9/25/2023 0 Comments Kaiser permanente video visits![]() Kaiser Permanente’s advantage compared to other health systems is that virtual visits - such as phone and video appointments - have been available to patients for several years. “While no one knows when a global pandemic will occur, we were as prepared as possible to continue to care for patients while responding to those stricken with COVID-19,” says Edward Lee, MD, executive vice president and chief information officer of The Permanente Federation. In an effort to contain the spread of the novel coronavirus, health care organizations across the country had to quickly pivot to telehealth so they could provide care to patients remotely.īut at Kaiser Permanente and the Permanente Medical Groups - the physician groups that provide care to more than 12.4 million members - it wasn’t so much of a pivot as a widening of existing services. Though further research is needed, the study shows that video visits are an efficient way to practice medicine.More Kaiser Permanente members get comfortable with virtual visits during COVID-19 pandemic “Physicians who do a lot of video visits also find them beneficial. “We’re finding that patients find video visits very satisfying,” Dr. * About 66 percent of scheduled video visits were successfully completed however, patients and clinicians who weren’t able to communicate by video were almost always able to complete the visit another way.* 60 percent of TPMG clinicians used video visits, and less than 5 percent of patients.* The average length of the typical video visit was about 8 minutes. ![]() * Patients used smart phones for 74 percent of the video visits, while 20 percent used a computer and 6 percent used a tablet.* 93 percent of patients who scheduled video visits said their health care needs were met.“Clinicians can see the patient and how they are feeling, but there’s nothing physical that they need to examine.” Parikh and Wargon are leaders in The Permanente Medical Group (TPMG)’s Technology Group. “They are also working quite well in behavioral health,” added co-author and Kaiser Permanente podiatric surgeon Craig Wargon, DPM. “Pediatrics are a nice place for video to work, because parents have a hard time getting their kids to the doctor,” said co-author and Kaiser Permanente pediatrician Rahul Parikh, MD. Co-author and Kaiser Permanente pediatrician Rahul Parikh, MD, says video visits can work well for parents who have a difficult time getting their kids to the doctor. Three-quarters of those video visits were in primary care (internal and adult family medicine), pediatrics, dermatology, after-hours care and psychiatry. Kaiser Permanente employs a number of different methods for interacting with patients via telemedicine, including phone, secure email message, and video. Video visits accounted for a small proportion during the study period - less than 1 percent. “We think this is the largest analysis of video visits in an integrated health care setting.” Co-author and Kaiser Permanente podiatric surgeon Craig Wargon, MD, is medical director of the TPMG Technology Group. “The evidence on integrating video visits into ongoing clinical care is limited,” Reed said. At the time of the study, Kaiser Permanente did not charge any co-payments or deductibles for video visits. The study, “Real-time patient-provider video telemedicine integrated with clinical care,” looked at more than 200,000 video visits conducted in 2015, 20 in Northern California, and included an online survey of nearly 1,300 members who chose to schedule a video visit with their physician. ![]() Members can now self-schedule video appointments online at kp.org and communicate face-to-face with physicians on a mobile phone, computer or tablet. Kaiser Permanente Northern California began offering video visits across the region in 2011, and they became widely available in mid-2014. “One of the strengths of this option is that you can maintain a stronger relationship with your own doctor through video.” “Many patients reported that the video visit actually improved the relationship with their clinician,” said lead author Mary Reed, DrPH, research scientist at the Kaiser Permanente Northern California Division of Research. Kaiser Permanente members who chose video visits were overwhelmingly satisfied with this new way to “see” their doctor, according to research correspondence published today in the New England Journal of Medicine. Kaiser Permanente research finds that members appreciate being able to connect with their doctors online Mary Reed’s research is showing that Kaiser Permanente members feel video visits strengthen the doctor-patient relationship.
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