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Related Experiment Video

Updated: Oct 14, 2025

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Measuring Telehealth Visit Length and Schedule Adherence Using Videoconferencing Data.

Xu Zhang1, Yungui Huang1, Jennifer Lee2,3

  • 1IT Research and Innovation, The Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio, USA.

Telemedicine Journal and E-Health : the Official Journal of the American Telemedicine Association
|November 8, 2021
PubMed
Summary

Videoconferencing data accurately measure telehealth visit length and schedule adherence. Analysis of 175,876 visits shows most examinations were shorter than scheduled, with behavioral health visits being the longest.

Keywords:
schedule adherencetelehealthtelemedicinetimestamp datavideo visitvisit lengthwait time

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Area of Science:

  • Health Informatics
  • Telemedicine
  • Healthcare Operations

Background:

  • Measuring clinical visit length is crucial for healthcare efficiency, patient satisfaction, and billing accuracy.
  • The surge in telehealth necessitates understanding visit dynamics in virtual settings.
  • Existing literature lacks studies on telehealth visit length and schedule adherence.

Purpose of the Study:

  • To demonstrate the utility of videoconferencing data for measuring telehealth visit length.
  • To assess schedule adherence in telehealth appointments.
  • To analyze visit duration and adherence across different pediatric specialties.

Main Methods:

  • Utilized videoconferencing timestamp data from four pediatric specialties (behavioral health, speech pathology, PT/OT, primary care).
  • Integrated timestamp data with scheduling information to calculate total visit length, examination duration, and patient wait times.
  • Evaluated schedule adherence metrics including on-time performance and deviations from scheduled lengths.

Main Results:

  • Analyzed 175,876 telehealth video visits.
  • Average total visit times varied by specialty: BH (57.2 min), PT/OT (50.8 min), SP (42.1 min), PC (25.0 min).
  • Most examination lengths were shorter than scheduled, except for 15-minute appointments which tended to exceed their allotted time.

Conclusions:

  • Videoconferencing data offer a cost-effective and reliable method for assessing telehealth visit metrics.
  • Understanding telehealth visit length and adherence is key for optimizing virtual care delivery.
  • This approach provides valuable insights for improving operational efficiency and patient experience in telehealth.