Research Article
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Published Online: 30 January 2015

Online Medical Care: The Current State of “eVisits” in Acute Primary Care Delivery

Publication: Telemedicine and e-Health
Volume 21, Issue Number 2


Background: Online technologies offer the promise of an efficient, improved healthcare system. Patients benefit from increased access to care, physicians are afforded greater flexibility in care delivery, and the health system itself benefits from lower costs to provide such care. One method of incorporating online care into clinical practice, called electronic office visits or “eVisits,” allows physicians to provide a consultation with patients online. We performed an analysis of the current published literature on eVisits as well as present emerging research describing the use of mobile platforms as the delivery model. We focused on the role of eVisits in acute primary care practice. Materials and Methods: A literature review was conducted using electronic databases with a variety of search terms related to the use of eVisits in primary care. Results: Several advantages to eVisit utilization in the primary care setting were identified, namely, improvements in efficiency, continuity of care, quality of care, and access to care. Barriers to eVisit implementation were also identified, including challenges with incorporation into workflow, reimbursement, physician technological literacy, patient health literacy, overuse, security, confidentiality, and integration with existing medical technologies. Conclusions: Only one study of patient satisfaction with eVisit acute primary care services was identified, and this suggests that previous analyses of eVisit utilization are lacking this key component of healthcare service delivery evaluations. The delivery of primary care via eVisits on mobile platforms is still in adolescence, with few methodologically rigorous analyses of outcomes of efficiency, patient health, and satisfaction.

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Information & Authors


Published In

cover image Telemedicine and e-Health
Telemedicine and e-Health
Volume 21Issue Number 2February 2015
Pages: 90 - 96
PubMed: 25474083


Published in print: February 2015
Published online: 30 January 2015
Published ahead of print: 4 December 2014
Accepted: 21 May 2014
Revision received: 15 May 2014
Received: 29 January 2014


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Ryan Hickson
College of Pharmacy, University of Kentucky, Lexington, Kentucky.
Jeffery Talbert
Institute for Pharmaceutical Outcomes and Policy, University of Kentucky, Lexington, Kentucky.
William C. Thornbury
College of Medicine, University of Kentucky, Lexington, Kentucky.
Nathan R. Perin
Institute for Pharmaceutical Outcomes and Policy, University of Kentucky, Lexington, Kentucky.
Amie J. Goodin
Institute for Pharmaceutical Outcomes and Policy, University of Kentucky, Lexington, Kentucky.
Martin School of Public Policy and Administration, University of Kentucky, Lexington, Kentucky.


Address correspondence to:Amie J. Goodin, MPPUniversity of Kentucky789 South Limestone Street, BPC 237Lexington, KY 40536-0596E-mail: [email protected]

Disclosure Statement

W.C.T. is the founder and owner of an eVisit technology called “Me-Visit.” R.H., J.T., N.R.P., and A.J.G. declare no competing financial interests exist.

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