ATA Practice Guidelines for Live, On-Demand Primary and Urgent Care

Gough, F.; Budhrani, Sunil; Cohn, Ellen R.; Dappen, Alan; Leenknecht, Cindy; Lewis, Bill; Mulligan, Deborah Ann; Randall, Deborah; Rheuban, Karen S.; Roberts, Lisa; Shanahan, Terrance J.; Webster, Kathleen; Krupiński, Elizabeth A.; Bashshur, Rashid L.; Bernard, Jordana

doi:10.1089/tmj.2015.0008

Cited by 43 publications

(33 citation statements)

References 37 publications

(78 reference statements)

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“…The American Telemedicine Association has proposed guidelines for clinical TM encounters. 25 They recommend that several quality review metrics be routinely assessed, including equipment or connectivity failures, number of attempted and completed visits, patient and provider satisfaction and complaints, measures of whether the visit was appropriate for a virtual encounter, and adherence to established standards of care, such as Healthcare Effectiveness and Data Information Set measures for antibiotic prescribing.…”

Section: Synchronous Patient Carementioning

confidence: 99%

Telemedicine and emerging technologies for health care in allergy/immunology

Portnoy

Pandya

Waller

et al. 2020

Journal of Allergy and Clinical Immunology

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Telemedicine (TM) has become a popular method of accessing medical services between providers and patients and is viewed as a cost-effective alternative to more traditional episodic faceto-face encounters. TM overcomes 2 barriers that patients face when seeking health care: distance and time. It is as effective as in-person visits for outpatient treatment of asthma, and it is a convenient way to provide inpatient consultations for patients when the allergist practices outside of the hospital. TM also has been used to manage patients with asthma in schools. Patients tend to be as satisfied with TM or they prefer TM over in-person visits, but infrequently they do prefer in-person visits. In addition to virtual visits using TM, there are several emerging technologies that are relevant to the practice of allergy/ immunology including electronic diaries (eg, symptoms and medication use), wearable technology (eg, to monitor activity and vital signs), remote patient monitoring (eg, environmental exposures and medication adherence) as well as electronic medical records augmented with clinical decision support. We believe that the use of TM, particularly when combined with information technologies such as electronic health records, has the potential to cause a transformational change in the way care is delivered by altering the process of interaction between patient and provider. TM addresses the shortage of allergy specialists in rural and underserved urban communities and facilitates patient access to allergy services. As patients take more control of their health care, use of TM is likely to increase because a large part of the move to adopt TM is driven by patient preference. (J Allergy Clin Immunol 2020;145:445-54.)

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Section: Synchronous Patient Carementioning

confidence: 99%

Telemedicine and emerging technologies for health care in allergy/immunology

Portnoy

Pandya

Waller

et al. 2020

Journal of Allergy and Clinical Immunology

View full text Add to dashboard Cite

show abstract

“…They recommend that several quality review metrics be routinely assessed, including equipment or connectivity failures, number of attempted and completed visits, patient and provider satisfaction and complaints, measures of whether the visit was appropriate for a virtual encounter, and adherence to established standards of care, such as Healthcare Effectiveness and Data Information Set measures for antibiotic drug prescribing. 12 Although cost savings, access, and convenience are important, these factors are not meant to supplant the importance of a clinician-patient relationship. A survey of a random sample of the adult US population showed a preference for telemedicine care delivery by physicians with whom they have an established relationship.…”

mentioning

confidence: 99%

Beyond Convenience: Patients’ Perceptions of Physician Interactional Skills and Compassion via Telemedicine

Elliott

Tong

Sheridan³

et al. 2020

Mayo Clinic Proceedings: Innovations, Quality & Outcomes

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Objectives: To understand the interpersonal and communication behaviors that are perceived positively by patients in a video encounter and whether patient-centered relationships can be established virtually. Patients and Methods: A qualitative analysis of patient visit feedback was performed to build consensus around exemplary interpersonal and communication practices during a virtual urgent care visit. Voluntarily submitted patient comments associated with a 5-star review after a visit were randomly selected from more than 49,000 comments in an 11-month period, from January 1, 2016, through November 30, 2016. Researchers used a consensus-based, widely used health care communications framework as a sensitizing scaffold to develop a preliminary set of codes. Results: More than 30% of the comments coded were classified as Building Rapport. The next most frequently assigned code was Shares Information/Provides Guidance. Among codable comments, the third most frequently assigned code was Elicits Information. Provided Treatment accounted for only 2% of comments. Conclusion: These results suggest that patients who are satisfied with telemedicine encounters appreciate their relational experiences with the clinician and overall user experience, including access and convenience. Highly satisfied patients who interacted with providers on this platform commented on key aspects of medical communication, particularly skills that demonstrate patient-centered relationship building. This supports the notion that clinician-patient relationships can be established in a video-first model, without a previous in-person encounter, and that positive ratings do not seem to be focused solely on prescription receipt.

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“…The telemedicine platform must provide a secure connection. The technology has improved so rapidly that the minimum standards can be satisfied with a typical smartphone or tablet device, 13 although authentication may be required 14 for security. There are no current HIPAA requirements for smartphone authentication, but this is likely to be updated.…”

Section: Technical Considerationsmentioning

confidence: 99%

Implementation of Synchronous Telemedicine into Clinical Practice

Khosla¹

2020

Sleep Medicine Clinics

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Synchronous telemedicine allows clinicians to expand their reach by using technology to take care of patients who otherwise may not be seen. Establishing a telemedicine practice can be daunting. This article outlines how to implement a synchronous telemedicine practice into an existing workflow. Telemedicine-specific considerations are discussed, as well as guidance regarding practice assessment, financial feasibility, technical considerations, and clinical guidance to translate in-person visit skills into an effective virtual visit.

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ATA Practice Guidelines for Live, On-Demand Primary and Urgent Care

Cited by 43 publications

References 37 publications

Telemedicine and emerging technologies for health care in allergy/immunology

Telemedicine and emerging technologies for health care in allergy/immunology

Beyond Convenience: Patients’ Perceptions of Physician Interactional Skills and Compassion via Telemedicine

Implementation of Synchronous Telemedicine into Clinical Practice

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