Multivariate Analysis of Physicians' Practicing Behaviors in an Urgent Care Telemedicine Intervention.

ABSTRACT

When assessing the characteristics and performance of telemedicine interventions, most studies followed a patient- centric approach, leaving the telemedicine providers' role out of consideration. As a result, little was known about the demographics and prescription pattern of telemedicine physicians, the knowledge of which is integral to a holistic evaluation of the virtual delivery of accountable care. To fill this gap, our study explored how physicians' traits and encounter-specific characteristics correlate with prescription outcomes, using multivariate analyses. Significant inter-physician variation in prescription behaviors was observed and analyzed in sub-groups. The average Virtual Urgent Care physician's prescription likelihood was 69% with a mean prescription count of 0.98; male physicians and primary care providers tended to prescribe both more often and with a greater number of medications. This study called attention to the quality and reproducibility of telemedicine providers' prescription decision and warned the likely absence of well-defined practice guidelines for delivering virtual care.