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Research ArticleOriginal Research

Patient Perceptions of Video Visits in a Fee-for-Service Model

Sirisha Mohan, Wilson Lin, Francis Reyes Orozco, Jehni Robinson and Anjali Mahoney
The Journal of the American Board of Family Medicine May 2022, 35 (3) 497-506; DOI: https://doi.org/10.3122/jabfm.2022.03.210459
Sirisha Mohan
From Department of Family Medicine, University of Southern California, Los Angeles, CA (SM, JR, AM); Marshall School of Business, University of Southern California, Los Angeles, CA (WL); Keck School of Medicine, University of Southern California, Los Angeles, CA (FRO).
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Wilson Lin
From Department of Family Medicine, University of Southern California, Los Angeles, CA (SM, JR, AM); Marshall School of Business, University of Southern California, Los Angeles, CA (WL); Keck School of Medicine, University of Southern California, Los Angeles, CA (FRO).
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Francis Reyes Orozco
From Department of Family Medicine, University of Southern California, Los Angeles, CA (SM, JR, AM); Marshall School of Business, University of Southern California, Los Angeles, CA (WL); Keck School of Medicine, University of Southern California, Los Angeles, CA (FRO).
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Jehni Robinson
From Department of Family Medicine, University of Southern California, Los Angeles, CA (SM, JR, AM); Marshall School of Business, University of Southern California, Los Angeles, CA (WL); Keck School of Medicine, University of Southern California, Los Angeles, CA (FRO).
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Anjali Mahoney
From Department of Family Medicine, University of Southern California, Los Angeles, CA (SM, JR, AM); Marshall School of Business, University of Southern California, Los Angeles, CA (WL); Keck School of Medicine, University of Southern California, Los Angeles, CA (FRO).
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Article Figures & Data

Figures

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  • Figure 1.
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    Figure 1.

    Video visits rated better than office visits in 3 domains (n = 797).

  • Figure 2.
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    Figure 2.

    Times and days of the week in which patients were willing to use video visits (multiple selections allowed).

Tables

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    Table 1.

    Participant Baseline Medical Appointment Experiences and Characteristics

    Question and Responsen (Percent)
    How do you usually get to your medical appointment?
        I drive in my personal vehicle666 (84%)
        A friend or family member drives me in that person's personal vehicle134 (17%)
        Bus, train, or some form of public transportation34 (4%)
        Rideshare (eg, Uber, Lyft, others)36 (5%)
        Senior ride program (Dial-a-ride, others)4 (1%)
        Taxi3 (0%)
        Bicycle7 (1%)
        Walk23 (3%)
        Scooter0 (0%)
    Approximately how long does it take you to get to your medical appointments?
        Less than 10 minutes62 (8%)
        10 to 15 minutes172 (22%)
        16 to 30 minutes308 (39%)
        31 to 45 minutes147 (18%)
        46 to 60 minutes67 (8%)
        Over 1 hour41 (5%)
    Approximately how many miles do you usually travel to get to your medical appointments?
        1 to 3 miles93 (12%)
        4 to 6 miles207 (26%)
        7 to 10 miles199 (25%)
        11 to 15 miles126 (16%)
        Over 15 miles172 (22%)
    What is your stated gender?
        Male199 (25%)
        Female591 (74%)
        Other:7 (1%)
    What is your race? Choose all that apply.
        White403 (51%)
        Black or African American44 (6%)
        American Indian or Alaska Native6 (1%)
        Asian Indian14 (2%)
        Chinese43 (5%)
        Filipino18 (2%)
        Japanese20 (3%)
        Korean15 (2%)
        Vietnamese2 (0%)
        Other Asian15 (2%)
        Native Hawaiian0 (0%)
        Guamanian or Chamorro1 (0%)
        Samoan0 (0%)
        Other Pacific Islander4 (1%)
        Mexican, Mexican American, Chicano/a197 (25%)
        Puerto Rican3 (0%)
        Cuban4 (1%)
        Another Hispanic, Latino/a or Spanish origin64 (8%)
    What is your insurance type?
        EPO (exclusive provider organization)200 (25%)
        PPO (preferred provider organization)410 (51%)
        HMO (health maintenance organization)11 (1%)
        Medicare122 (15%)
        Medicaid/Medi-Cal39 (5%)
        Other15 (2%)
    What is your current employment status?
        Employed491 (62%)
        Unemployed50 (6%)
        Homemaker23 (3%)
        Student31 (4%)
        Retired137 (17%)
        Disabled34 (4%)
        Other:31 (4%)
    What is your role at the University of Southern California?
        Student22 (3%)
        Faculty51 (6%)
        Staff168 (21%)
        Alumni49 (6%)
        Family member/dependent72 (9%)
        Not affiliated with University of Southern California435 (55%)
    What is your marital status? Mark only one.
        Married394 (49%)
        Not married but living with a partner57 (7%)
        Divorced91 (11%)
        Widowed47 (6%)
        Separated6 (1%)
        Single, never been married202 (25%)
    What is the highest grade or level of schooling you completed?
        Less than 8 years8 (1%)
        8 to 11 years9 (1%)
        12 years or completed high school (including GED)39 (5%)
        Post high school training other than college36 (5%)
        Some college145 (18%)
        College graduate252 (32%)
        Postgraduate308 (39%)
    Thinking about members of your family living in this household, what is your combined annual income, meaning the total pretax income from all sources earned in the past year?
        $0 to $999920 (3%)
        $10000 to $1499918 (2%)
        $15000 to $1999919 (2%)
        $20000 to $3499934 (4%)
        $35000 to $4999968 (9%)
        $50000 to $74999115 (14%)
        $75000 to $99999116 (15%)
        $100000 to $199999216 (27%)
        $200000 or more127 (16%)
        Omitted64 (8%)
    Are you a new patient to family medicine?
        Yes295 (37%)
        No498 (62%)
        Omitted4 (1%)
    • View popup
    Table 2.

    Participant Demographics and Visit Distances

    AttributenMeanSDp50MinMax
    Age78848.7017.6747.0018.0098.00
    Children under age of 18 in household7970.480.790.000.004.00
    Typical distance from clinic72912.8640.116.270.00955.97
    Actual distance from clinic73514.4340.246.560.00823.27
    Difference between typical and actual distance from clinic7231.5650.780.00−944.78805.51
    • Abbreviations: SD, standerd deviation.

    • View popup
    Table 3.

    Secondary Analyses (Means of Responses Provided by Demographic Group)

    How willing would you be using the TeleCARE platform to be seen by other physicians at University of Southern California Family Medicine? (1 = completely willing…5 = not at all willing)
    Income<$75000 (n = 459)>=$75000 (n = 274)P value
    1.8611.588< 0.001
    Telehealth useExisting user (n = 365)New user (n = 427)P value
    1.8251.595< 0.001
    In the future, how willing are you to use a TeleCARE video visit again?
    (1 = completely willing…5 = not at all willing)
    Telehealth useExisting user (n = 365)New user (n = 427)P value
    1.4851.3650.0303
    How confident are you that this TeleCARE video visit has protected your privacy as a patient?
    (1 = not at all confident…5 = completely confident)
    EducationNo college education (n = 92)Some college education (n = 705)P value
    4.5544.3560.0415
    Income<$75000 (n = 459)>=$75000 (n = 274)P value
    4.2964.4580.0139
    Age<65 (n = 626)65+ (n = 162)P value
    4.3434.5310.0151
    Overall, how satisfied are you with your telehealth visit?
    (1 = very satisfied…5 = very dissatisfied)
    Age<65 (n = 626)65+ (n = 162)P value
    1.5971.3890.0123
    Compared to an office visit, how long did it take for you to coordinate and participate in your TeleCARE video visit?
    (1 = much shorter than an office visit…5 = much longer than an office visit)
    Age<65 (n = 626)65+ (n = 162)P value
    1.8232.204< 0.001
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The Journal of the American Board of Family Medicine: 35 (3)
The Journal of the American Board of Family Medicine
Vol. 35, Issue 3
May/June 2022
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Patient Perceptions of Video Visits in a Fee-for-Service Model
Sirisha Mohan, Wilson Lin, Francis Reyes Orozco, Jehni Robinson, Anjali Mahoney
The Journal of the American Board of Family Medicine May 2022, 35 (3) 497-506; DOI: 10.3122/jabfm.2022.03.210459

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Patient Perceptions of Video Visits in a Fee-for-Service Model
Sirisha Mohan, Wilson Lin, Francis Reyes Orozco, Jehni Robinson, Anjali Mahoney
The Journal of the American Board of Family Medicine May 2022, 35 (3) 497-506; DOI: 10.3122/jabfm.2022.03.210459
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Keywords

  • Academic Medical Centers
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  • Fee-for-Service Plans
  • Patient Satisfaction
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