Evidence map›Paper›PMID 34543178›Full record

ArticleHealthcare policy = Politiques de sante2021

Telehealth in Primary Healthcare: A Portrait of its Rapid Implementation during the COVID-19 Pandemic.

Mylaine Breton, Nadia Deville-Stoetzel, Isabelle Gaboury, Mélanie Ann Smithman, Janusz Kaczorowski, Marie-Thérèse Lussier, Jeannie Haggerty, Aude Motulsky, Peter Nugus, Géraldine Layani and 9 more

Open access · bronzeAbstract read
In one paragraph

Article in Healthcare policy = Politiques de sante, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
10.6field-weighted citation impact, top 1% of its field
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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.

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  14. Nursing teleconsultation in primary health care: scoping review.Revista latino-americana de enfermagem · 2024
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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

19 authors at 7 institutions in 2 countries.

Mylaine BretonAssociate Professor, Department of Community Health Sciences, Université de Sherbrooke Longueuil, QC.
Nadia Deville-StoetzelResearch Professional, Université de Sherbrooke, Longueuil, QC; Doctoral Student, Department of Sociology, Université du Québec à Montréal, Montréal, QC.
Isabelle GabouryProfessor, Department of Family and Emergency Medicine, Université de Sherbrooke, Longueuil, QC.
Mélanie Ann SmithmanDoctoral Student, Department of Community Health Sciences, Université de Sherbrooke, Sherbrooke, QC.
Janusz KaczorowskiProfessor, Department of Family and Emergency Medicine, Université de Montréal, Montréal, QC.
Marie-Thérèse LussierDirector, Réseau de recherche en soins primaires de l'Université de Montréal (RRSPUM); Professor, Department of Family and Emergency Medicine, Université de Montréal, Montréal, QC.
Jeannie HaggertyProfessor, Department of Family Medicine, McGill University, Montreal, QC.
Aude MotulskyAdjunct Professor, Department of Management Evaluation and Health Policy, School of Public Health of the Université de Montréal, Montréal, QC.
Peter NugusAssociate Professor, Department of Family Medicine, McGill University, Montreal, QC.
Géraldine LayaniClinical Adjunct Professor, Department of Family and Emergency Medicine, Université de Montréal, Montréal, QC.
Guy ParéProfessor, Department of Information Technologies, HEC Montréal, Montréal, QC.
Gabrielle EvoyStudent of Medicine, Université de Sherbrooke, Sherbrooke, QC.
Mylène ArsenaultFamily Physician, UFM-G Herzl Family Practice Centre; Assistant Professor, Department of Family Medicine, McGill University, Montreal, QC.
Jean-Sébastien PaquetteCo-Director, Réseau de recherche axé sur les pratiques de première ligne de l'Université Laval; Associate Clinical Professor, Département médecine familiale et de médecine d'urgence (DMFMU), Université Laval, Québec City, QC.
Julien QuintyAdjunct Professor, Department of Family Medicine and Emergency Medicine, Université Laval, Québec City, QC.
Marie AuthierResearch Facilitator, Réseau de recherche en soins primaires de l'Université de Montréal (RRSPUM), Montreal, QC.
Nadjib MokraouiResearch Facilitator and Coordinator, McGill Practice-Based Research Network (PBRN), Montreal, QC.
Mireille LucDeputy Director, Department of Family and Emergency Medicine, Practice-Based Research Network, Université de Sherbrooke, Sherbrooke, QC.
Marie-Eve LavoieScientific Coordinator and Research Facilitator, Réseau de recherche en soins primaires de l'Université de Montréal (RRSPUM), Montreal, QC.
Université de Sherbrooke · CAUniversité de Montréal · CAMcGill University Health Centre · CAThe Quebec Population Health Research Network · CAUniversité Laval · CAEvidence Based Research (United States) · USHEC Montréal · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study documents the adoption of telehealth by various types of primary healthcare (PHC) providers working in teaching PHC clinics in Quebec during the COVID-19 pandemic. It also identifies the perceived advantages and disadvantages of telehealth.

methodA cross-sectional study was conducted between May and August 2020. The e-survey was completed by 48/50 teaching primary care clinics representing 603/1,357 (44%) PHC providers.

resultsTelephone use increased the most, becoming the principal virtual modality of consultation, during the pandemic. Video consultations increased, with variations by type of PHC provider: between 2% and 16% reported using it "sometimes." The main perceived advantages of telehealth were minimizing the patient's need to travel, improved efficiency and reduction in infection transmission risk. The main disadvantages were the lack of physical exam and difficulties connecting with some patients.

conclusionThe variation in telehealth adoption by type of PHC provider may inform strategies to maximize the potential of telehealth and help create guidelines for its use in more normal times.

Indexed as

AdultCOVID-19Cross-Sectional StudiesFemaleHealth PersonnelHumansMaleMiddle AgedPandemicsPatient Acceptance of Health CarePrimary Health CareQuebecSARS-CoV-2Telemedicine

Identifiers

PMID34543178
PMCPMC8437249
OpenAlexW3197313070

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.