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This study evaluates the adoption of clinician billing for patient portal messages as e-visits, prompted by significant increases in patient messaging after the onset of the COVID-19 pandemic.
Conflict of Interest Disclosures: Dr Holmgren reported grants from the American Medical Association and the Healthcare Leadership Council outside the submitted work. Dr Byron reported receiving royalties from University of California, copyright SF2015-137 and holding patent SF2016-239. Dr Grouse reported receiving personal fees from Siemens for research in natural language processing and from American Academy of Neurology Continuum Audio for work as an interviewer, outside the submitted work. No other disclosures were reported.
Figures
Figure.. Weekly Volume of e-Visits, Patient Message…
Figure.. Weekly Volume of e-Visits, Patient Message Threads, and Patient Messages
Messages refer to patient…
Figure.. Weekly Volume of e-Visits, Patient Message Threads, and Patient Messages
Messages refer to patient medical advice request messages; threads are defined as a distinct conversation inclusive of all back-and-forth responses. All regression lines are a result of single-arm interrupted time-series models with Newey-West standard errors. The blue dotted line in each panel indicates November 14, 2021, which was the switchover to clinician-initiated e-visit billing.
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