ArticleThe Permanente journal2026
E-Visit Usage Among a Population of Young Adults.
Article in The Permanente journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionAsynchronous electronic visits (e-visits) and telehealth may provide comparable health outcomes to in-person care in line with the implementation of value-based care.
methodsStudy population was newly enrolled individuals (ages 18-26) in an integrated health plan in 2023 (N = 30,099). In this cross-sectional study, multivariate analyses focused on covariates associated with e-visit utilization. The association of emergent and discharge status with urinary tract infection (UTI) e-visit usage was examined in the subset of emergency department (ED) visits for female patients with UTI (n = 258).
resultsDuring the first 18 months of membership, the newly enrolled 18- to 26-year-olds completed 22,483 e-visits. Needing a translator, using Medicare/Medicaid, and residing in areas with higher neighborhood deprivation indices were associated with a reduced likelihood of using e-visits. Having a chronic problem or identification of a primary care practitioner within 3 months were associated with increased likelihood of using an e-visit. In the ED subset, an association was seen between Hispanic identity and decreased likelihood of e-visit usage. A total of 2537 (11 %) of all e-visits were for UTI, and 258 (3%) of all ED visits were for UTI. Of the 258 ED visits for UTI, 95% were discharged home. DISCUSSION: Most UTI-related ED visits were deemed not emergent and resulted in discharge home, which suggests room for improvement in delivery of value-based care. This could be achieved by increasing access to e-visits for individuals living in deprived neighborhoods, needing a translator, having Medicare/Medicaid, and identifying as Hispanic.
conclusionPromotion of e-visit utilization among new young adult members could improve value-based health care utilization and maintain clinical outcomes.
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