face-to-face clinical office visits every year1
can be conducted virtually
Armed with a smartphone or device, 13 of the top 15 encounters can be virtual visits.
The other two visits that remain face-to-face are Gynecological examinations and Well baby examinations.
The table below documents whether an encounter can be virtual or face-to-face, how it would be conducted using a spectrum of tools, and what health information is necessary to collect.
|Reason for Visit||Encounter & Device||Text||Image||Audio||Video||Vitals||Labs||Imaging||Other||% of Visits|
|Medication, other and unspecifed kinds||3.6%|
|Joint pain (knee, shoulder, etc.)||2.9%|
|Gynecological examination||Gynecologic exam (specialist)||2.1%|
|Prenatal examination, routine|
|Stomach and abdominal pain, cramps, and spasms||1.5%|
|Well baby examination||Milestones exam (specialist)||1.3%|
Every 3 months Hemoglobin A1C. Every year fasting lipid profile, liver function tests, urine albumin excretion, serum creatinine.
|Skin rash, lesion|
Photo of rash/lesion
|Symptoms referable to throat||Strep test||0.9%|
|All other reasons||50.2%|
Blood Pressure Cuff
On average, it takes 24 days and 59.21 minutes for a patient to complete an office visit with their clinician.
|Waiting for appointment||24 days3|
|Waiting for clinician in office||41 minutes4|
|Consultation with clinician||18.21 minutes4|
|Total||24 days and 59.21 minutes|
Given the time investment for receiving care, it's no surprise that 15.6%5 of patients avoid medical care due to time constraints.
Physicians don't scale.
Patients and software scales.
The Virtual Care diagram documents which clinical office visits could be virtual, how they could be conducted, and what health information is necessary. The diagram examines the top 15 reasons for clinical office visits from Table 11 in the National Ambulatory Medical Care Survey in 2015.
Our working document of research is available for review and comment.
The section below documents how we consolidated the 20 reasons for office visits down to 15.
'Routine checkup' label is new and represents:
'Joint pain' label is new and represents:
'All other reasons' label existed but now also represents:
The section below documents how we calculated the 'Percent distribution' due to the consolidation of reasons for office visits.
Routine checkup (24.4% | 242,782,000) = Progress visit, not otherwise specifed (14.1% | 140,842,000) + General medical examination (7.6% | 75,412,000) + Counseling, not otherwise specifed (2.7% | 26,528,000)
Joint pain (2.9% | 28,860,000) = Knee symptoms (1.6% | 16,241,000) + Shoulder symptoms (1.3% | 12,619,000)
All other reasons (50.2% | 498,058,000) = For other and unspecifed test results (1.5% | 15,159,000) + Other special examination (0.9% | 9,092,000) + All other reasons (47.8% | 473,807,000)
The section below documents how we calculated the 46% (rounded down) and 459M (rounded up) of office visits that can be conducted virtually.
Virtual office visits (46.4% | 458,798,000) = Routine checkup (24.5% | 242,782,000) + Medication, other and unspecifed kinds (3.6% | 35,232,000) + Joint pain (2.9% | 28,860,000) + Postoperative visit (2.6% | 25,441,000) + Cough (2.1% | 20,984,000) + Prenatal examination, routine (1.8% | 18,152,000) + Back pain (1.6% | 15,875,000) + Hypertension (1.6% | 15,762,000) + Stomach and abdominal pain, cramps, and spasms (1.5% | 15,026,000) + Diabetes mellitus (1.3% | 12,432,000) + Skin rash, lesion (1.0% | 9,464,000) + Preoperative visit (1.0% | 9,443,000) + Symptoms referable to throat (0.9% | 9,346,000)