ArticleHealth affairs (Project Hope)2021
Direct-To-Consumer Telemedicine Visits For Acute Respiratory Infections Linked To More Downstream Visits.
Article in Health affairs (Project Hope), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis 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
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Guideline
- Hybrid Telemedicine-House-Call Model for Pneumonia Management in North Texas: Retrospective Pilot Study.JMIR formative research · 2026Article
- Bridging Gaps in Acute Care Access for Rural Veterans: The Reach and Impact of VA's Virtual Emergency and Urgent Care Programs.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- Article
- Primary Care by Telehealth and Care Quality in the Veterans Health Administration.JAMA network open · 2026Article
- Episode Charges and Subsequent Visits After Telemedicine vs In-Person Care.JAMA network open · 2026Article
- Populations and Health Domains Served by Direct-to-Consumer Digital Health Companies in the United States, 2011-2023: Cross-Sectional Study.JMIR formative research · 2025Article
- Government partnerships with corporate virtual primary care.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025Article
- Challenging assumptions: a tripartite assessment of medical quality, resource utilization, and equity concerns in pediatric telemedicine.BMC medical informatics and decision making · 2025Article
- Response.Canadian family physician Medecin de famille canadien · 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
- Visit Experience and Fulfillment of Care Needs in Primary Care Differs for Video Visits Compared to In-person and Chat Visits.Journal of general internal medicine · 2024Article
- Primary Care Telemedicine and Care Continuity: Implications for Timeliness and Short-term Follow-up Healthcare.Journal of general internal medicine · 2024Article
- Factors Informing High-Risk Primary Care Patient Choice around Telehealth Use: a Framework.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
- To What Extent Can Digital Health Technologies Comply With the Principles of Responsible Innovation? Practice-and Policy-Oriented Research Insights Regarding an Organisational and Systemic Issue.International journal of health policy and management · 2024Article
- Virtual Visits With Own Family Physician vs Outside Family Physician and Emergency Department Use.JAMA network open · 2023Article
- Evaluating the association between expanded coverage of direct-to-consumer telemedicine and downstream utilization and quality of care for urinary tract infections and sinusitis.Health services research · 2023Article
- Enterprise Healthcare Physician Services in Canada: An Environmental Scan.Healthcare policy = Politiques de sante · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
Use of direct-to-consumer telemedicine-on-demand virtual care for minor medical issues-is growing rapidly. Although it may yield immediate savings by diverting health care from higher-cost settings, these savings could be countered if direct-to-consumer telemedicine increases follow-up care and, therefore, episode costs. Comparing downstream care utilization data from a large, commercial payer for the period 2016-19, we found that patients with initial visits for acute respiratory infection were more likely to obtain follow-up care within seven days after direct-to-consumer telemedicine visits (10.3 percent) than after in-person visits (5.9 percent). In both settings approximately 90 percent of patients did not obtain additional care. The telemedicine cohort had fewer (0.5 percent versus 0.6 percent) emergency department visits-a small but statistically significant difference-but more subsequent office, urgent care, and telemedicine visits. Our findings suggest that potential savings from shifting initial care to a direct-to-consumer telemedicine setting should be balanced against the potential for higher spending on downstream care.
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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.