A regional hospital network is considering a proposal to replace routine in-person follow-up appointments for patients with well-controlled chronic conditions with video telemedicine consultations, for patients living more than thirty minutes from the nearest clinic. Proponents argue that video consultations take less time out of a patient's day, reduce the need for patients to arrange transportation or take time off work, and allow doctors to see more patients in the same number of clinic hours by freeing up in-person appointment slots for more urgent cases.
Based on a four-month trial involving patients with well-controlled diabetes at one clinic, the hospital network's quality committee has concluded that replacing these follow-up visits with telemedicine consultations would reduce missed appointments and free up clinic capacity for urgent cases, without reducing the quality of care patients receive.