Health

Research: Health through video, direct diagnosis agreed in 87% of cases



According to a Research published in Open JAMA Network.

The study included 2,393 Mayo Clinic patients who attended a video telemedicine session followed by an in-person appointment for the same problem at the same specialty within 90 days. Patients use desktops, laptops, tablets, or smartphones in their homes, while clinicians use desktops or laptops in the office without accessory or peripheral device such as a stethoscope, otoscope, or ophthalmoscope.

Although telediagnosis was consistent with on-site care in 86.9% of cases overall, it was different. Virtual diagnoses in specialty care cases agreed with face-to-face decisions in 88.4% of patients compared with only 81.3% in primary care. Suitability was lowest for otolaryngologists, or head and neck specialists, and highest for psychiatry.

“In diagnoses confirmed through clinician opinion, such as many psychiatric diagnoses, there was a significantly greater similarity between telemedicine and in-person diagnosis.” the study’s authors wrote. “In diagnoses that require confirmation through traditional physical examination, neurological and pathological testing – such as many otolaryngology and dermatological diagnoses – has significantly reduced the concordance between telediagnosis via video and direct diagnosis.”

The researchers also found that the diagnosis consent rate decreased by 9% for every 10 years of increasing patient age. But fit did not differ significantly between clinician types (such as physicians versus advanced practice providers) and adult and pediatric patients, or based on consultation duration. clinician’s consultation or level of experience with telehealth video.

WHY IT IMPORTANT

Using Telehealth Strong increase in COVID-19 pandemic when patients and providers seek to limit face-to-face interactions. Although usage has changed since the peak of the pandemic, FAIR Health Monthly Remote Health Monitor found that telehealth accounted for 5.4% of medical inquiries in May.

The researchers say a big takeaway from their study is the difference between primary care and specialty care, noting that faster direct follow-up could be beneficial if providers primary care meets the patient almost first.

They write: “These findings suggest that home video telemedicine visits can be a good adjunct to on-site care. “Primary care telemedicine video programs designed to accommodate new patients or emerging clinical problems may benefit from a lower threshold for timely live monitoring of patients Suspected disease is usually confirmed by physical examination, neurological testing, or pathology.”



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