Table 2.
Reasons for Noncontinuitya Visits
| N | % | |
|---|---|---|
| Clinician(s) designated to do telemedicine visits out of office, within-practice coverage not arranged |
96 |
39.5 |
| Primary care practice indicated they were too busy to provide telemedicine visit |
47 |
19.3 |
| Child's insurance did not reimburse (43, all FFS Medicaid) or child had no insurance |
43 |
17.7 |
| Visit requested later than practice accepts them (4:00 PM)b |
27 |
11.1 |
| Technical problem at clinician site |
17 |
7.0 |
| Error in recording of primary care practice, wrong practice contacted about |
6 |
2.5 |
| Primary care practice unable to complete visit within available time (e.g., parent picked up child) |
4 |
1.6 |
| Child site requested another opinion |
1 |
0.4 |
| Family had unpaid bill, practice refused to do visit |
1 |
0.4 |
| Practice indicated they were not the child's primary care practice |
1 |
0.4 |
| 243 | 100.0 |
a
Continuity was measured for the 1,557 visits during the Primary Care Phase that were made by children with a participating primary care practice. For these visits, continuity was 83.2%. Reason was not recorded for 18 of the 261 total noncontinuity visits, leaving the 243 visits that were classified as above.
b
The Health-e-Access Scheduler and most participating practices accepted requests for visits that were made before 4:30 PM.
FFS, fee-for-service.