Quality Of Care For Acute Respiratory Infections During Direct-To-Consumer Telemedicine Visits For Adults
| Autor: | Lori Uscher-Pines, Kristin N. Ray, Ateev Mehrotra, Sabrina J. Poon, Courtney A. Gidengil, Zhuo Shi |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Telemedicine 020205 medical informatics Insurance Claim Review MEDLINE 02 engineering and technology Health Services Accessibility Article Young Adult 03 medical and health sciences 0302 clinical medicine Ambulatory Care 0202 electrical engineering electronic engineering information engineering medicine Humans 030212 general & internal medicine Practice Patterns Physicians' Young adult Quality of care Intensive care medicine Respiratory Tract Infections Quality of Health Care Retrospective Studies Primary Health Care Extramural Practice patterns business.industry Remote Consultation Health Policy Retrospective cohort study Middle Aged Anti-Bacterial Agents Female business Delivery of Health Care |
| Zdroj: | Health Affairs. 37:2014-2023 |
| ISSN: | 1544-5208 0278-2715 |
| Popis: | In direct-to-consumer telemedicine, physicians treat patients through real-time audiovisual conferencing for common conditions such as acute respiratory infections. Early studies had mixed findings on the quality of care provided during direct-to-consumer telemedicine and were limited by small sample sizes and narrow geographic scopes. Using claims data for 2015-16 from a large national commercial insurer, we examined the quality of antibiotic management in adults with acute respiratory infection diagnoses at 38,839 direct-to-consumer telemedicine visits, compared to the quality at 942,613 matched primary care visits and 186,016 matched urgent care visits. In the matched analyses, we found clinically similar rates of antibiotic use, broad-spectrum antibiotic use, and guideline-concordant antibiotic management. However, direct-to-consumer telemedicine visits had less appropriate streptococcal testing and a higher frequency of follow-up visits. These results suggest specific opportunities for improvement in direct-to-consumer telemedicine quality. |
| Databáze: | OpenAIRE |
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