Utilizing a novel unified healthcare model to compare practice patterns between telemedicine and in-person visits

Autor: Justin G Norden, Jonathan X Wang, Sumbul A Desai, Lauren Cheung
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Digital Health, Vol 6 (2020)
Druh dokumentu: article
ISSN: 2055-2076
20552076
DOI: 10.1177/2055207620958528
Popis: Objective Telemedicine practice has been shown to vary from clinical guidelines. Variations in practice patterns may be caused by disruptions in the continuity of care between traditional and telemedicine providers. This study compares virtual and in-person visits in Stanford’s ClickWell Care (CWC) – where patients see the same provider for both visit modalities. Methods Clinical data for two years of patient encounters at CWC from January 2015–2017 (5772 visits) were obtained through Stanford STRIDE. For the 20 most common visit categories, including 17 specific diagnoses, we compared the frequency of prescriptions, labs, procedures, and images ordered, as well as rates of repeat visits. Results For the 17 specific diagnoses, there are no differences in labs ordered. Two diagnoses show differences in images ordered, and four differences in prescriptions. Overall, there are more labs (0.16 virtual, 0.33 in-person p
Databáze: Directory of Open Access Journals