Use of a voice and video internet technology as an alternative to in-person urgent care clinic visits

J Telemed Telecare. 2015 Jun;21(4):219-26. doi: 10.1177/1357633X15571649. Epub 2015 Feb 19.

Abstract

This study aimed to determine the feasibility of patient-initiated online Internet urgent care visits, and to describe patient characteristics, scope of care, provider adherence to protocols, and diagnostic and therapeutic utilization. A total of 456 unique patients were seen via Internet-based technology during the study period, generating 478 consecutive total patient visits. Of the 82 patients referred for an in-person evaluation, 75 patients (91.5%) reported to the clinic as instructed. None of the 82 patients recommended for in-person evaluation required an emergency department referral, hospital admission or urgent consultative referral. We conclude that real-time online primary and urgent care visits are feasible, safe and potentially beneficial in increasing convenient access to urgent and primary care.

Keywords: Home telecare; telecare; telehealth; telemedicine.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Ambulatory Care / organization & administration*
  • Clinical Protocols
  • Emergency Service, Hospital / organization & administration
  • Feasibility Studies
  • Female
  • Guideline Adherence / standards
  • Health Services Accessibility / organization & administration
  • Humans
  • Internet*
  • Male
  • Middle Aged
  • Remote Consultation / methods*
  • Video Recording*
  • Young Adult