telemedicine encounters for patients diagnosed with RTIs between January 2013 and August 2016.
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Encounter length was defined as the time that the patient was connected to and interacted with the physician
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In total 13 438 encounters, 49% of which were for sinusitis, 14% for pharyngitis, 12% for bronchitis, and 25% for other RTIs.
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I think the break down was pretty consistent to what I see 'antibiotics in 67% of encounters, nonantibiotics in 13%, and nothing in 20%. Rates for prescribing antibiotics ranged from 91% for sinusitis to 15% for other RTIs'
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But the results!? shocking! 'The mean unadjusted encounter length was 6.6 minutes when antibiotics were prescribed, 8.0 minutes when nonantibiotics were prescribed, and 7.5 minutes when nothing was prescribed.'
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I had to read it two or three time and 'adjusted model (Table 2), encounters resulting in nothing being prescribed were 0.33 minutes longer than those resulting in antibiotic prescriptions (95% CI, 0.13 to 0.53 minutes)'
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If you adjust or you don't adjust we are looking at roughly 30seconds to 1 extra minute per pt. for a practice that I think we all would agree is better for the pt.....
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looks like the 'it takes too much time' excuse should go with my left over molded cheese-- in the trash
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Replying to @AndrewBuelt
I take the time for this and other issues but 15% longer time, not including documentation is not insignificant multiplied x 20 throughout your shifts and career. I like to tell myself I do a better job but it doesn’t feel good to see coworkers sign out so much earlier.
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Replying to @grepmeded
I’d argue with dot phrase insertions on EMR that time is easily made up
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No doubt this is a worthy investment I just take issue with the “its only 1 extra minute” to do A, B, C... X, Y, Z sentiment constantly thrown on physician shoulders that leads to burnout via a thousand papercuts. It’s the right thing to do but the time investment is not minor.
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Replying to @grepmeded @AndrewBuelt
especially when physicians are being pitted against their patient satisfaction scores. The docs who make this investment are the same docs who spend extra time on opiates, counseling, and all other issues and that all adds up over time.
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Replying to @grepmeded @AndrewBuelt
I could never fault a poor overbooked PCP 10 charts and 5 patients behind who might take shortcuts now and then esp when a patient comes in with a clear agenda.
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End of conversation
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