A CONCEPTUAL CATEGORIZATION OF THE RAPIDLY DIVERSIFYING VIRTUAL HEALTH CARE INITIATIVES IN THE UNITED STATES TODAY
Author(s)
Wilson L, Kim A, Szeto D
University of California, San Francisco, San Francisco, CA, USA
The current United States healthcare system has been battling the increasingly unsustainable costs of healthcare, with the Gross National Product spending attributed to healthcare exceeding an estimated record-high of 18 percent in 2015. As such, grave efforts have spurred to promote cost savings by solving existing inefficiencies in the workstream, through effective triaging, decrease in hospital readmissions, and increase in access to physicians. Increasing pressures to contain costs has led to more cost-effective options through the implementation of virtual healthcare. We propose “virtual healthcare” as a new term to reflect the integration of rapidly diversifying uses and forms of technology that focus specifically on the ‘care component’ of healthcare. We develop four distinct levels by which virtual healthcare can be characterized. These levels build upon each other via increasing virtual integration. The first level is single isolated technologies, which exist as mobile health applications that provide health resources and education. The second level is single electronic health services, which is an isolated health service that can be synchronously or asynchronously integrated into a healthcare system, an example being in-person virtual consultations with doctors over phone or video. The third level consists of virtual points of care, which serve as comprehensive virtual primary clinics that incorporate both face-to-face interaction and diagnostic tools. The fourth and final level captures complete virtual healthcare systems, which incorporate both virtual add-ons to an existing healthcare system and comprehensively virtual healthcare systems. We aim to shed light on the virtual healthcare by conceptually categorizing the innovative and diverse ways these virtual initiatives are currently being leveraged in order to more effectively generate cost-effectiveness studies in the future. Virtual healthcare aims to increase patient access and convenience, especially in rural areas with minimal specialized care, while assisting in prevention and continuity of care in disease management.
Conference/Value in Health Info
2016-05, ISPOR 2016, Washington DC, USA
Value in Health, Vol. 19, No. 3 (May 2016)
Code
PHP209
Topic
Health Policy & Regulatory
Disease
Multiple Diseases