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Survey: Telehealth Increases Access to Care, Continuity

By: | Tags: | November 24th, 2015

 

Michael LaffMinneapolis – November 11, 2015 04:12 pm

Your patients depend on you for the best medical care, and thanks to technology, they don’t necessarily need to visit your office to receive it.

As more family physicians begin using telehealth systems, speakers at the AAFP State Legislative Conference, held here Nov. 6-7, discussed how the technology can enhance patient care and sharedfindings from a survey(www.graham-center.org)(22 page PDF)of family physicians thoughts about and use of telehealth.

Researchers at the Robert Graham Center for Policy Studies in Family Medicine and Primary Care said 15 percent of the 1,557 physicians who responded to the survey reported using telehealth in the past year. The survey contains some bias because respondents were more likely to use telemedicine, explained Megan Coffman, M.S., a health policy administrator for the Robert Graham Center who presented the research.

Respondents said the technologys strongest points are improving access to care and providing continuity of care. Obstacles they cited included the cost of equipment, lack of training and potential liability.

A profile of the typical telehealth user emerged as one who:

  • is more likely to be practicing in a rural area (76 percent),
  • works with six or more family physicians (40 percent) and
  • uses electronic health records (98 percent).

When physicians were asked how they used telehealth, the leading responses were diagnosis or treatment (55 percent), chronic disease management (26 percent) and patient followup (21 percent). Physicians, whether they use telehealth or not, agreed that the technology improves access to and continuity of care. The question of whether it reduces cost has not been answered.

There is not enough data on whether telemedicine saves money, said Coffman. That is yet to be seen. From a patient perspective, it saves time and money, but there is not enough information.

Telehealth systems are good for increasing efficiency, said William Thornbury, M.D., R.Ph., the founder of an online appointment site calledmeVisit.(www.mevisit.com)

We take 60 patents per day at the clinic, said Thornbury, who also serves as medical director at the Medical Associate Clinic in Glasgow, Ky. I cant take any new patients. The real problem is 30 percent of my patients dont need to be in the clinic, but the only way to get paid is to see them there.

meVisits telehealth application, available on mobile phones and computers, is designed to allow physicians to address minor health problems that do not require an office visit. Patients can select a reason for a consult from a menu or type it in themselves, and they can upload photos.

Thornbury said family physicians should consider telemedicine because retail health clinics are doing so. Walgreens plans to launch a telehealth mobile application in 25 states starting in January 2016.

How is our health system going to compete in this arena? Thornbury asked.

Thornbury said most patients pay a $37 copay for telemedicine visits. One of the concerns among insurers is that ease of access could lead to frequent, unnecessary consults, but Thornbury suggested that copays could be raised to solve that problem, should it arise.

States are beginning to recognize the value of telemedicine and are requiring insurers to do the same. Montana, for instance, passed a law requiring insurers to pay for telemedicine on terms equal to those for office visits.

As the medical profession moves to greater efficiency with an emphasis on reducing costs, Thornbury said family physicians should press hard for fair payment.

Radiologists are benefiting from new technology that allows them to work faster, and they are not being asked to take less money, he said. Why are we being penalized for it? If we are more efficient and take on more liability, care is care is care.

RelatedAAFP NewsCoverage
Gauging the Promise and Perils of Telemedicine
AAFP Calls for Adequate Payment, Fewer Restrictions

(6/24/2014)

Robert Graham Center Forum
Telemedicine Can Build Bridge to Expanded Health Care, Say Panelists

(2/5/2014)

More From AAFP
Member Interest Group: Telehealth

Family Practice Management: Should You Treat Your Patients Virtually?

Link to original articleon AAFP

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Nattasha Acevedo, MD

Dr. Acevedo received her medical degree from the Ponce School of Medicine in Puerto Rico and did her neurology residency at Montefiore Medical Center in New York. She went on to do a clinical neurophysiology fellowship at Emory School of Medicine in Atla nta, Georgia and then joined private practice in Fort Myers, Florida. She currently resides in San Juan, Puerto Rico. She likes running, paddle boarding and spending time with family.
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Bernadette Borte, MD

Dr. Borte received her medical degree from St. Matthew’s University School of Medicine in Grand Cayman. She completed her neurology residency at the University of Iowa Hospitals and Clinics in Iowa City, Iowa. Her areas of interest include inpatient neurology and acute stroke. When not working, she enjoys spending time outdoors with her family. Dr. Borte joined the TeleSpecialist family in March of 2019.
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Mazen Almidani, MD

Dr. Almidani is board certified in pediatrics by the American Board of Pediatrics and board certified in epilepsy, as well as neurology with special  qualification in child neurology by the American Board of Psychiatry and Neurology.  Dr. Almidani is happily married with 4 children. His oldest son has autism and his daughter has complicated seizures; both were a drive for him to become a neurologist. Dr. Almidani enjoys soccer, running and spending time with his family. He is very involved with his sons’ therapy and helping with daily challenges. He is double board certified in Pediatric and Adult Neurology and Epilepsy. He sees children and adults. He also participates in charities for children in Syria who may be underprivileged and/or affected by the war. Dr. Almidani joined TeleSpecialists in August 2020.
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Amanda Cheshire, MD

Dr. Cheshire received her medical degree from the University of Louisville School of Medicine in Louisville, Kentucky. She completed her neurology residency at the University of Cincinnati Medical Center in Cincinnati, Ohio. She did a fellowship in neurophysiology at the University of Michigan Medical School in Ann Arbor, Michigan. Dr. Cheshire is double board certified in neurology and clinical neurophysiology. She enjoys traveling, reading and music. She currently resides in Viera, Florida.  Dr. Cheshire joined TeleSpecialists in June 2019.
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Jessica Floyd, MD

Dr. Floyd completed her neurology residency at Mayo Clinic in Jacksonville, Florida followed by fellowship training in clinical neurophysiology with focus in EEG and epilepsy at the Medical University of South Carolina in Charleston, South Carolina. She has particular interest in hospital neurology and patient education as well as the blossoming specialty of lifestyle medicine. She strives to take advantage of every encounter with patients and medical staff to empower them to do their own research into how daily thoughts, choices, and habits can add up to create greater and longer-lasting brain and neurologic health for ourselves and our loved ones. She lives in Florence, South Carolina with her awesome husband of 13 plus years and three beautiful children. She is an avid yogi, astrologer, and lover of food and all things neurology! Dr. Floyd joined the TeleSpecialist family in July 2017.
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Nancy Futrell, MD

Dr. Futrell received her medical degree from the University of Utah in Salt Lake City, Utah. She also did her neurology residency at the University of Utah as well as a research fellowship in cerebral vascular disease at Jackson Memorial Hospital in Miami, Florida. She currently resides in Salt Lake City, Utah. She has authored 2 books and 50 peer reviewed papers. 
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Rebecca Jimenez-Sanders, MD

Dr. Jimenez Sanders received her undergraduate degree from Emory University, and her medical degree from the San Juan Bautista School of Medicine in Puerto Rico. She completed her neurology residency at the University of South Florida in Tampa, Florida, where she also did a specialized headache medicine and facial pain fellowship. She currently resides in Tampa, Florida with her husband and her two daughters. She is also fluent in Spanish and Italian languages, and enjoys photography, baking, boating, and biking.
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Cory Lamar, MD

Dr. Lamar received his medical degree from Meharry Medical College in Nashville, Tennessee. He completed his internship and residency at Wake Forest Baptist Health in Winston Salem, North Carolina. Following residency, he completed a clinical fellowship in neurophysiology, with a concentration in epilepsy. He currently resides in Florida and enjoys outdoor activities.
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Clifford Meyers, MD

Dr. Meyers received his medical degree from Brown University in Providence, Rhode Island and his MBA from the Simon School of Business at the University of Rochester in Rochester, New York. He completed his neurology residency at the University of Rochester, where he also did a neurophysiology fellowship. Dr. Meyers resides in Webster, New York with his wife and daughter. When not doing teleneurology, he enjoys playing sports with his wife and daughter.
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Tao Tong, MD

Dr. Tong received her medical degree from the University of Miami School of Medicine in Miami, Florida. She completed her neurology residency at Jackson Memorial Hospital in Miami, Florida, where she also did a neuromuscular/EMG fellowship.  She currently resides in College Station, Texas. Dr. Tong is married with two boys. She enjoys spending time with her family, traveling and reading.
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Shubhangi Chumble, MD

Dr. Chumble attended BJ Medical School. She is a board certified neurologist with a subspeciality interest in sleep medicine. Dr. Chumble did her residency at Howard University in Washington DC and has practiced neurology since 2001 in private and corporate settings. She lives in Melbourne, Florida and loves the sunshine state. Her hobbies include yoga, meditation, cooking , traveling and meeting new people. She also loves to do stained glass, pottery and painting. She joined TeleSpecialists in June 2019.
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