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      Access and Quality of Care in Direct-to-Consumer Telemedicine

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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Direct-to-consumer (DTC) telemedicine serves millions of patients; however, there is limited research on the care provided. This study compared the quality of care at Teladoc ( www.teladoc.com ), a large DTC telemedicine company, with that at physician offices and compared access to care for Teladoc users and nonusers.

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          Most cited references7

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          Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update by the Infectious Diseases Society of America

          Abstract The guideline is intended for use by healthcare providers who care for adult and pediatric patients with group A streptococcal pharyngitis. The guideline updates the 2002 Infectious Diseases Society of America guideline and discusses diagnosis and management, and recommendations are provided regarding antibiotic choices and dosing. Penicillin or amoxicillin remain the treatments of choice, and recommendations are made for the penicillin-allergic patient, which now include clindamycin.
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            Appropriate use of screening and diagnostic tests to foster high-value, cost-conscious care.

            Unsustainable rising health care costs in the United States have made reducing costs while maintaining high-quality health care a national priority. The overuse of some screening and diagnostic tests is an important component of unnecessary health care costs. More judicious use of such tests will improve quality and reflect responsible awareness of costs. Efforts to control expenditures should focus not only on benefits, harms, and costs but on the value of diagnostic tests-meaning an assessment of whether a test provides health benefits that are worth its costs or harms. To begin to identify ways that practicing clinicians can contribute to the delivery of high-value, cost-conscious health care, the American College of Physicians convened a workgroup of physicians to identify, using a consensus-based process, common clinical situations in which screening and diagnostic tests are used in ways that do not reflect high-value care. The intent of this exercise is to promote thoughtful discussions about these tests and other health care interventions to promote high-value, cost-conscious care.
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              A comparison of care at e-visits and physician office visits for sinusitis and urinary tract infection.

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                Author and article information

                Journal
                Telemedicine and e-Health
                Telemedicine and e-Health
                Mary Ann Liebert Inc
                1530-5627
                1556-3669
                April 2016
                April 2016
                : 22
                : 4
                : 282-287
                Affiliations
                [1 ]RAND Corporation, Arlington, Virginia.
                [2 ]California Public Employees' Retirement System, Sacramento, California.
                [3 ]RAND Corporation, Pittsburgh, Pennsylvania.
                [4 ]Harvard Medical School, Boston, Massachusetts.
                Article
                10.1089/tmj.2015.0079
                4968275
                26488151
                12259693-6df5-470f-aac4-05d4d684feb6
                © 2016

                https://www.liebertpub.com/nv/resources-tools/text-and-data-mining-policy/121/

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