Veet Clark, Careyva Beth, Kies Joan, Berman Indu, Stephens Jen
Lehigh Valley Health Network, 3900 Sierra Circle, Center Valley, PA, 18034, USA.
Lehigh Valley Health Network, 3024 Easton Ave, Bethlehem, PA, 18017, USA.
J Gen Intern Med. 2025 Feb;40(3):708-711. doi: 10.1007/s11606-024-09163-1. Epub 2024 Oct 24.
Synchronous virtual visits aid in longitudinal primary care and fulfill unmet needs for patients and clinicians. Virtual visits are widely accepted for specialty consultation and follow-up; however, novel systems-based programs and processes may support earlier engagement.
Evaluate primary care clinician attitudes and perspectives on patient information obtained team-based, nurse-led virtual visits ahead of face to face visits.
Study occurred in a large, regional, multispecialty group practice in Eastern Pennsylvania.
Participants included primary care physicians, nurse practitioners, and physician assistants.
Virtual visits are a component of a large, unified network strategy called the Patient Partnership Model which incorporates technology and remote care to achieve improved access and patient satisfaction.
Survey of participating primary care clinicians assessing impact of at-hand medical history, social history, and medications on delivering face to face primary care. Weighted mean of satisfied participants was 3.61 on a 5-point Likert scale.
Participants reported satisfaction and acceptability of team-based virtual visits, noting high satisfaction with information exchange and actionability of notes. Participants reported ongoing opportunities to enhance medication reconciliation. Virtual visits continue to evolve and may serve varying roles in primary care.
同步虚拟就诊有助于长期初级保健，并满足患者和临床医生未得到满足的需求。虚拟就诊在专科会诊和随访中被广泛接受；然而，基于系统的新型项目和流程可能支持更早的参与。
评估初级保健临床医生对在面对面就诊之前通过团队协作、护士主导的虚拟就诊获取的患者信息的态度和看法。
研究在宾夕法尼亚州东部的一个大型区域多专科集团诊所进行。
参与者包括初级保健医生、执业护士和医师助理。
虚拟就诊是一个名为患者伙伴关系模式的大型统一网络战略的组成部分，该战略整合了技术和远程护理，以提高就诊机会和患者满意度。
对参与的初级保健临床医生进行调查，评估手头的病史、社会史和药物信息对提供面对面初级保健的影响。在5分制李克特量表上，满意参与者的加权平均值为3.61。
参与者报告了基于团队的虚拟就诊的满意度和可接受性，指出对信息交流和记录的可操作性高度满意。参与者报告了持续存在的加强用药核对的机会。虚拟就诊在不断发展，可能在初级保健中发挥不同作用。
