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. 2021 Jan 21;23(1):e20621. doi: 10.2196/20621

Table 1.

Guide to virtual care channel selection.

Virtual care channel Ideal patient Ideal conditions Nonideal conditions
Video
  • Has access to required technology and the internet

  • Is comfortable with using video technology

  • Has no physical/sensory/cognitive disabilities that would limit videoconference use (unless supported by family and/or friends)

  • All clinical conditions or encounters that do not need hands-on physical examination

  • Follow-up of test results

  • Counselling

  • Discussing treatment options

  • Discussing prognosis

  • Follow-up of symptom severity

  • Workup of complex physical conditions needing physical hands-on examination for diagnosis and therapeutic planning

Secure messaging/email/chat
  • Has access to email/chat

  • Is comfortable with using the modality

  • Has physical or sensory disabilities that make video conferencing/in-person/telephone difficult

  • Has a busy work schedule

  • Follow-up of routine test results that are normal and do not require intervention

  • Answering patient questions about medications

  • Conditions that need very frequent ongoing follow-up

  • Communication regarding upcoming test results

  • Initial encounters with patients

  • Workup of new symptoms, especially complex ones

  • Discussing complex diagnostic/therapeutic plans

  • Initiating new treatments that are complex

  • Breaking bad news

  • Providing prognostic information on major medical illness

Telephone
  • Has barriers to technology/internet access

  • Lacks comfort using video technology

  • Follow-up of test results

  • Follow-up of symptom severity

  • Follow-up of treatment response

  • Counselling

  • Discussing treatment options

  • Treatment titration

  • Discussion of prognosis

  • Initial encounters with patients

  • Workup of new symptoms, especially complex ones