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Using Virtual Visits to Care for Primary Care Patients With COVID-19 Symptoms.
J Am Board Fam Med. 2021 Feb; 34(Suppl):S147-S151.JA

Abstract

PURPOSE

Examine use of office resources by primary care patients who were initially evaluated through telehealth, telephone, or in-person encounters.

METHODS

Retrospective electronic health record review on patients seen in March 2020 for evaluation of potential COVID-19 symptoms, to assess the total number of interactions with physicians and office staff.

RESULTS

Of 202 patients, 89 (44%) had initial telehealth, 55 (27%) telephone, and 52 (26%) in-person encounters. Patients initially evaluated through telehealth, telephone, and in-person encounters had a mean of 6.1 (S.D. = 3.7), 5.2 (S.D. = 3.6), and 4.5 (S.D. = 3.0) total interactions with the office, respectively (P = .03), and 9%, 12.7%, and 19.2%, respectively, had a subsequent in-person or emergency department visit (P = .22). Multivariable analysis showed no differences in number of office interactions based on initial visit type; older patients (95% CI = 0.00-0.07) and those with subjective fevers (95% CI = 1.01-3.01) or shortness of breath (95% CI = 0.23-2.28) had more interactions with the office.

CONCLUSION

Primary care providers used virtual visits to care for most patients presenting with potential COVID-19 symptoms, with many patients choosing telephone over telehealth visits. Virtual visits can successfully limit patient exposure to other people, and consideration could be given to increasing its use for patients with potential symptoms of COVID-19.

Authors+Show Affiliations

From the Department of Family Medicine, David Geffen School of Medicine at UCLA, University of California, Los Angeles, Los Angeles, CA (DMT, EMH, MAB); Division of Sports Medicine, Department of Family Medicine, University of California, Los Angeles, Los Angeles, CA (CH, SPS). dtarn@mednet.ucla.edu.From the Department of Family Medicine, David Geffen School of Medicine at UCLA, University of California, Los Angeles, Los Angeles, CA (DMT, EMH, MAB); Division of Sports Medicine, Department of Family Medicine, University of California, Los Angeles, Los Angeles, CA (CH, SPS).From the Department of Family Medicine, David Geffen School of Medicine at UCLA, University of California, Los Angeles, Los Angeles, CA (DMT, EMH, MAB); Division of Sports Medicine, Department of Family Medicine, University of California, Los Angeles, Los Angeles, CA (CH, SPS).From the Department of Family Medicine, David Geffen School of Medicine at UCLA, University of California, Los Angeles, Los Angeles, CA (DMT, EMH, MAB); Division of Sports Medicine, Department of Family Medicine, University of California, Los Angeles, Los Angeles, CA (CH, SPS).From the Department of Family Medicine, David Geffen School of Medicine at UCLA, University of California, Los Angeles, Los Angeles, CA (DMT, EMH, MAB); Division of Sports Medicine, Department of Family Medicine, University of California, Los Angeles, Los Angeles, CA (CH, SPS).

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33622830

Citation

Tarn, Derjung M., et al. "Using Virtual Visits to Care for Primary Care Patients With COVID-19 Symptoms." Journal of the American Board of Family Medicine : JABFM, vol. 34, no. Suppl, 2021, pp. S147-S151.
Tarn DM, Hintz C, Mendez-Hernandez E, et al. Using Virtual Visits to Care for Primary Care Patients With COVID-19 Symptoms. J Am Board Fam Med. 2021;34(Suppl):S147-S151.
Tarn, D. M., Hintz, C., Mendez-Hernandez, E., Sawlani, S. P., & Bholat, M. A. (2021). Using Virtual Visits to Care for Primary Care Patients With COVID-19 Symptoms. Journal of the American Board of Family Medicine : JABFM, 34(Suppl), S147-S151. https://doi.org/10.3122/jabfm.2021.S1.200241
Tarn DM, et al. Using Virtual Visits to Care for Primary Care Patients With COVID-19 Symptoms. J Am Board Fam Med. 2021;34(Suppl):S147-S151. PubMed PMID: 33622830.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Using Virtual Visits to Care for Primary Care Patients With COVID-19 Symptoms. AU - Tarn,Derjung M, AU - Hintz,Courtney, AU - Mendez-Hernandez,Eluar, AU - Sawlani,Sabrina P, AU - Bholat,Michelle A, PY - 2020/05/20/received PY - 2020/07/06/revised PY - 2020/07/06/accepted PY - 2021/2/24/entrez PY - 2021/2/25/pubmed PY - 2021/2/25/medline KW - COVID-19 KW - California, Cough KW - Dyspnea KW - Family Medicnie KW - Fever KW - Primary Health Care KW - Retrospective Studies KW - Telemedicine SP - S147 EP - S151 JF - Journal of the American Board of Family Medicine : JABFM JO - J Am Board Fam Med VL - 34 IS - Suppl N2 - PURPOSE: Examine use of office resources by primary care patients who were initially evaluated through telehealth, telephone, or in-person encounters. METHODS: Retrospective electronic health record review on patients seen in March 2020 for evaluation of potential COVID-19 symptoms, to assess the total number of interactions with physicians and office staff. RESULTS: Of 202 patients, 89 (44%) had initial telehealth, 55 (27%) telephone, and 52 (26%) in-person encounters. Patients initially evaluated through telehealth, telephone, and in-person encounters had a mean of 6.1 (S.D. = 3.7), 5.2 (S.D. = 3.6), and 4.5 (S.D. = 3.0) total interactions with the office, respectively (P = .03), and 9%, 12.7%, and 19.2%, respectively, had a subsequent in-person or emergency department visit (P = .22). Multivariable analysis showed no differences in number of office interactions based on initial visit type; older patients (95% CI = 0.00-0.07) and those with subjective fevers (95% CI = 1.01-3.01) or shortness of breath (95% CI = 0.23-2.28) had more interactions with the office. CONCLUSION: Primary care providers used virtual visits to care for most patients presenting with potential COVID-19 symptoms, with many patients choosing telephone over telehealth visits. Virtual visits can successfully limit patient exposure to other people, and consideration could be given to increasing its use for patients with potential symptoms of COVID-19. SN - 1558-7118 UR - https://www.unboundmedicine.com/medline/citation/33622830/Using_Virtual_Visits_to_Care_for_Primary_Care_Patients_With_COVID_19_Symptoms_ L2 - http://www.jabfm.org/cgi/pmidlookup?view=long&pmid=33622830 DB - PRIME DP - Unbound Medicine ER -
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