Name
Title | ||
|---|---|---|
The Impact of E-Visits on Visit Frequencies and Patient Health: Evidence from Primary Care |
Abstract | ||
|---|---|---|
AbstractSecure messaging, or "e-visits," between patients and providers has sharply increased in recent years, and many hope they will help improve healthcare quality, while increasing provider capacity. Using a panel data set from a large healthcare system in the United States, we find that e-visits trigger about 6% more office visits, with mixed results on phone visits and patient health. These additional visits come at the sacrifice of new patients: physicians accept 15% fewer new patients each month following e-visit adoption. Our data set on nearly 100,000 patients spans from 2008 to 2013, which includes the rollout and diffusion of e-visits in the health system we study. Identification comes from difference-in-differences estimates leveraging variation in the timing of e-visit adoption by both patients and providers. We conduct several robustness checks, including matching analyses and an instrumental variable analysis to account for possible time-varying characteristics among patient e-visit adopters. This paper was accepted by Chris Forman, information systems. |
Year | DOI | Venue |
|---|---|---|
2018 | 10.1287/mnsc.2017.2900 | Periodicals |
Keywords | Field | DocType |
healthcare operations,service operations,primary care,e-visits,patient portals,empirical | Panel data,Health care,Secure messaging,Family medicine,Instrumental variable,Service system,Patient portal,Health information technology,Phone,Medical emergency,Medicine | Journal |
Volume | Issue | ISSN |
64 | 12 | 0025-1909 |
Citations | PageRank | References |
1 | 0.37 | 16 |
Authors | ||
3 | ||
Name | Order | Citations | PageRank |
|---|---|---|---|
| Hessam Bavafa | 1 | 1 | 0.37 |
| Lorin M. Hitt | 2 | 2426 | 223.11 |
| Christian Terwiesch | 3 | 816 | 84.00 |