Evidence map›Paper›PMID 32060190›Full record

ReviewCanadian family physician Medecin de famille canadien2020

Telemedicine in the driver's seat: new role for primary care access in Brazil and Canada: The Besrour Papers: a series on the state of family medicine in Canada and Brazil.

Payal Agarwal, Natasha Kithulegoda, Roberto Umpierre, John Pawlovich, Juliana Nunes Pfeil, Otavio Pereira D'Avila, Marcelo Goncalves, Erno Harzheim, David Ponka

Abstract readReview
PubMed Full text at PMC
In one paragraph

Review in Canadian family physician Medecin de famille canadien, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Payal AgarwalInnovation Fellow at Women's College Hospital in Toronto, Ont.
Natasha KithulegodaResearch coordinator at Women's College Hospital and a doctoral student in the Institute of Health Policy, Management and Evaluation at the University of Toronto.
Roberto UmpierreAdjunct Professor in the Department of Social Medicine and General Coordinator of TelessaúdeRS at the Universidade Federal do Rio Grande do Sul in Porto Alegre, Brazil.
John PawlovichClinical Associate Professor in the Department of Family Practice at the University of British Columbia.
Juliana Nunes PfeilTeleconsultant and Regulator for TelessaúdeRS at the Universidade Federal do Rio Grande do Sul.
Otavio Pereira D'AvilaDentist and Adjunct Professor in the Department of Social and Preventive Dentistry at the Universidade Federal de Pelotas in Brazil, and a collaborator with TelessaúdeRS at the Universidade Federal do Rio Grande do Sul.
Marcelo GoncalvesAdjunct Professor in the Department of Social Medicine and Vice Coordinator of TelessaúdeRS at the Universidade Federal do Rio Grande do Sul.
Erno HarzheimAssociate Professor in the Department of Social Medicine at the Universidade Federal do Rio Grande do Sul and Secretary of Health for Porto Alegre.
David PonkaAssociate Professor in the Department of Family Medicine at the University of Ottawa and Director of the Besrour Centre at the College of Family Physicians of Canada. dponka@cfpc.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo contrast how Brazil's and Canada's different jurisdictional and judicial realities have led to different types of telemedicine and how further scale and improvement can be achieved. COMPOSITION OF THE COMMITTEE: A subgroup of the Besrour Centre of the College of Family Physicians of Canada and Canadian telemedicine experts developed connections with colleagues in Porto Alegre, Brazil, and collaborated to undertake a between-country comparison of their respective telemedicine programs.

methodsFollowing a literature review, the authors collectively reflected on their experiences in an attempt to explore the past and current state of telemedicine in Canada and Brazil. REPORT: Both Brazil and Canada share expansive geographies, creating substantial barriers to health for rural patients. Telemedicine is an important part of a universal health system. Both countries have achieved telemedicine programs that have scaled up across large regions and are showing important effects on health care costs and outcomes. However, each system is unique in design and implementation and faces unique challenges for further scale and improvement. Addressing regional differences, the normalization of telemedicine, and potential alignment of telemedicine and artificial intelligence technologies for health care are seen as promising approaches to scaling up and improving telemedicine in both countries.

Indexed as

BrazilCanadaHumansPrimary Health CareRural PopulationTelemedicine

Identifiers

PMID32060190
PMCPMC7021340

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.