Technology and Medicine: Reimagining Provider Visits as the New Tertiary Care
Authors: Christian Terwiesch, David A. Asch, Kevin G. Volpp
Journal: Annals of Internal Medicine (2017)

Ideas and Opinions5 December 2017Technology and Medicine: Reimagining Provider Visits as the New Tertiary CareChristian Terwiesch, PhD, David A. Asch, MD, MBA, and Kevin G. Volpp, MD, PhDChristian Terwiesch, PhDThe Wharton School of the University of Pennsylvania, Perelman School of Medicine, and Penn Medicine Center for Health Care Innovation, Philadelphia, Pennsylvania (C.T.), David A. Asch, MD, MBAThe Wharton School of the University of Pennsylvania, Perelman School of Medicine, Penn Medicine Center for Health Care Innovation, and Crescenz VA Medical Center, Philadelphia, Pennsylvania (D.A.A., K.G.V.), and Kevin G. Volpp, MD, PhDThe Wharton School of the University of Pennsylvania, Perelman School of Medicine, Penn Medicine Center for Health Care Innovation, and Crescenz VA Medical Center, Philadelphia, Pennsylvania (D.A.A., K.G.V.)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/M17-0597 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Connected health provides a novel way of delivering care. Instead of relying exclusively on episodic encounters in a practice or hospital, connected health leverages advances in communications technology to create a high-bandwidth information exchange between patient and provider. This enables new processes, such as remote patient monitoring, secure messaging, and telehealth. Its promise is that providers can better care for patients when more closely connected to them, including during the large parts of their lives when patients are not in examining rooms or inpatient beds (1).Achieving this promise, however, requires getting past the operational demands connected health places on ...References1. Asch DA, Muller RW, Volpp KG. Automated hovering in health care—watching over the 5000 hours. N Engl J Med. 2012;367:1-3. [PMID: 22716935] doi:10.1056/NEJMp1203869 CrossrefMedlineGoogle Scholar2. Bavafa H, Hitt L, Terwiesch C. The effect of patient portals on care utilization. Manage Sci. 2017. [Forthcoming]. MedlineGoogle Scholar3. Regalado A. Apple Hopes You'll Talk to Your iPhone and Call Your Doctor in the Morning. MIT Technology Review. 21 March 2016. Google Scholar4. Sen AP, Sewell TB, Riley EB, Stearman B, Bellamy SL, Hu MF, et al. Financial incentives for home-based health monitoring: a randomized controlled trial. J Gen Intern Med. 2014;29:770-7. [PMID: 24522623] doi:10.1007/s11606-014-2778-0 CrossrefMedlineGoogle Scholar5. Asch DA, Rosin R. Engineering social incentives for health. N Engl J Med. 2016;375:2511-3. [PMID: 28029924] doi:10.1056/NEJMp1603978 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: The Wharton School of the University of Pennsylvania, Perelman School of Medicine, and Penn Medicine Center for Health Care Innovation, Philadelphia, Pennsylvania (C.T.)The Wharton School of the University of Pennsylvania, Perelman School of Medicine, Penn Medicine Center for Health Care Innovation, and Crescenz VA Medical Center, Philadelphia, Pennsylvania (D.A.A., K.G.V.)Financial Support: This work was supported by the Penn Roybal P30 Center on Behavioral Economics and Aging, which is funded by the National Institute on Aging.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M17-0597.Corresponding Author: Kevin G. Volpp, MD, PhD, Perelman School of Medicine and Wharton School, University of Pennsylvania, 1120 Blockley Hall, 423 Guardian Drive, Philadelphia, PA 19104; e-mail, [email protected]upenn.edu.Current Author Addresses: Dr. Terwiesch: University of Pennsylvania, 3730 Walnut Street, Jon M. Huntsman Hall, 5th Floor, Philadelphia, PA 19104.Dr. Asch: Penn Medicine Center for Health Care Innovation, PCAM 14-171, 3400 Civic Center Boulevard, Philadelphia, PA 19104.Dr. Volpp: Perelman School of Medicine and Wharton School, University of Pennsylvania, 1120 Blockley Hall, 423 Guardian Drive, Philadelphia, PA 19104.Author Contributions: Conception and design: C. Terwiesch, D.A. Asch, K.G. Volpp.Drafting of the article: C. Terwiesch, D.A. Asch, K.G. Volpp.Critical revision of the article for important intellectual content: C. Terwiesch, D.A. Asch, K.G. Volpp.Final approval of the article: C. Terwiesch, D.A. Asch, K.G. Volpp.Obtaining of funding: K.G. Volpp.Administrative, technical, or logistic support: C. Terwiesch, K.G. Volpp.This article was published at Annals.org on 24 October 2017. 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