Efficiency of direct-to-patient telemedicine consultations: status praesens DOI: 10.29188/2542-2413-2018-4-3-64-70

Research and Practical Clinical Center of Diagnostics and Telemedicine Technologies, Department of Health Care of Moscow, Moscow, Russian Federation
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There is an analytical review of information on medical and management efficiency of direct-to-patient telemedicine consultations. The main metrics of quality are antibiotic prescribing rate, rate of follow-up consultation, timing, adherence of doctors to evidencebased clinical recommendations, some metrics from HEDIS methodology. The most often reasons for patient-initiated virtual visits are upper respiratory tract infections, skin diseases, urinary tract symptoms, also for children – fever, gastrointestinal issues. Virtual and office visits for an upper respiratory tract infections diagnostics and treatment are identical (based on diagnostic accuracy, character and effectiveness of prescriptions, needs for follow-up consultations). Evidence base for an efficiency and safety of direct-to-patient telemedicine consultations are still weak.

Conflict of interest. The author declare no conflict of interest

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direct-to-patient telemedicine, quality, telemedicine consultation, upper respiratory tract infections, antibiotics