Assessing patient’s self-management |
Patient or caregiver report; review medication adherence by memory or list |
Patient can show their organization system; can demonstrate use of inhalers or other medical devices |
Involving family/caregivers |
If a family member/caregiver accompanies patient to office, they may participate in the office visit or stay in waiting room. Family members living far away may not be able to participate. |
Potential to involve more care partners in more visits, even individuals at distant sites. |
Home environment |
Limited, indirect information about level of organization in home, safety of home environment |
Potential for visualizing much of the home environment for level of organization and safety |
Coordination of care and co-management |
Single physician–patient dyad at one visit |
Potential for more than one physician on patient’s care team to join all or part of the same telemedicine visit (e.g., primary care provider and specialist) |
Time and convenience |
Time and convenience favors physician/care team |
Potential for favorable time and convenience benefits for both physician and patient, when the patient is comfortable with the telemedicine modality and has access |
Physical examination |
Opportunity for complete, in-person examination |
Limited visual assessment; some maneuvers may be assessed with involvement of patient and caregiver |
Nonverbal communication |
Can be facilitated by in-person environment |
Can be limited somewhat by video conference modality |
Patient Access |
Transportation, and insurance coverage vs. sliding scale payment model |
Requires access to a device and internet connection |