Public health opportunity? Skype chat and fast diagnosis

The same forces that have made instant messaging and video calls part of daily life for many Americans are now shaking up basic medical care.

telemedicine-e1351178723955Health systems and insurers are rushing to offer video consultations for routine ailments, convinced they will save money and relieve pressure on overextended primary care systems in cities and rural areas alike. And more people, fluent in Skype and FaceTime and eager for cheaper, more convenient medical care, are trying them out.

The university I used to work at couldn’t figure this out, but others have moved on, and so have I.

While telemedicine consultations have been around for decades, they have mostly connected specialists with patients in remote areas, who almost always had to visit a clinic or hospital for the videoconference. The difference now is that patients can be wherever they want and use their own smartphones or tablets for the visits, which are trending toward more basic care.

Even as virtual visits multiply, researchers say it is not clear whether they really save money or provide better outcomes.

Virtual urgent care visits are undoubtedly less expensive than trips to the emergency room, said Dr. Ateev Mehrotra, a professor of health policy at Harvard Medical School, who has studied telemedicine.