Evidence map›Paper›PMID 33196973›Full record

ArticleInternal and emergency medicine2021

Improving primary care in Europe beyond COVID-19: from telemedicine to organizational reforms.

Livio Garattini, Marco Badinella Martini, Pier Mannuccio Mannucci

Abstract read
In one paragraph

Article in Internal and emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

  1. Digital Health and Primary Health Care Quality: A Survey Case Study.International journal of environmental research and public health · 2025
    Article
  2. Teamwork in Rural Emergency Health Care: A Simulation-Based Cross-over Study of Co-located and Distributed Teams.Simulation in healthcare : journal of the Society for Simulation in Healthcare · 2025
    Article
  3. Article
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  7. Review
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  9. The feasibility of teleconsultations in unplanned primary care: an intervention study in Belgium, 2021.Archives of public health = Archives belges de sante publique · 2023
    Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Integrated care: easy in theory, harder in practice?Internal and emergency medicine · 2022
    Article
  17. Article
  18. Article
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

3 authors.

Livio GarattiniInstitute for Pharmacological Research Mario Negri IRCCS, Ranica, BG, Italy. livio.garattini@marionegri.it.
Marco Badinella MartiniInstitute for Pharmacological Research Mario Negri IRCCS, Ranica, BG, Italy.
Pier Mannuccio MannucciIRCCS "Ca' Granda Maggiore Policlinico" Hospital Foundation, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The COVID-19 pandemic has put under pressure all the health national systems in Europe and telemedicine (TM) has been an almost unavoidable answer for primary care (PC) services to constrain the contagion. PC includes all the healthcare services that are the first level of contact for individuals. General practitioners (GPs) are the pivotal providers of PC throughout Europe. Although GP costs are mainly covered by public services or social insurances in Europe, they are still self-employed physicians everywhere, differently from their colleagues in hospitals who are traditionally employees. TM is a very general term open to various interpretations and definitions. TM can now be practiced by means of modern audio-visual devices and is an alternative to the traditional face-to-face consultation in general practice. Although the adoption of TM seems to be compelling in our era, its practical dissemination in PC has been quite slow so far, and many different concerns have been raised on it. On the whole, TM widespread adoption in PC seems to be more a matter of labor organization and health care funding than of technology and ethics. Larger-scale organizations comprising a wide range of health professionals have become a pressing priority for a modern PC, because working together is crucial to provide high-quality care to patients, and co-location should boost teamwork and facilitate the management of information technology. A national network of large organizations in PC could be rationally managed through local budgets and should increase efficiency by adopting tools such as TM.

Indexed as

Quality ImprovementTelemedicineCOVID-19EuropeHealth PolicyHumansPandemicsPrimary Health CareSARS-CoV-2European UnionPrimary careTelemedicine

Identifiers

PMID33196973
PMCPMC7668282

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.