing care for patients remotely; PC and SC clinicians were more likely to endorse challenges of video care. Findings aligned with utilization rates, with MH clinicians conducting significantly more video visits than PC and SC clinicians. Meaning These findings suggest that specialty-specific differences in clinician perceptions of telehealth were associated with actual use.

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“…Indeed, other clinician surveys have identified difficulties in conducting physical examinations and performing procedures as barriers to remote SC. 28 , 29 , 30 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Perceptions and Use of Telehealth Among Mental Health, Primary, and Specialty Care Clinicians During the COVID-19 Pandemic

et al. 2022

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“…Existing literature in this area suggests that audiovisual systems, though susceptible to technological difficulties, have higher patient and provider satisfaction than audio-only systems. 18 , 19 …”

Section: Discussionmentioning

confidence: 99%

Telemedicine as a component of forward triage in a pandemic

et al. 2021

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Objective(s) Coronavirus disease 2019 (COVID-19) presents an enormous challenge to healthcare systems globally. Optimizing access to healthcare while minimizing face-to-face patient encounters is critical to limiting exposures, conserving resources, and preserving health. We aimed to evaluate the utility of a COVID-focused telehealth program in avoiding potential in-person visits while maintaining high patient satisfaction. Methods All patients with COVID-related virtual visits at our center between March and May 2020 were included. Demographic, satisfaction, and clinical information were gathered using a modified, validated telehealth satisfaction questionnaire disseminated via email or telephone. Data were analyzed using Stata. Results Of 581 eligible patients, 180 (31%) responded to the survey. Symptoms (73%) and possible exposure (22%) were the main reasons cited for pursuing a virtual visit; cough (44%) and fever (36%) were the most common presenting symptoms. Regarding patient satisfaction, most patients rated the experience as “very good” or “excellent”, and 94% of respondents said they would recommend COVID-focused triage through telehealth to others. Over 81% of patients indicated that, if telehealth was not an option, they would have sought an in-person encounter. Ultimately, only 27% of patients reported pursuing a face-to-face encounter after participating in the virtual visit. Conclusion Based on patient self-reporting, telemedicine potentially prevented face-to-face COVID-related encounters. Patients expressed satisfaction with the virtual process and were less likely to pursue in-person consultation. Leveraging a telehealth strategy for forward triage has the potential to reduce exposures while conserving healthcare resources.

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“…The apparent preference for video visits among physicians reported in Thomson et al 13 and the possible advantage in effectiveness of video over telephone visits reported in Rush et al 14 in some clinical situations raise the crucial issue of the trade-off between access and quality of care. Where the telephone is offered and reimbursed as a modality of virtual care, essentially everyone can enjoy access to care of meaningful clinical quality.…”

Section: Access and Qualitymentioning

confidence: 98%

“…Research by Thomson et al 13 surveyed physicians in a single health system in the United States to examine physician perspectives on the appropriate mix of virtual and in-person services following the COVID-19 pandemic, and perceptions of quality of those services. These authors identified variation between the 51 medical specialties included in the survey but found that a majority of respondents were satisfied or very satisfied with the care they were able to provide via video (78%).…”

Section: Telephone and Video Visitsmentioning

confidence: 99%

Telephone, video, equity and access in virtual care

2021

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Current public health measures catalyzed a large shift to virtual care, resulting in a great uptake in telephone and video-enabled care. While pre-pandemic public healthcare funding rarely covered the telephone as a reimbursable care delivery model, it has proven a crucial offering for many populations. As the new standard of virtual service delivery is being solidified, simple technological solutions that provide access to care must continue to be supported. This paper explores an important consequence of relying on complex technologies as the new standard of virtual care: the risk of exacerbating health disparities by enabling a deeper digital divide for marginalized populations.

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Outpatient Virtual Visits and the “Right” Amount of Telehealth Going Forward

Cited by 15 publications

References 0 publications

Perceptions and Use of Telehealth Among Mental Health, Primary, and Specialty Care Clinicians During the COVID-19 Pandemic

Perceptions and Use of Telehealth Among Mental Health, Primary, and Specialty Care Clinicians During the COVID-19 Pandemic

Telemedicine as a component of forward triage in a pandemic

Telephone, video, equity and access in virtual care

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