Telemedicine vs Concierge Medicine: What Each Option Does & Doesn’t Do

Audience: pediatric

Telemedicine and concierge medicine are two healthcare options that families may consider for their children's care. Telemedicine allows patients to connect with healthcare providers using video calls, phone, or apps, making it easier to get medical advice without visiting a clinic. Concierge medicine typically involves a direct relationship with a doctor who offers more personalized and immediate care, often for a membership fee. Both options can help manage common illnesses and routine check-ups, but they differ in accessibility, cost, and services offered. Understanding what each can and cannot do helps families choose the best care for their children. Telemedicine is convenient for quick advice and minor health issues, while concierge medicine may provide more in-depth, ongoing care. However, neither replaces the need for emergency or specialized in-person care when necessary.

Red flags — go in person / ER

• Child has trouble breathing, persistent wheezing, or blue lips — seek emergency care immediately.
• High fever (above 39°C/102°F) lasting more than 48 hours or not responding to medication — contact healthcare provider urgently.
• Child is unresponsive, has seizures, or sudden severe weakness — call emergency services at once.

What telemedicine can do

• Common colds, flu symptoms, mild rashes, and minor infections
• Routine follow-up for chronic conditions like asthma or allergies
• Medication questions and minor side effects
• Mental health counseling and behavioral advice
• General health questions and preventive care guidance

What telemedicine cannot do

• Physical exams requiring hands-on assessment
• Laboratory tests, imaging, or vaccinations
• Emergency conditions such as severe breathing difficulty or trauma
• Specialist evaluations needing in-person visits
• Prescribing controlled substances without proper assessment

What Is Telemedicine?

Telemedicine lets you see a healthcare provider through video, phone, or apps. It’s useful for quick check-ups, advice about common illnesses like colds or mild infections, and managing ongoing conditions like asthma. You don’t have to travel to a clinic, which can save time and reduce exposure to other illnesses. However, telemedicine may not allow for physical exams or tests that need special equipment.

What Is Concierge Medicine?

Concierge medicine is a type of healthcare where families pay a membership fee for more personalized and immediate access to a doctor. This doctor often offers longer visits, quicker appointments, and more direct communication. It can be helpful for children with complex or chronic health needs who benefit from close monitoring. Concierge care usually involves in-person visits but may also include telemedicine services.

What Telemedicine Can Do for Your Child

\1

What Telemedicine Cannot Do

\1

Choosing Between Telemedicine and Concierge Medicine

Families should consider their child's health needs, convenience, and budget. Telemedicine is often best for minor issues and quick advice. Concierge medicine may suit children needing frequent or personalized care. Both can complement each other but do not replace emergency or specialist care. Always have a plan for urgent situations.

When to Seek In-Person Care Immediately

If your child shows any of the following, get emergency care right away:

How to prepare for your tele-visit

• Find a quiet, well-lit place for the telemedicine visit
• Have your child's medical history and current medications ready
• Prepare a list of symptoms and questions to discuss
• Ensure your device (phone, tablet, or computer) has a stable internet connection
• Have a thermometer or other home monitoring tools available if possible
• Be ready to describe your child's symptoms clearly and show any visible signs on camera

After your tele-visit

• Follow the healthcare provider’s advice and prescribed treatments
• Schedule any recommended in-person visits or tests promptly
• Monitor your child’s symptoms and seek help if they worsen
• Keep a record of the telemedicine visit and any instructions given
• Contact your provider if you have questions or concerns after the visit

FAQs

Can telemedicine replace my child's regular doctor visits?

Telemedicine can handle many routine questions and minor illnesses but usually does not replace all in-person visits. Regular check-ups, vaccinations, and physical exams often require seeing a doctor in person.

Is concierge medicine more expensive than telemedicine?

Concierge medicine often involves a membership fee for personalized care, which can be more costly than telemedicine visits. However, it may offer benefits like longer appointments and direct access to your doctor.

Can telemedicine be used for mental health support for children?

Yes, telemedicine is often used for counseling and mental health support, providing a convenient way for children to access therapists or counselors remotely.

What should I do if my child's condition worsens after a telemedicine visit?

If your child’s symptoms get worse or new serious symptoms appear, seek in-person medical care immediately or go to the emergency room.

Are medications prescribed through telemedicine safe for my child?

Healthcare providers follow safety guidelines when prescribing medications via telemedicine. Always use medications as directed and ask questions if you have concerns.

Sources

1. Telehealth: What You Need To Know — MedlinePlus, U.S. National Library of Medicine.
2. Concierge Medicine: What You Should Know — Mayo Clinic.
3. When to Seek Emergency Care for Your Child — American Academy of Pediatrics.
4. Telemedicine and Pediatric Care — Centers for Disease Control and Prevention (CDC).

This article provides general information about telemedicine and concierge medicine and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your child's healthcare provider with any questions you may have regarding a medical condition or urgent symptoms.