Evidence map›Paper›PMID 40571878›Full record

Observational studyJournal of general internal medicine2025

Outcomes of Asynchronous e-Visits vs. Telephone or Video Visits for Common Primary Care Concerns.

Mary Reed, Jie Huang, Evangeline Sievers, Reena Bhargava

Abstract readObservational StudyComparative Study
In one paragraph

Observational study in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Mary ReedKaiser Permanente Division of Research, Pleasanton, CA, USA. Mary.e.reed@kp.org.ORCID 0000-0002-8203-1016
Jie HuangKaiser Permanente Division of Research, Pleasanton, CA, USA.
Evangeline SieversThe Permanente Medical Group, Kaiser Permanente Northern California, Santa Clara, CA, USA.
Reena BhargavaThe Permanente Medical Group, Kaiser Permanente Northern California, Santa Clara, CA, USA.

Funding

Translational Research Core - Health Engagement & Action Translational (HEAT)P30DK092924 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI Alyce Sophia Adams, HILARY Kessler SELIGMAN · 2011 to 2026
$9.2M
AHRQ HHS R01HS25189NIDDK NIH HHS P30 DK092924
6 · The paper itself

Abstract

backgroundAsynchronous structured electronic visits (e-Visits) can offer efficient day-or-night care-seeking for some uncomplicated conditions when linked to their electronic health record.

objectiveCompare asynchronous e-Visit outcomes with scheduled telemedicine visits.

designObservational cohort study in an integrated delivery system during a COVID-19 pandemic restrictions on in-person visits.

participantsAll 24,584 patients newly seeking primary care for urinary tract infection (UTI) or pink eye via e-Visit or telephone/video visit April 2020-March 2021.

interventionsAsynchronous e-Visits. MAIN MEASURES: Antibiotic prescribing and follow-up care-seeking within 72 h or 7 days (office or ED visits, hospitalization) were examined using multivariable analyses. KEY

resultsAmong 14,909 e-Visits, 6290 telephone visits, and 3385 video visits: 69.1% of UTI visits were e-Visits and 31.5% for pink eye were e-Visits. After adjustment, for UTI, 90.7% (95% CI: 90.2%-91.2%) of e-Visit patients received an antibiotic prescription and 13.9% (95% CI: 8.5%-9.5%) had a clinically related 7-day outpatient visit (vs. 60.7% [95% CI: 59.2%-62.1%] antibiotic prescribing for telephone and 57.3% [95% CI: 54.4%-60.2%] for video; 8.8% [95% CI: 8.0%-9.6%] return visits after telephone visit, and 9.0% [95% CI: 7.4%-10.6%] after video). For pink eye, 36.8% (95% CI: 33.7%-38.3%) of e-Visits received an antibiotic prescription and 13.9% (95% CI: 12.3%-15.6%) had an outpatient visit (vs. 42.6% [95% CI: 40.2%-45.1%] antibiotic prescribing for telephone and 39.9% [95% CI: 37.8%-41.9%] for video; 11.0% [95% CI: 9.4%-12.6%] return visits after telephone visit and 10.6% [95% CI: 9.4%-11.9%] after video). Clinically related emergency room visits were rare and not significantly different between visit types.

conclusionsAntibiotic prescribing varied, but return follow-up visits were comparable between telemedicine channels for UTI. Return rates for pink eye were 3% marginally higher after e-Visit than for scheduled telemedicine, without ED visit or hospitalization differences. Asynchronous care options for common primary care concerns may expand care access with comparable outcomes. Additional outreach may be needed to ensure access and awareness of e-Visits.

Indexed as

Primary Health CareTelemedicineTelephoneAdultAgedAnti-Bacterial AgentsCohort StudiesCOVID-19FemaleHumansMaleMiddle AgedUrinary Tract InfectionsAnti-Bacterial Agents

Identifiers

PMID40571878
PMCPMC12586815

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.