A team of researchers at Massachusetts General Hospital (MGH) reports in the American Journal of Managed Care that virtual video visits, one form of telehealth visit used at the hospital, can successfully replace office visits for many patients without compromising the quality of care and communication. Virtual video visits are personal video chat communications between a health professional and patient using a computer or tablet via a secure application.
Karen Donelan, ScD, a senior scientist at the MGH-based Mongan Institute Health Policy Center and lead author of the paper, which has been published online, says, “Some of the participants in our study were parents of children who needed multiple frequent visits or older patients for whom travel was difficult to arrange. It did not surprise us that they found virtual visits more convenient, but we were impressed that nearly all perceived the quality of care or communication to be the same or better than at the traditional and familiar office visits.”
The MGH TeleHealth Program was launched in 2012 after 10 years of successful experience developing TeleNeurology. Virtual video visits were offered beginning in 2013, and the program has continued to grow since then. At the time this study was conducted, established patients in several departments or divisions – including psychiatry, neurology, cardiology, primary care, and oncology – were eligible for virtual video visits for follow-up care. The current study reports on survey responses from 254 patients after their first visit and from 61 clinicians who participated in the first full year of the program.
Among the key findings of the study:
79 percent of responding patients who participated in the program felt that finding a convenient time for a follow-up virtual video visit was easier than for a traditional office visit.
62 percent of responding patients reported the quality of virtual video visits was no different from that of office visits, and 21 percent thought virtual visits’ overall quality was better.
59 percent of health professionals providing virtual video visits agreed that, for the patients selected for these visits, virtual visit quality was similar to that of office visits; one third thought office visit quality was better.
Patients and health professionals differed on their perceptions of the “personal connection” they felt in these visits: 46 percent of clinicians said they thought office visits were better, compared to 33 percent of patients.
