New Delivery Model for Rising-Risk Patients: The Forgotten Lot?
| Autor: | Sumbul A Desai, Justin Norden, Robert A. Harrington, Lauren Cheung |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Telemedicine Adolescent 020205 medical informatics Health Informatics Health Promotion 02 engineering and technology Primary care Young Adult 03 medical and health sciences 0302 clinical medicine Health Information Management Phone 0202 electrical engineering electronic engineering information engineering medicine Humans 030212 general & internal medicine Clinical care Aged Aged 80 and over Primary Health Care business.industry General Medicine Middle Aged medicine.disease United States Test (assessment) Models Organizational Family medicine Accountable care Female Medical emergency business Delivery of Health Care human activities |
| Zdroj: | Telemedicine and e-Health. 23:649-653 |
| ISSN: | 1556-3669 1530-5627 |
| Popis: | Shared-risk models encourage providers to engage young patients early. Telemedicine may be well suited for younger, healthier patients although it is unclear how best to incorporate telemedicine into routine clinical care.We test the assumptions surrounding the use of telemedicine, younger and rising-risk patients, and primary care in ClickWell Care (CWC), a care model developed at our institution for our own accountable care organization.CWC's team of physicians and wellness coaches work together to provide comprehensive primary care through in-person, phone, and video visits. This study examines usage of the clinic over its initial year in operation.1,464 unique patients conducted a total of 3,907 visits. 2,294 (58.7%) visits were completed virtually (1,382 [35.4%] by phone and 912 [23.3%] by video). Patients were more inclined to see the physician in-person for a new visit (1,065 visits [70.5%] vs. 362 [24%] phone and 83 [6%] video) and more likely to see the physician virtually for a return visit (606 [43.2%] phone and 249 [17.7%] video vs. 548 [39.1%] in-person), a statistically significant difference (XThis new care model successfully engaged a younger population of patients. However, our data suggest young patients may not be inclined to establish care with a primary care physician virtually and, in fact, choose an initial in-person touch point, although many are willing to conduct return visits virtually. This new model of care could have a large impact on how care is delivered to low- and rising-risk patients. |
| Databáze: | OpenAIRE |
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