Electronic Visits for Minor Acute Illnesses: Analysis of Patient Demographics, Prescription Rates, and Follow-Up Care Within an Asynchronous Text-Based Online Visit.

Autor:	Penza KS; 1 Mayo Clinic Express Care , Rochester, Minnesota.; 2 Department of Family Medicine, Employee and Community Health , Rochester, Minnesota., Murray MA; 1 Mayo Clinic Express Care , Rochester, Minnesota.; 2 Department of Family Medicine, Employee and Community Health , Rochester, Minnesota., Pecina JL; 2 Department of Family Medicine, Employee and Community Health , Rochester, Minnesota., Myers JF; 2 Department of Family Medicine, Employee and Community Health , Rochester, Minnesota., Furst JW; 2 Department of Family Medicine, Employee and Community Health , Rochester, Minnesota.
Jazyk:	angličtina
Zdroj:	Telemedicine journal and e-health : the official journal of the American Telemedicine Association [Telemed J E Health] 2018 Mar; Vol. 24 (3), pp. 210-215. Date of Electronic Publication: 2017 Jul 20.
DOI:	10.1089/tmj.2017.0091
Abstrakt:	Introduction: Patients can obtain medical advice and treatment from a healthcare provider asynchronously through an electronic visit (eVisit) within a secure online portal. Methods: We conducted a retrospective record review of Mayo Clinic Rochester primary care empaneled patients who had an eVisit for a minor acute illness and were reviewed for 30-day outcomes of follow-up. Results: Of the 1,009 eVisits analyzed, a total of 340 (34%) had follow-up within 30 days, with a follow-up rate of 154 (20%) when those who were advised to follow-up were excluded. Factors significantly associated with any type of follow-up care included specific advice for follow-up given by the eVisit provider and lack of a prescription given at the eVisit. The majority of eVisits were requested by females (88%), although gender was not associated with likelihood of having follow-up care. Fourteen patients received follow-up care in the emergency department, one patient was hospitalized, and zero deaths occurred within 30 days of the eVisit. Most eVisits (70%) were requested during regular clinic hours. Four diagnoses (urinary tract infection, sinusitis, upper respiratory infection, and conjunctivitis) comprised 87% of all eVisits. Conclusion: Most eVisits for minor acute illnesses can be completed without any further interaction with the healthcare system.
Databáze:	MEDLINE
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