ArticleDigital health
Utilizing a novel unified healthcare model to compare practice patterns between telemedicine and in-person visits.
Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- In-person or tele-orthopaedic care? A mixed-methods study exploring parents' perspectives on the advantages and challenges of both approaches care for children with cerebral palsy.BMC health services research · 2026Trial
- Test Ordering and Completion During Virtual vs In-Person Annual Visits.JAMA network open · 2026Article
- Comparing In-Person, Telephonic, and Video-Based Treatment of Depression in Adult Primary Care During the COVID-19 Pandemic.The Permanente journal · 2025Article
- Antibiotic Prescribing by Digital Health Care Providers as Compared to Traditional Primary Health Care Providers: Cohort Study Using Register Data.Journal of medical Internet research · 2024Article
- Telemedicine and Resource Utilization in Pulmonary Clinic.BMC pulmonary medicine · 2024Article
- The Future of Telemedicine for Obstructive Sleep Apnea Treatment: A Narrative Review.Journal of clinical medicine · 2024Review
- Applications to augment patient care for Internal Medicine specialists: a position paper from the EFIM working group on telemedicine, innovative technologies & digital health.Frontiers in public health · 2024Review
- Patients' perspectives and preferences toward telemedicine versus in-person visits: a mixed-methods study on 1226 patients.BMC medical informatics and decision making · 2023Article
- Developing online medical service quality indicators in China from the perspective of online and offline integration: a modified Delphi-analytic hierarchy process study.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2023Article
- The Use of Digital Health Services Among Patients and Citizens Living at Home: Scoping Review.Journal of medical Internet research · 2023Article
- Physicians' Perceptions of Telemedicine Use During the COVID-19 Pandemic in Riyadh, Saudi Arabia: Cross-sectional Study.JMIR formative research · 2022Article
- Physician Satisfaction With Telemedicine During the COVID-19 Pandemic: The Mayo Clinic Florida Experience.Mayo Clinic proceedings. Innovations, quality & outcomes · 2021Article
- Use of Telemedicine in Depression Care by Physicians: Scoping Review.JMIR formative research · 2021Article
- Telerehabilitation in Acquired Brain Injury.Physical medicine and rehabilitation clinics of North America · 2021Review
- Outpatient antibiotic prescribing for common infections via telemedicine versus face-to-face visits: Systematic literature review and meta-analysis.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2021Article
- Antibiotic prescribing for acute infections in synchronous telehealth consultations: a systematic review and meta-analysis.BJGP open · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTelemedicine practice has been shown to vary from clinical guidelines. Variations in practice patterns may be caused by disruptions in the continuity of care between traditional and telemedicine providers. This study compares virtual and in-person visits in Stanford's ClickWell Care (CWC) - where patients see the same provider for both visit modalities.
methodsClinical data for two years of patient encounters at CWC from January 2015-2017 (5772 visits) were obtained through Stanford STRIDE. For the 20 most common visit categories, including 17 specific diagnoses, we compared the frequency of prescriptions, labs, procedures, and images ordered, as well as rates of repeat visits.
resultsFor the 17 specific diagnoses, there are no differences in labs ordered. Two diagnoses show differences in images ordered, and four differences in prescriptions. Overall, there are more labs (0.16 virtual, 0.33 in-person p < 0.0001) and images ordered (0.07 virtual, 0.16 in-person, p < 0.0001) for in-person visits - due mainly to general medical exam visits. Repeat visits were more likely after in-person visits (19% virtual, 38% in-person, p < 0.0001), 10 out of 17 specific diagnoses showed differences in visit frequency between visit modalities. Visits for both anxiety (5.3x, p < 0.0001) and depression (5.1x, p < 0.0001) were much more frequent in the virtual setting.
conclusionsPrescriptions, labs, and images ordered were similar between in-person and virtual visits for most diagnoses. Overall however, for in-person visits we find increased orders for labs and images, primarily from general medical exams. Finally, for anxiety and depression patients show clear preferences for virtual visits.
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