Patient–Provider Video Telemedicine Integrated With Clinical Care: Patient Experiences
Authors: Mary E. Reed, Jie Huang, Rahul Parikh, Andrea Millman, Dustin W. Ballard, Irwin Barr, Craig Wargon
Journal: Annals of Internal Medicine (2019)

Letters6 August 2019Patient–Provider Video Telemedicine Integrated With Clinical Care: Patient ExperiencesMary E. Reed, DrPH, Jie Huang, PhD, Rahul Parikh, MD, Andrea Millman, MA, Dustin W. Ballard, MD, MBE, Irwin Barr, MD, and Craig Wargon, DPMMary E. Reed, DrPHKaiser Permanente Division of Research, Oakland, California (M.E.R., J.H., A.M.), Jie Huang, PhDKaiser Permanente Division of Research, Oakland, California (M.E.R., J.H., A.M.), Rahul Parikh, MDThe Permanente Medical Group Walnut Creek, Walnut Creek, California (R.P.), Andrea Millman, MAKaiser Permanente Division of Research, Oakland, California (M.E.R., J.H., A.M.), Dustin W. Ballard, MD, MBEThe Permanente Medical Group and Kaiser Permanente Division of Research, Oakland, California (D.W.B.), Irwin Barr, MDThe Permanente Medical Group Vallejo, Vallejo, California (I.B.), and Craig Wargon, DPMThe Permanente Medical Group Santa Clara, Santa Clara, California (C.W.)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/M18-3081 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Background: Real-time patient–provider video visits have the potential to engage patients by allowing them to access a clinical encounter without arranging transportation, taking time off from work, or spending time in a waiting room (1). Although millions of U.S. patients have used direct-to-consumer telemedicine services without in-person facilities, these services may lack integration with electronic health records and with clinicians from whom patients receive ongoing care (2). Evidence is limited from large-scale implementation of "house call" video visits integrated with ongoing health care delivery and providers in community primary care.Objective: In an integrated delivery system that was newly offering ...References1. Ray KN, Chari AV, Engberg J, Bertolet M, Mehrotra A. Disparities in time spent seeking medical care in the United States. JAMA Intern Med. 2015;175:1983-6. [PMID: 26437386] doi:10.1001/jamainternmed.2015.4468 CrossrefMedlineGoogle Scholar2. Reed ME, Parikh R, Huang J, Ballard DW, Barr I, Wargon C. Real-time patient-provider video telemedicine integrated with clinical care [Letter]. N Engl J Med. 2018;379:1478-9. [PMID: 30304654] doi:10.1056/NEJMc1805746 CrossrefMedlineGoogle Scholar3. Daniel H, Sulmasy LS; Health and Public Policy Committee of the American College of Physicians. Policy recommendations to guide the use of telemedicine in primary care settings: an American College of Physicians position paper. Ann Intern Med. 2015;163:787-9. [PMID: 26344925]. doi:10.7326/M15-0498 LinkGoogle Scholar4. Licurse AM, Mehrotra A. The effect of telehealth on spending: thinking through the numbers. Ann Intern Med. 2018;168:737-8. [PMID: 29632952]. doi:10.7326/M17-3070 LinkGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Kaiser Permanente Division of Research, Oakland, California (M.E.R., J.H., A.M.)The Permanente Medical Group Walnut Creek, Walnut Creek, California (R.P.)The Permanente Medical Group and Kaiser Permanente Division of Research, Oakland, California (D.W.B.)The Permanente Medical Group Vallejo, Vallejo, California (I.B.)The Permanente Medical Group Santa Clara, Santa Clara, California (C.W.)Note: The Institutional Review Board of the Kaiser Foundation Research Institute approved the study protocol and materials and waived the requirement for written informed consent for participants.Acknowledgment: The authors thank Beth Streeter, Judy Anderson, and the video visit implementation team of The Permanente Medical Group for their feedback on survey design and interpretation of results.Grant Support: By a Delivery Science Research Grant from the Kaiser Permanente Division of Research. The funder had no role in the collection, analysis, and interpretation of the data, or in approving publication of the finished manuscript.Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M18-3081.Reproducible Research Statement: Study protocol: Available from Dr. Reed (e-mail, mary.e.[email protected]org). Statistical code and data set: Not available.This article was published at Annals.org on 30 April 2019. 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