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You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Practice Patterns, Quality of Life and Shared Decision Making II (MP39)1 Apr 2019


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    Telehealth in the form of video visits provides an opportunity for patients access to high quality healthcare at a great value and with convenience while allowing providers to reach patients with greater efficiency. We examined the telehealth video visits to determine overall patient benefit.


    We examined 337 completed video visit encounters and evaluated the direct savings to patients and potential indirect savings for both patient and provider. The telehealth video visits were performed by a single provider at a busy urology practice specializing in fertility and andrology.


    Access to specialty care is increasing difficulty for patients outside of cities, and increased access was demonstrated by patient location. The cohort of patients in this study reside in 29 out of 58 counties in California and 5 patients were from outside the state. An increasing referral base translates into greater travel distances for patients to reach clinic visits. By participating in a telehealth video visit compared to in-person clinic visit the patient cohort saved 38,144.60 driving miles (calculated by multiplying county to county miles per encounter (SF to patient county Roundtrip), 996.25 driving hours, $6,675.31 in gas ($3.55/g), and $2,656 in parking fees (2 hours of parking = $8.00). From the clinician perspective telehealth video visits provided clinical efficiency in several forms. Telehealth video visits increased provider efficiency with increased number of encounters per clinic compared to an equivalent in-person clinic visits. This opens up more provider availability to see new patients or patients more appropriate for in-person clinic visits. In addition clinic cost saving for a the institution included front desk staff and nursing labor for patient rooming and vitals as well as clinic room use.


    Telehealth video visits provide the patient with increased access to care, especially specialty care not locally available. In addition telehealth video visits provide cost and convenience benefits for patients and increased efficiency for provider and institution.

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    San Francisco, CA