Introducing Primary Care Telephone Visits: An Urban Safety-Net Community Clinic Experience.
Kelly A. Kyanko,Kathleen Hanley,Sondra Zabar,Jennifer Joseph,William B. Bateman,Antoinette Schoenthaler +5 more
TLDR
Patients and physicians in a linguistically and culturally diverse urban safety-net primary care clinic were highly satisfied with the use of telephone visits, though completion of the visits was low.Abstract:
BACKGROUND Telephone consultation is widely used in primary care and can provide an effective and efficient alternative for the in-person visit. Gouverneur Health, a safety-net primary care practice in New York City serving a predominately immigrant population, evaluated the feasibility and physician and patient acceptability of a telephone visit initiative in 2015. MEASURES Patient and physician surveys, and physician focus groups. RESULTS Though only 85 of 270 scheduled telephone visits (31%) were completed, 84% of patients reported being highly satisfied with their telephone visit. Half of physicians opted to participate in the pilot. Among participating physicians, all reported they were able to communicate adequately and safely care for patients over the telephone. CONCLUSIONS Participating patients and physicians in a linguistically and culturally diverse urban safety-net primary care clinic were highly satisfied with the use of telephone visits, though completion of the visits was low. Lessons learned from this implementation can be used to expand access and provision of high-quality primary care to other vulnerable populations.read more
Citations
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References
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Telephone care as a substitute for routine clinic follow-up.
John H. Wasson,Catherine Gaudette,Fredrick Whaley,A E Sauvigne,Priscilla Baribeau,H. Gilbert Welch +5 more
TL;DR: In this article, the authors examined the hypothesis that substituting clinician-initiated telephone calls (telephone care) for some clinic visits would reduce medical care utilization without adversely affecting patient health.
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Development of the Telemedicine Satisfaction Questionnaire to evaluate patient satisfaction with telemedicine: a preliminary study.
TL;DR: A questionnaire for the evaluation of patient satisfaction with telemedicine demonstrated preliminary reliability and validity but more extensive testing will be required before it can be considered generally applicable.
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Patient satisfaction with teledermatology: quantitative and qualitative results from a randomized controlled trial
TL;DR: Receiving a diagnosis, treatment and cure, receiving adequate information and explanations, the need to be taken seriously, theneed for individualized personal care, and the importance of a short waiting time for an appointment and treatment were all aspects of care and management most likely to result in patient satisfaction, regardless of modality.
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Comparison of face-to-face and telephone consultations in primary care: qualitative analysis.
TL;DR: Doctors in general practice do not substantially change their communicative behaviour on the telephone, and telephone consultations are shorter and include less problem disclosure than face-to-face meetings, partly because they are typically mono-topical and partly because of intrinsic differences between the two channels.
Telephone care as an adjunct to routine medical follow-up. A negative randomized trial.
H G Welch,D J Johnson,R Edson +2 more
TL;DR: Telephone care had little effect in this study and instead of providing a way to maintain contact with patients without requiring them to appear in clinic frequently, telephone appointments became simply an additional service.