Table 2.
Telemedicine visit diagnoses in practices (N=45) with low, intermediate, and high telemedicine use from March 18 to May 2, 2020.
| Variable | Telemedicine use | P valuea | |||
|
|
|
Low | Intermediate | High |
|
| Telemedicine visits per 1000 patients per week, range | 5-9.6 | 9.7-14 | 15-23 | N/Ab | |
| Number of practices, n (%) | 15 (33.3) | 15 (33.3) | 15 (33.3) | N/A | |
| Visit diagnosis categoryc (total visits), n (%) | |||||
|
|
Mental, behavioral, and neurodevelopmental diagnoses | 969 (36.4) | 1704 (31.9) | 2724 (28.4) | <.001 |
|
|
Skin and subcutaneous tissue diagnoses | 467 (17.5) | 801 (15.0) | 1435 (15.0) | .006 |
|
|
Respiratory system diagnoses | 297 (11.2) | 684 (12.8) | 1395 (14.6) | <.001 |
|
|
Digestive system diagnoses | 182 (6.8) | 396 (7.4) | 697 (7.3) | .60 |
|
|
Infectious and parasitic diagnoses | 176 (6.6) | 390 (7.3) | 746 (7.8) | .04 |
|
|
Injury/poisoning | 92 (4) | 184 (3.4) | 437 (4.6) | .001 |
|
|
General symptoms and signs | 77 (3.5) | 241 (4.5) | 416 (4.3) | .01 |
|
|
Eye diagnoses | 77 (3.5) | 147 (2.8) | 255 (2.7) | .50 |
|
|
Ear and mastoid process diagnoses | 45 (1.7) | 230 (4.3) | 395 (4.1) | <.001 |
|
|
Genitourinary system diagnoses | 45 (1.7) | 123 (2.3) | 240 (2.5) | .02 |
|
|
Otherd | 234 (8.8) | 435 (8.2) | 847 (8.8) | .60 |
aP values indicate significance of proportion of telemedicine visits within each individual diagnosis category compared across practice-level telemedicine use tertiles using logistic regression.
bN/A: not applicable.
cCategories based on codes in the International Classification of Diseases, Tenth Revision, Clinical Modification.
dDiagnostic categories with less than 2% of visits are represented in this “other” category; these included neoplasms and hematologic diagnoses, endocrine, nutritional and metabolic diseases, nervous system diagnoses, circulatory system diagnoses, musculoskeletal diagnoses , peripartum and perinatal diagnoses, congenital anomalies, and symptoms and signs not otherwise classified, as well as codes for special purposes, injuries, and contact with health services.