ArticleMayo Clinic proceedings2010
Pilot study of providing online care in a primary care setting.
Article in Mayo Clinic proceedings, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 9 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
35 citing papers in PubMed, 9 syntheses or guidelines pooled it, 103 citations in OpenAlex.
- The impact of eHealth use on general practice workload in the pre-COVID-19 era: a systematic review.BMC health services research · 2024Pooled it
- Understanding How the Design and Implementation of Online Consultations Affect Primary Care Quality: Systematic Review of Evidence With Recommendations for Designers, Providers, and Researchers.Journal of medical Internet research · 2022Pooled it
- Impact of Asynchronous Electronic Communication-Based Visits on Clinical Outcomes and Health Care Delivery: Systematic Review.Journal of medical Internet research · 2021Pooled it
- Patients' online access to their electronic health records and linked online services: a systematic interpretative review.BMJ open · 2014Pooled it
- Email for clinical communication between patients/caregivers and healthcare professionals.The Cochrane database of systematic reviews · 2012Pooled it
- Electronic symptom reporting between patient and provider for improved health care service quality: a systematic review of randomized controlled trials. part 2: methodological quality and effects.Journal of medical Internet research · 2012Pooled it
- Electronic symptom reporting between patient and provider for improved health care service quality: a systematic review of randomized controlled trials. part 1: state of the art.Journal of medical Internet research · 2012Pooled it
- Email for the coordination of healthcare appointments and attendance reminders.The Cochrane database of systematic reviews · 2012Pooled it
- Email for communicating results of diagnostic medical investigations to patients.The Cochrane database of systematic reviews · 2012Pooled it
- Phase 1 pilot study of e-mail support for people with long term conditions using the Internet.BMC medical informatics and decision making · 2011Trial
- Use of an electronic consultation system in an inner city general practice: a mixed-methods service evaluation.BMJ open quality · 2025Article
- Offline visit intention of online patients: the Grice's maxims and patient involvement.BMC medical informatics and decision making · 2025Article
- The Queensland Virtual Integrated Practice (VIP) partnership program pilot study: an Australian-first model of care to support rural general practice.BMC health services research · 2023Article
- Patient Perceptions of e-Visits: Qualitative Study of Older Adults to Inform Health System Implementation.JMIR aging · 2023Article
- Workload effects of online consultation implementation from a Job-Characteristics Model perspective: a qualitative study.BJGP open · 2023Article
- Examining GP online consultation in a primary care setting in east midlands, UK.BMC health services research · 2021Article
- Article
- Electronic Consultation in Primary Care Between Providers and Patients: Systematic Review.JMIR medical informatics · 2019Review
- The impact of e-visits on patient access to primary care.Health care management science · 2018Article
- Diagnoses and other predictors of patient absenteeism in an outpatient neurology clinic.Neurology. Clinical practice · 2018Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo study the use of e-visits in a primary care setting. PATIENTS AND
methodsA pilot study of using the Internet for online care ("e-visits") was conducted in the Department of Family Medicine at Mayo Clinic in Rochester, MN. Patients in the department preregistered for the service, and then were able to use the online portal for consultations with their primary care physician. Use of the online portal was monitored and data were collected from November 1, 2007, through October 31, 2009.
resultsDuring the 2-year period, 4282 patients were registered for the service. Patients made 2531 online visits, and billings were made for 1159 patients. E-visits were submitted primarily by women during working hours and involved 294 different conditions. Of the 2531 e-visits, 62 (2%) included uploaded photographs, and 411 (16%) replaced nonbillable telephone protocols with billable encounters. The e-visits made office visits unnecessary in 1012 cases (40%); in 324 cases (13%), the patient was asked to schedule an appointment for a face-to-face encounter.
conclusionAlthough limited in scope, to our knowledge this is the largest study of online visits in primary care using a structured history, allowing the patient to enter any problem, and billing the patient when appropriate. The extent of conditions possible for treatment by online care was far-ranging and was managed with a minimum of message exchanges by using structured histories. Processes previously given as a free service or by nurse triage and subject to malpractice (protocols) were now documented and billed.
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