![]() ![]() * 60 percent of TPMG clinicians used video visits, and less than 5 percent of patients.* The average length of the typical video visit was about 8 minutes.* Patients used smart phones for 74 percent of the video visits, while 20 percent used a computer and 6 percent used a tablet.* 93 percent of patients who scheduled video visits said their health care needs were met.“Clinicians can see the patient and how they are feeling, but there’s nothing physical that they need to examine.” Parikh and Wargon are leaders in The Permanente Medical Group (TPMG)’s Technology Group. “They are also working quite well in behavioral health,” added co-author and Kaiser Permanente podiatric surgeon Craig Wargon, DPM. “Pediatrics are a nice place for video to work, because parents have a hard time getting their kids to the doctor,” said co-author and Kaiser Permanente pediatrician Rahul Parikh, MD. Co-author and Kaiser Permanente pediatrician Rahul Parikh, MD, says video visits can work well for parents who have a difficult time getting their kids to the doctor. Three-quarters of those video visits were in primary care (internal and adult family medicine), pediatrics, dermatology, after-hours care and psychiatry. Kaiser Permanente employs a number of different methods for interacting with patients via telemedicine, including phone, secure email message, and video. Video visits accounted for a small proportion during the study period - less than 1 percent. “We think this is the largest analysis of video visits in an integrated health care setting.” Co-author and Kaiser Permanente podiatric surgeon Craig Wargon, MD, is medical director of the TPMG Technology Group. “The evidence on integrating video visits into ongoing clinical care is limited,” Reed said. At the time of the study, Kaiser Permanente did not charge any co-payments or deductibles for video visits. The study, “Real-time patient-provider video telemedicine integrated with clinical care,” looked at more than 200,000 video visits conducted in 2015, 20 in Northern California, and included an online survey of nearly 1,300 members who chose to schedule a video visit with their physician. ![]() Members can now self-schedule video appointments online at kp.org and communicate face-to-face with physicians on a mobile phone, computer or tablet. Kaiser Permanente Northern California began offering video visits across the region in 2011, and they became widely available in mid-2014. ![]() “One of the strengths of this option is that you can maintain a stronger relationship with your own doctor through video.” “Many patients reported that the video visit actually improved the relationship with their clinician,” said lead author Mary Reed, DrPH, research scientist at the Kaiser Permanente Northern California Division of Research. Kaiser Permanente members who chose video visits were overwhelmingly satisfied with this new way to “see” their doctor, according to research correspondence published today in the New England Journal of Medicine. The resulting savings could amount to tens of billions of dollars a year.Kaiser Permanente research finds that members appreciate being able to connect with their doctors online Mary Reed’s research is showing that Kaiser Permanente members feel video visits strengthen the doctor-patient relationship. ![]() population, could drive such a change by banding together and designing new reimbursement and care delivery approaches. Employers, who currently provide health insurance coverage to nearly half the U.S. And they outline what’s needed to spur adoption to a fully telehealth-driven system. They show how telehealth can reduce expensive and unnecessary trips to the ER, reduce America’s chronic-disease crisis, address disparities in care, make specialty care faster and more efficient, and provide access to the best doctors. Pearl and Wayling take readers inside Kaiser Permanente and Intermountain Healthcare, two of telehealth’s earliest adopters and most effective users in the United States. Its use has soared during the Covid era-and the authors argue that providers around the world should aggressively strive to tap its full potential even after the pandemic abates. When used appropriately, it improves patient health, reduces costs, and makes care more equitable and accessible to anyone with a smartphone. Contrary to what many people think, virtual health care, also known as telemedicine or telehealth, is much more than a cheap digital knockoff of in-person care. ![]()
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