Feasibility of a Telemedicine Urgent Care Program to Address Patient Complaints on First Contact

Many health systems employ nurse telephone advice services to facilitate remote triage of patients to appropriate level of care. However, the effectiveness of these programs to reduce ED and subsequent health care utilization remains to be demonstrated. We describe a novel virtual urgent care progra...

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Main Authors: Amy D. Lu, Myla Junge, Jonathan Garber, Anna K. Abramson, Mary A. Whooley, Janeen E. Smith
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Emergency Medicine International
Online Access:http://dx.doi.org/10.1155/2020/8875644
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author Amy D. Lu
Myla Junge
Jonathan Garber
Anna K. Abramson
Mary A. Whooley
Janeen E. Smith
author_facet Amy D. Lu
Myla Junge
Jonathan Garber
Anna K. Abramson
Mary A. Whooley
Janeen E. Smith
author_sort Amy D. Lu
collection DOAJ
description Many health systems employ nurse telephone advice services to facilitate remote triage of patients to appropriate level of care. However, the effectiveness of these programs to reduce ED and subsequent health care utilization remains to be demonstrated. We describe a novel virtual urgent care program implemented within a Veterans Affairs (VA) health care system that interfaces with a nurse telephone advice line and leverages telemedicine tools to rapidly address and resolve nonemergent conditions. During a 4-month pilot period, 104 unique patients received care through the program, and over 85% of patients achieved timely resolution for their urgent complaints on first contact with the health care system. Demonstrating feasibility for such a program has potential implications for the optimization of remote triage and urgent care services to improve health care utilization and outcomes.
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spelling doaj-art-d71a3823a4564e86aece03b7567b243e2025-08-20T03:19:47ZengWileyEmergency Medicine International2090-28402090-28592020-01-01202010.1155/2020/88756448875644Feasibility of a Telemedicine Urgent Care Program to Address Patient Complaints on First ContactAmy D. Lu0Myla Junge1Jonathan Garber2Anna K. Abramson3Mary A. Whooley4Janeen E. Smith5San Francisco Veterans Affairs Health Care System, San Francisco, USASan Francisco Veterans Affairs Health Care System, San Francisco, USASan Francisco Veterans Affairs Health Care System, San Francisco, USASan Francisco Veterans Affairs Health Care System, San Francisco, USASan Francisco Veterans Affairs Health Care System, San Francisco, USASan Francisco Veterans Affairs Health Care System, San Francisco, USAMany health systems employ nurse telephone advice services to facilitate remote triage of patients to appropriate level of care. However, the effectiveness of these programs to reduce ED and subsequent health care utilization remains to be demonstrated. We describe a novel virtual urgent care program implemented within a Veterans Affairs (VA) health care system that interfaces with a nurse telephone advice line and leverages telemedicine tools to rapidly address and resolve nonemergent conditions. During a 4-month pilot period, 104 unique patients received care through the program, and over 85% of patients achieved timely resolution for their urgent complaints on first contact with the health care system. Demonstrating feasibility for such a program has potential implications for the optimization of remote triage and urgent care services to improve health care utilization and outcomes.http://dx.doi.org/10.1155/2020/8875644
spellingShingle Amy D. Lu
Myla Junge
Jonathan Garber
Anna K. Abramson
Mary A. Whooley
Janeen E. Smith
Feasibility of a Telemedicine Urgent Care Program to Address Patient Complaints on First Contact
Emergency Medicine International
title Feasibility of a Telemedicine Urgent Care Program to Address Patient Complaints on First Contact
title_full Feasibility of a Telemedicine Urgent Care Program to Address Patient Complaints on First Contact
title_fullStr Feasibility of a Telemedicine Urgent Care Program to Address Patient Complaints on First Contact
title_full_unstemmed Feasibility of a Telemedicine Urgent Care Program to Address Patient Complaints on First Contact
title_short Feasibility of a Telemedicine Urgent Care Program to Address Patient Complaints on First Contact
title_sort feasibility of a telemedicine urgent care program to address patient complaints on first contact
url http://dx.doi.org/10.1155/2020/8875644
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