Evidence map›Paper›PMID 28523477›Full record

ArticleHealth care management science2018

The impact of e-visits on patient access to primary care.

Xiang Zhong, Peter Hoonakker, Philip A Bain, Albert J Musa, Jingshan Li

Abstract read
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In one paragraph

Article in Health care management science, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Impact of virtual visits on primary care physician work flows.Canadian family physician Medecin de famille canadien · 2023
    Article
  6. Article
  7. Article
  8. The value of mHealth for managing chronic conditions.Health care management science · 2020
    Article
  9. Review
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Xiang ZhongDepartment of Industrial and Systems Engineering, University of Florida, Gainesville, FL, USA.
Peter HoonakkerCenter for Quality and Productivity Improvement, University of Wisconsin, Madison, WI, USA.
Philip A BainDean Health System, Madison, WI, USA.
Albert J MusaDean Health System, Madison, WI, USA.
Jingshan LiDepartment of Industrial and Systems Engineering, University of Wisconsin, Madison, WI, USA. jingshan.li@wisc.edu.ORCID http://orcid.org/0000-0002-2692-5920

Funding

Directorate for Engineering CMMI-1536987
6 · The paper itself

Abstract

To improve patient access to primary care, many healthcare organizations have introduced electronic visits (e-visits) to provide patient-physician communication through secure messages. However, it remains unclear how e-visit affects physicians' operations on a daily basis and whether it would increase physicians' panel size. In this study, we consider a primary care physician who has a steady patient panel and manages patients' office and e-visits, as well as other indirect care tasks. We use queueing-based performance outcomes to evaluate the performance of care delivery. The results suggest that improved operational efficiency is achieved only when the service time of e-visits is smaller enough to compensate the effectiveness loss due to online communications. A simple approximation formula of the relationship between e-visit service time and e-visit to office visit referral ratio is provided serving as a guideline for evaluating the performance of e-visit implementation. Furthermore, based on the analysis of the impact of e-visits on physician's capacity, we conclude that it is not the more e-visits the better, and the condition for maximal panel size is investigated. Finally, the expected outcomes of implementing e-visits at Dean East Clinic are discussed.

Indexed as

Systems TheoryComputer SimulationHealth Care SurveysHealth Services AccessibilityHumansModels, TheoreticalOffice VisitsPhysician-Patient RelationsPrimary Health CareTelemedicineTime FactorsCycle timeE-visitsPanel sizePatient accessPrimary careQueueing

Identifiers

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.