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E-Visit Usage Among a Population of Young Adults
Abigail Eaton1, Stephanie R Prausnitz1, H Nicole Tran2
1Division of Research, Kaiser Permanente Northern California, Pleasanton, CA, USA.
The Permanente Journal
|April 14, 2026
Summary
Young adults can improve value-based care by using electronic visits (e-visits). Factors like needing a translator or living in deprived areas reduce e-visit use, highlighting areas for improved access to telehealth services.
Area of Science:
- Health Services Research
- Digital Health
- Value-Based Care
Background:
- Asynchronous electronic visits (e-visits) and telehealth offer potential for comparable health outcomes to in-person care.
- Implementation of value-based care models emphasizes efficient and effective healthcare delivery.
Purpose of the Study:
- To analyze the utilization patterns of e-visits among newly enrolled young adults (ages 18-26).
- To identify factors associated with e-visit usage and explore e-visit potential for urinary tract infection (UTI) management.
Main Methods:
- Cross-sectional study of 30,099 newly enrolled individuals (ages 18-26) in an integrated health plan.
- Multivariate analyses examined covariates associated with e-visit utilization.
- Analysis of emergency department (ED) visits for UTI in a subset of female patients (n=258) to assess e-visit usage.
Main Results:
- 22,483 e-visits were completed by young adults in 18 months.
- Reduced e-visit likelihood was associated with needing a translator, using Medicare/Medicaid, and residing in deprived neighborhoods.
- Increased e-visit likelihood was linked to having a chronic condition or a primary care provider identified within 3 months.
- Hispanic identity was associated with decreased e-visit usage in the ED UTI subset.
- 11% of all e-visits were for UTI; 95% of UTI-related ED visits resulted in discharge home.
Conclusions:
- Most UTI-related ED visits were not emergent, indicating potential for increased e-visit use.
- Improving access to e-visits for underserved populations (deprived neighborhoods, translator needs, Medicare/Medicaid, Hispanic identity) can enhance value-based care.
- Promoting e-visit utilization among young adults can improve healthcare delivery and maintain clinical outcomes.
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