Point-of-Care Virtual Radiology Consultations in Primary Care: A Feasibility Study of a New Model for Patient-Centered Care in Radiology |
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| Institution: | 1. Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts;2. Department of Internal Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts;3. Department of Radiology, University of Washington School of Medicine, Seattle, Washington;1. Vice Chair of Academic Affairs and Associate Program Director of the Diagnostic Radiology Residency in the Department of Radiology, Boston University Medical Center, Boston, Massachusetts;2. Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts;3. Chair of Radiology, Department of Radiology, Boston University Medical Center, Boston, Massachusetts;4. Director of Academic Innovation for the Department of Medical Imaging Department, Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois;5. Director of Radiology, Denver Health, Denver, Colorado;6. Professor and Vice Chair, Department of Radiology, University of Colorado School of Medicine, Denver, Colorado;1. Division of Endocrinology, Department of Medicine, University of Florida, Gainesville, Florida;2. Division of Endocrinology, Metabolism, and Lipid Research, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri;3. Division of Neuroradiology, Department of Radiology and Radiological Science, Johns Hopkins School of Medicine, Baltimore, Maryland;4. Division of Endocrinology, Department of Medicine, Mayo Clinic, Rochester, Minnesota;1. Mayo Clinic Alix School of Medicine, Scottsdale, Arizona;2. Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania;1. Section Chief of Abdominal Imaging, Department of Radiology, NYU Langone Health, New York, New York;2. CRICO Strategies; part of the Risk Management Foundation of the Harvard Medical Institutions, Inc., Boston, Massachusetts;3. Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York;4. National Academies of Sciences, Engineering, and Medicine, Washington, DC;5. Chair of the Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York;1. Department of Radiology and Medical Imaging, University of Virginia Health, Charlottesville, Virginia;2. Nines Inc, Palo Alto, California |
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| Abstract: | BackgroundThe goal of this study is to assess the value of point-of-care virtual consultations in radiology.MethodsWe conducted an institutional review board–approved feasibility study of video-based radiology consultations in an internal medicine primary care clinic at a quaternary academic medical center. The study included 3 primary care providers (PCPs) and enrolled 43 patients. Inclusion criteria consisted of the following: age > 18 years, English speaking, recent radiology examination at our institution, and patient consenting to participate. Patients completed a pre- and postvisit survey. PCPs completed a postvisit survey. Primary study end points included the effect on patient and provider satisfaction, effect on patient experience and understanding of medical condition, and impact on PCP’s management decisions. Statistical significance was assessed using Fisher’s exact test.ResultsOf the enrolled patients, 93% (n = 40 of 43) indicated that they were satisfied with the virtual consultation visit. The PCPs were satisfied with the virtual consultation in 97% of consultations (n = 42 of 43). In addition, 88% (n = 38 of 43) of patients indicated improved understanding of their medical condition as a result of the virtual consultation, and 91% of patients (n = 39 of 43) were interested in similar consultations in the future. The participating PCPs indicated that the consultation was helpful in their management decisions in 83% of visits. Patient’s interest in receiving their imaging results from radiologist increased from 56% to 88% when comparing pre– and post–virtual consultation survey results (P = .03).ConclusionInitial experience with virtual radiology consultations show high rates of patient and provider satisfaction. Virtual radiology consultations have the potential to advance radiology’s value in care delivery. |
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| Keywords: | Patient-centered care primary care virtual visit |
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