If the clinic schedule or workflow doesn’t allow for a two-way video to be used, an asynchronous video has been shown to be an effective way to gather information. Dr. Peter Yellowlees, a psychiatrist at UC Davis in California, uses asynchronous video in his practice. In this setting, the history and physical exam obtained at the remote site is recorded and sent to Dr. Yellowlees. At his discretion, he then evaluates the content and replies with his impression and any issues that need to be clarified or further explored. Much like the asynchronous experience in chat or messaging applications that are quite common on mobile devices, this approach to patient care can overcome numerous obstacles when a live two-way communication is not possible for technical or coordination purposes.
While effective, this approach is considered novel and has yet to be adopted by many of the health insurance companies or Medicare for compensation, so adoption of asynchronous service is most attractive for capitated markets or those services funded outside of the insurance market viii.