Real-Time Patient-Provider Video Telemedicine Integrated with Clinical Care
nejm.orgTelemedicine by means of video visits can increase patient access to care, but there is little evidence about broad integration of video visits into existing clinical care, particularly for primary care.1,2 In an integrated delivery system that implemented video-visit capability for all clinicians in 2014, we examined the characteristics of all 210,383 scheduled video visits among 152,809 patients from 2015 through 2017. Video visits, accessible through Internet-connected, video-enabled mobile devices or computers, could be scheduled by clinicians or patients. The medical history, orders, and visit note associated with each video visit are integrated within the electronic health record (EHR). Visits in medicine, pediatrics, dermatology, after-hours care, and psychiatry accounted for 77% of all video visits; 2796 primary care providers conducted a video visit (median, 17 visits per primary care provider).