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Research ArticleOriginal Research

Patient Perceptions of Telehealth Primary Care Video Visits

Rhea E. Powell, Jeffrey M. Henstenburg, Grace Cooper, Judd E. Hollander and Kristin L. Rising
The Annals of Family Medicine May 2017, 15 (3) 225-229; DOI: https://doi.org/10.1370/afm.2095
Rhea E. Powell
1Department of Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania
3National Academic Center for Telehealth, Thomas Jefferson University, Philadelphia, Pennsylvania
MD, MPH
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Jeffrey M. Henstenburg
2Department of Emergency Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania
BS
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Grace Cooper
2Department of Emergency Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania
BA
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Judd E. Hollander
2Department of Emergency Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania
3National Academic Center for Telehealth, Thomas Jefferson University, Philadelphia, Pennsylvania
MD
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Kristin L. Rising
2Department of Emergency Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania
3National Academic Center for Telehealth, Thomas Jefferson University, Philadelphia, Pennsylvania
MD, MSHP
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  • For correspondence: Kristin.rising@jefferson.edu
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    Table 1

    Participant Characteristics (N=19)

    CharacteristicValue
    Age, mean (range), y43 (23–94)
    Female, n (%)  9 (47)
    Hispanic, n (%)  1 (5)
    Race, n (%)
     Black  8 (42)
     White  9 (47)
     Other  2 (11)
    Location during visit, n (%)
     Home13 (68)
     Office  6 (32)
    Insurance, n (%)
     HMO/PPO/Private12 (63)
     Medicaid  1 (5)
     Medicare  3 (16)
     Medicare/Other  2 (11)
     Unknown  1 (5)
    Education, n (%)
     High school / GED / Some college  5 (26)
     College  6 (32)
     Postgraduate degree  8 (42)
    Employment status, n (%)
     Employed13 (68)
     Retired  1 (5)
     Student  1 (5)
     Disabled  1 (5)
     Unemployed  3 (16)
    Household income (yearly), n (%)
     <$10,000  1 (5)
     $10,000–24,999  2 (11)
     $25,000–49,999  4 (21)
     $50,000–99,999  6 (32)
     $100,000  4 (21)
     Unknown  2 (11)
    Available technology, n (%)
     Computer with video camera18 (95)
     Smartphone14 (74)
     Tablet12 (63)
    Devices used for past video calls, n (%)
     Computer with video camera12 (63)
     Smartphone14 (74)
     Tablet  6 (32)
    Reason for video visit, n (%)
     Chronic disease management  9 (47)
     Short-term follow-up of recent acute issue  7 (37)
     Review of lab results  2 (11)
     New acute issue  1 (5)

Additional Files

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  • The Article in Brief

    Patient Perceptions of Telehealth Primary Care Video Visits

    Kristin L. Rising , and colleagues

    Background Telehealth (or telemedicine) has the potential to increase the flexibility and reach of health services. This study describes patient experiences with video visits with their established primary care clinicians.

    What This Study Found Video visits are being adopted in a variety of health care settings, including primary care, because they offer increased care accessibility, decreased transportation barriers and patient empowerment.This qualitative study of 19 adult patients interviewed after video visits with their primary care clinician found that patients accept and even prefer video visits to in-person office visits. Participants reported feeling comfortable talking with their clinicians over a video call, and they identified convenience and decreased costs as benefits. Some patients expressed a preference for receiving future serious news in a video visit citing reasons of comfort, social support and privacy. Primary concerns with video visits concerned privacy, including potential for work colleagues to overhear conversations, and questioning the ability of the clinician to perform an adequate physical examination.

    Implications

    • The authors conclude these findings add insight into the benefits of video visits in primary care, highlighting improved convenience, efficiency, privacy and comfort for patients. The findings also raise new considerations unique to telehealth that warrant discussion with patients before use, such as using headphones or finding a private room to maintain during video visits outside of the home.
  • Supplemental Appendix

    Supplemental Appendix

    Files in this Data Supplement:

    • Supplemental Appendix - PDF file
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The Annals of Family Medicine: 15 (3)
The Annals of Family Medicine: 15 (3)
Vol. 15, Issue 3
May/June 2017
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Patient Perceptions of Telehealth Primary Care Video Visits
Rhea E. Powell, Jeffrey M. Henstenburg, Grace Cooper, Judd E. Hollander, Kristin L. Rising
The Annals of Family Medicine May 2017, 15 (3) 225-229; DOI: 10.1370/afm.2095

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Patient Perceptions of Telehealth Primary Care Video Visits
Rhea E. Powell, Jeffrey M. Henstenburg, Grace Cooper, Judd E. Hollander, Kristin L. Rising
The Annals of Family Medicine May 2017, 15 (3) 225-229; DOI: 10.1370/afm.2095
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