ArticleHealth affairs (Project Hope)2018
Quality Of Care For Acute Respiratory Infections During Direct-To-Consumer Telemedicine Visits For Adults.
Article in Health affairs (Project Hope), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 3 of them syntheses that pooled 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.
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
51 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Translating Value Across Telehealth Stakeholders: A Rapid Review of Telehealth Measurement Evidence and a New Policy Framework to Guide Telehealth Researchers.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024Pooled it
- Analyzing the Effect of Telemedicine on Domains of Quality Through Facilitators and Barriers to Adoption: Systematic Review.Journal of medical Internet research · 2023Pooled it
- Impact of Remote Consultations on Antibiotic Prescribing in Primary Health Care: Systematic Review.Journal of medical Internet research · 2020Pooled it
- Telemanagement of Home-Isolated COVID-19 Patients Using Oxygen Therapy With Noninvasive Positive Pressure Ventilation and Physical Therapy Techniques: Randomized Clinical Trial.Journal of medical Internet research · 2021Trial
- Effectiveness of Telemedicine vs Face-to-Face Consultation in Fighting COVID-19: Retrospective Cohort Study of Adult Patients With COVID-19 in a Primary Care Setting.Journal of medical Internet research · 2026Article
- Primary Care Telemedicine vs In-Person Antibiotic Prescribing for Pediatric Respiratory Tract Infections.JAMA network open · 2026Article
- Article
- Antibiotic prescribing during outpatient telemedicine visits among commercially insured patients and Medicare Part D beneficiaries, 2021.Infection control and hospital epidemiology · 2026Article
- The impact of telemedicine on physician time invested in primary care: a large population-based descriptive study.Primary health care research & development · 2025Article
- Clinicians' Reasons for Non-Visit-Based, No-Infectious-Diagnosis-Documented Antibiotic Prescribing: A Sequential Mixed-Methods Study.Antibiotics (Basel, Switzerland) · 2025Article
- Response.Canadian family physician Medecin de famille canadien · 2025Article
- Uses of Virtual Care in Primary Care: Scoping Review.Journal of medical Internet research · 2025Article
- Users' Perspectives of Direct-to-Consumer Telemedicine Services: Survey Study.JMIR formative research · 2025Article
- Health Care Utilization With Telemedicine and In-Person Visits in Pediatric Primary Care.JAMA health forum · 2024Article
- Primary Care Telemedicine and Care Continuity: Implications for Timeliness and Short-term Follow-up Healthcare.Journal of general internal medicine · 2024Article
- Association Between Antibiotic Receipt and Provider Rating Within a National Telemedicine Practice.Open forum infectious diseases · 2024Article
- From office to digital primary care services: analysing income-related inequalities in utilization.International journal for equity in health · 2024Article
- Evaluating the Quality of Virtual Urgent Care: Barriers, Motivations, and Implementation of Quality Measures.Journal of general internal medicine · 2024Article
- How the commercial virtual care industry gathers, uses and values patient data: a Canadian qualitative study.BMJ open · 2024Article
- Short- and intermediate-term impact of DTC telemedicine consultations on subsequent healthcare consumption.The European journal of health economics : HEPAC : health economics in prevention and care · 2024Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
In direct-to-consumer telemedicine, physicians treat patients through real-time audiovisual conferencing for common conditions such as acute respiratory infections. Early studies had mixed findings on the quality of care provided during direct-to-consumer telemedicine and were limited by small sample sizes and narrow geographic scopes. Using claims data for 2015-16 from a large national commercial insurer, we examined the quality of antibiotic management in adults with acute respiratory infection diagnoses at 38,839 direct-to-consumer telemedicine visits, compared to the quality at 942,613 matched primary care visits and 186,016 matched urgent care visits. In the matched analyses, we found clinically similar rates of antibiotic use, broad-spectrum antibiotic use, and guideline-concordant antibiotic management. However, direct-to-consumer telemedicine visits had less appropriate streptococcal testing and a higher frequency of follow-up visits. These results suggest specific opportunities for improvement in direct-to-consumer telemedicine quality.
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Registered trials
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.