Issue link: http://viewer.e-digitaledition.com/i/759717
Results Results That That Deliver Deliver Chronic Back and Neck Care That Works • 98% patient satisfaction • 150% increase in Lumbar range of motion & strength • 123% increase in Cervical range of motion & strength • 73% of patients rate their headache reduction between 50-100% • 73% of patients rate their use of medications decreased 50-100% ...Without Surgery, Injections or Drugs 5 Convenient Twin Cities Locations Edina 952-908-2700 Chanhassen 952-908-2730 Burnsville 952-908-2710 Coon Rapids 952-908-2580 Maplewood 952-908-2727 www.PDRclinics.com 1 8P R A C T I C E M A N A G E M E N T BY STEVE BARRETT PATIENTS RECEIVED URGENT CARE OF WIDEžR ANGING QUALIT Y VIA VIDEOCONFERENCE, TELEPHONE OR WEBCHAT WITH PROVIDERS AT COMMERCIAL VIRTUAL VISIT WEBSITES, ACCORDING TO RESE ARCH IN JAMA INTERNAL MEDICINE. Quality of VIRTUAL URGENT CARE Varies Widely APPROXIMATELY 70 STANDARDIZED and trained patients presented to eight such companies with conditions including acute rhinosinusitis, ankle pain, low-back pain, recurrent female urinary tract infection, streptococcal pharyngitis and viral pharyngitis. They completed 599 virtual visits — most by videoconference — with 157 physicians in emergency medicine, family practice or internal medicine. Researchers assessed the thoroughness of the resulting patient histories and physical exams, as well as the correct- ness of diagnoses and physicians' adherence to guidelines in management decisions. The study found that physicians: + Covered a ll recommended patient history questions and performed all recommended exam maneuvers in nearly 70 percent of visits + Correctly diagnosed the condition in roughly 77 percent of visits, incorrectly diagnosed the condition in about 15 percent of visits and provided no diagnosis in the remaining visits + Followed guidelines for key management decisions in about 54 percent of visits + Referred patients to brick-and-mortar healthcare facilities in about 14 percent of visits Variation on care measures was significantly higher for viral pharyngitis and acute rhinosinusitis than for the other conditions, the authors note, but "No statistically significant variation in guideline adherence by mode of communication (videoconference vs telephone vs webchat) was found." Video consultations between primary care physicians and patients are expected to grow to 5.4 million annually by 2020, according to analytics firm IHS. ■ 1 8