Table 2.

Medical History of Patients Who Enrolled in ClickWell Care from January 1, 2015 to September 30, 2015

	OVERALL		IN-PERSON ONLY		SOME VIRTUALa				VIRTUAL ONLYa
					IN-PERSON FIRST		VIRTUAL FIRST
	N	%b	N	%	N	%	N	%	N	%	pc
Total patients	1,207	100.	559	100.	310	100.	124	100.	214	100.
SHCA Health Risk Assessment survey items (n missing)
Self-perception of health (n = 130)
Excellent	312	25.8	141	25.2	65	21	36	29	70	32.7	0.647
Very good	452	37.4	210	37.6	130	41.9	40	32.3	72	33.6
Good	288	23.8	130	23.3	81	26.1	35	28.2	42	19.6
Fair	23	1.9	12	2.1	5	1.6	3	2.4	3	1.4
Poor	2	0.2	1	0.2	0	0	0	0	1	0.5
Preference for in-persond (n = 230)
Always	134	11.1	69	12.3	41	13.2	8	6.5	16	7.5	<0.001
Very frequently	241	20	118	21.1	69	22.3	23	18.5	31	14.5
Occasionally	494	40.9	223	39.9	124	40.0	54	43.5	93	43.5
Rarely	106	8.8	39	7.0	22	7.1	12	9.7	33	15.4
Never	2	0.2	1	0.2	0	0	0	0	1	0.5
Preference for phone contacte (n = 225)
Always	139	11.5	67	12	38	12.3	9	7.3	25	11.7	0.434
Very frequently	274	22.7	114	20.4	77	24.8	38	30.6	45	21
Occasionally	455	37.7	216	38.6	113	36.5	45	36.3	81	37.9
Rarely	97	8	50	8.9	21	6.8	5	4	21	9.8
Never	17	1.4	6	1.1	7	2.3	1	0.8	3	1.4
Preference for video chate (n = 227)
Always	59	4.9	23	4.1	18	5.8	5	4	13	6.1	0.007
Very frequently	145	12	55	9.8	37	11.9	22	17.7	31	14.5
Occasionally	458	37.9	202	36.1	122	39.4	43	34.7	91	42.5
Rarely	173	14.3	100	17.9	38	12.3	17	13.7	18	8.4
Never	145	12	71	12.7	41	13.2	11	8.9	22	10.3
Preference for email contact (n = 226)
Always	234	19.4	106	19	53	17.1	21	16.9	54	25.2	0.422
Very frequently	297	24.6	123	22	87	28.1	35	28.2	52	24.3
Occasionally	385	31.9	190	34	100	32.3	38	30.6	57	26.6
Rarely	46	3.8	27	4.8	7	2.3	4	3.2	8	3.7
Never	19	1.6	6	1.1	9	2.9	1	0.8	3	1.4
Health Risk Score (n = 132)
0	208	17.2	108	19.3	40	12.9	22	17.7	38	17.8	0.368
1–2	602	49.8	278	49.7	163	52.6	62	50.0	99	46.3
3–4	214	17.7	85	15.2	64	20.6	24	19.4	41	19.2
5+	51	4.2	22	3.9	14	4.5	5	4.0	10	4.7
Wellness coaching sessionsa
None	967	80.1	475	85.0	226	72.9	97	78.2	169	79.0	0.003
1–2 sessions	122	10.1	41	7.3	42	13.5	16	12.9	23	10.7
3+ sessions	118	9.8	43	7.7	42	13.5	11	8.9	22	10.3
Conditions ever diagnosed within VPC
General medical examination	263	21.8	127	22.7	66	21.3	28	22.6	42	19.6	0.810
Spinal disorders	74	6.1	35	6.3	23	7.4	9	7.3	7	3.3	0.238
Arthropathies and related disorders	79	6.5	26	4.7	19	6.1	7	5.6	27	12.6	0.001
Acute upper respiratory infections excluding pharyngitis	80	6.6	39	7.0	21	6.8	7	5.6	13	6.1	0.936
Rheumatism excluding back	67	5.6	32	5.7	21	6.8	5	4.0	9	4.2	0.532
Essential hypertension	30	2.5	15	2.7	5	1.6	2	1.6	8	3.7	0.455
Disorders of lipoid metabolism	40	3.3	20	3.6	12	3.9	4	3.2	4	1.9	0.607
Acquired hypothyroidism	25	2.1	16	2.9	4	1.3	1	0.8	4	1.9	0.393
Acute pharyngitis	41	3.4	23	4.1	11	3.5	1	0.8	6	2.8	0.307
Specific procedures and aftercare	31	2.6	17	3.0	3	1.0	4	3.2	7	3.3	0.167

^a“Virtual” and “Wellness Coaching” are limited to phone and video encounters.

^bSome patients did not complete all parts of the HRA survey, so column percents may not sum to 100. The first nonmissing response for each item was tabulated for patients with multiple HRA entries.

^cP-values were obtained via chi-square tests or Fisher's exact tests (“self-perception of health” and the five bottom diagnoses). Five-level ordinal covariates were first collapsed into three levels by combining the two levels above and below the middle category.

^dKappa of 0.052 for agreement between self-reported preference of “Always” or “Very Frequently” for in-person contact and ever making in-person visit.

^eKappa of 0.054 for agreement between self-reported preference of “Always” or “Very Frequently” for phone contact or video chat and ever making virtual visit.

HRA, health risk assessment; VPC, virtual primary care.