Evidence map›Paper›PMID 33882603›Full record

ArticleYearbook of medical informatics2021

Primary Care Informatics Response to Covid-19 Pandemic: Adaptation, Progress, and Lessons from Four Countries with High ICT Development.

Siaw-Teng Liaw, Craig Kuziemsky, Richard Schreiber, Jitendra Jonnagaddala, Harshana Liyanage, Aliasgar Chittalia, Ravninder Bahniwal, Jennifer W He, Bridget L Ryan, Daniel J Lizotte and 3 more

Abstract read
In one paragraph

Article in Yearbook of medical informatics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
–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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Primary Care Informatics: Vitalizing the Bedrock of Health Care.Journal of medical Internet research · 2024
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  12. Responding to COVID-19: The Suitability of Primary Care Infrastructure in 33 Countries.International journal of environmental research and public health · 2022
    Article
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  18. From telehealth to virtual primary care in Australia? A Rapid scoping review.International journal of medical informatics · 2021
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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

13 authors.

Siaw-Teng LiawWHO Collaborating Centre on eHealth, UNSW Sydney, Australia.
Craig KuziemskyMacEwan University, Edmonton, Alberta, Canada.
Richard SchreiberPenn State Health Holy Spirit Medical Center, Camp Hill, Pennsylvania, USA.
Jitendra JonnagaddalaWHO Collaborating Centre on eHealth, UNSW Sydney, Australia.
Harshana LiyanageNuffield Department of Primary Care Health Sciences, University of Oxford, UK.
Aliasgar ChittaliaFamily Practice Center, Mountaintop, Pennsylvania, USA.
Ravninder BahniwalSchulich Interfaculty Program in Public Health, Western University, London, Canada.
Jennifer W HeGraduate Program in Epidemiology and Biostatistics, Western University, London, Canada.
Bridget L RyanCentre for Studies in Family Medicine, Department of Family Medicine, Western University, London, Canada.
Daniel J LizotteDepartment of Computer Science, Western University, London, Canada.
Jacqueline K KueperGraduate Program in Epidemiology and Biostatistics, Western University, London, Canada.
Amanda L TerryCentre for Studies in Family Medicine, Department of Family Medicine, Western University, London, Canada.
Simon de LusignanNuffield Department of Primary Care Health Sciences, University of Oxford, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveInternationally, primary care practice had to transform in response to the COVID pandemic. Informatics issues included access, privacy, and security, as well as patient concerns of equity, safety, quality, and trust. This paper describes progress and lessons learned.

methodsIMIA Primary Care Informatics Working Group members from Australia, Canada, United Kingdom and United States developed a standardised template for collection of information. The template guided a rapid literature review. We also included experiential learning from primary care and public health perspectives.

resultsAll countries responded rapidly. Common themes included rapid reductions then transformation to virtual visits, pausing of non-COVID related informatics projects, all against a background of non-standardized digital development and disparate territory or state regulations and guidance. Common barriers in these four and in less-resourced countries included disparities in internet access and availability including bandwidth limitations when internet access was available, initial lack of coding standards, and fears of primary care clinicians that patients were delaying care despite the availability of televisits.

conclusionsPrimary care clinicians were able to respond to the COVID crisis through telehealth and electronic record enabled change. However, the lack of coordinated national strategies and regulation, assurance of financial viability, and working in silos remained limitations. The potential for primary care informatics to transform current practice was highlighted. More research is needed to confirm preliminary observations and trends noted.

Indexed as

COVID-19Primary Health CareAustraliaCanadaDelivery of Health CareGlobal HealthHealth PolicyHumansMedical InformaticsTelemedicineUnited KingdomUnited States

Identifiers

PMID33882603
PMCPMC8416215

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.