What question did this study set out to answer?

To evaluate the evidence-do gap between clinical guidelines and clinical practice in direct-to-consumer telemedicine, and identify factors linked to deficits in consultation, diagnostic, and treatment quality.

December 1, 2023Telemedicine Journal and e-Health

Evidence-Do Gap in Quality of Direct-To-Consumer Telemedicine: Cross-Sectional Standardized Patient Study in China

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Authors

YYYuting Yang XGXue Gong XGXue Gong

Discussion

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Overview

Cross-sectional standardized patient study reveals widespread guideline nonadherence in direct-to-consumer telemedicine in China, highlighting institutional targets for quality improvement.

Key Points

To evaluate the evidence-do gap between clinical guidelines and clinical practice in direct-to-consumer telemedicine, and identify factors linked to deficits in consultation, diagnostic, and treatment quality.
Conducted a cross-sectional study using standardized patients to assess virtual physician-patient interactions (N = 321) based on China's national clinical guidelines.
Evaluated health worker performance across consultation process, diagnosis, and treatment using multiple linear regression and logistic regression models.
A substantial evidence-do gap was observed, with more than three-quarters of physicians providing low-quality care that diverged from national clinical guidelines.
High-quality consultation processes were significantly associated with Level I and specialized hospitals, physician seniority, internet enterprise sponsorship, and greater provider response frequency and word count.
High-quality diagnosis and treatment were positively associated with higher provider response frequency, total word count, urticaria cases, nonoffice-hour visits, and internet enterprise sponsorship.

Cite This Study

Yang et al. (2023) studied this question.

synapsesocial.com/papers/6a86fbf9ddd5671cb07cc4c1 https://doi.org/10.1089/tmj.2023.0473

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December 1, 2023Telemedicine Journal and e-Health

Evidence-Do Gap in Quality of Direct-To-Consumer Telemedicine: Cross-Sectional Standardized Patient Study in China

View Full Paper

Ask AI

Bookmark

Authors

YYYuting Yang XGXue Gong XGXue Gong

Discussion

Member takes

Overview

Cross-sectional standardized patient study reveals widespread guideline nonadherence in direct-to-consumer telemedicine in China, highlighting institutional targets for quality improvement.

Key Points

To evaluate the evidence-do gap between clinical guidelines and clinical practice in direct-to-consumer telemedicine, and identify factors linked to deficits in consultation, diagnostic, and treatment quality.
Conducted a cross-sectional study using standardized patients to assess virtual physician-patient interactions (N = 321) based on China's national clinical guidelines.
Evaluated health worker performance across consultation process, diagnosis, and treatment using multiple linear regression and logistic regression models.
A substantial evidence-do gap was observed, with more than three-quarters of physicians providing low-quality care that diverged from national clinical guidelines.
High-quality consultation processes were significantly associated with Level I and specialized hospitals, physician seniority, internet enterprise sponsorship, and greater provider response frequency and word count.
High-quality diagnosis and treatment were positively associated with higher provider response frequency, total word count, urticaria cases, nonoffice-hour visits, and internet enterprise sponsorship.

Cite This Study

Yang et al. (2023) studied this question.

synapsesocial.com/papers/6a86fbf9ddd5671cb07cc4c1 https://doi.org/10.1089/tmj.2023.0473

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