RT Journal Article SR Electronic T1 Not Telehealth: Which Primary Care Visits Need In-Person Care? JF The Journal of the American Board of Family Medicine JO J Am Board Fam Med FD American Board of Family Medicine SP S162 OP S169 DO 10.3122/jabfm.2021.S1.200247 VO 34 IS Supplement A1 Yalda Jabbarpour A1 Anuradha Jetty A1 Matthew Westfall A1 John Westfall YR 2021 UL http://www.jabfm.org/content/34/Supplement/S162.abstract AB The Coronavirus disease 2019 (COVID 19) pandemic has resulted in a rapid shift to telehealth and many services that need in-person care have been avoided. Yet, as practices and payment policies return to a new normal, there will be many questions about what proportion of visits should be done in-person vs telehealth. Using the 2016 National Ambulatory Medical Survey (NAMCS), we estimated what proportion of visits were amenable to telehealth before COVID-19 as a guide. We divided services into those that needed in-person care and those that could be done via telehealth. Any visit that included at least 1 service where in-person care was needed was counted as an in-person only visit. We then calculated what proportion of reported visits and services in 2016 could have been provided via telehealth, as well as what proportion of in-person only services were done by primary care. We found that 66% of all primary care visits reported in NAMCS in 2016 required an in-person service. 90% of all wellness visits and immunizations were done in primary care offices, as were a quarter of all Papanicolaou smears. As practices reopen, patients will need to catch up on many of the in-person only visits that were postponed such as Papanicolaou smears and wellness visits. At the same time, patients and clinicians now accustomed to telehealth may have reservations about returning to in-person only visits. Our estimates may provide a guide to practices as they navigate how to deliver care in a post-COVID-19 environment.