Evidence map›Paper›PMID 34846304›Full record

ArticleJMIR human factors2022

Trends in Remote Health Care Consumption in Sweden: Comparison Before and During the First Wave of the COVID-19 Pandemic.

Veronica Milos Nymberg, Lina Maria Ellegård, Gustav Kjellsson, Moa Wolff, Beata Borgström Bolmsjö, Thorne Wallman, Susanna Calling

Open access · goldAbstract read
In one paragraph

Article in JMIR human factors, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
4.1field-weighted citation impact, top 6% 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

13 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. French General Practitioners' Adaptations for Patients with Suspected COVID-19 in May 2020.International journal of environmental research and public health · 2023
    Article
  11. Hospital Admission Rates in Patients with COPD Throughout the COVID-19 Pandemic.International journal of chronic obstructive pulmonary disease · 2023
    Article
  12. Article
  13. 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

7 authors at 3 institutions in 1 country.

Veronica Milos Nymberg *Center for Primary Health Care Research, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden.ORCID https://orcid.org/0000-0002-3836-3048
Lina Maria Ellegård *Department of Economics, Lund University, Lund, Sweden.ORCID https://orcid.org/0000-0003-1311-9927
Gustav Kjellsson *Department of Economics, University of Gothenburg, Gothenburg, Sweden.ORCID https://orcid.org/0000-0002-0843-1038
Moa Wolff *Center for Primary Health Care Research, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden.ORCID https://orcid.org/0000-0002-0656-7628
Beata Borgström Bolmsjö *Center for Primary Health Care Research, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden.ORCID https://orcid.org/0000-0001-7655-0613
Thorne Wallman *Family Medicine & Preventive Medicine Section, Public Health & Caring Sciences, Uppsala University, Uppsala, Sweden.ORCID https://orcid.org/0000-0002-5965-2068
Susanna Calling *Center for Primary Health Care Research, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden.ORCID https://orcid.org/0000-0002-2420-3780
Lund University · SEUniversity of Gothenburg · SEUppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRemote assessment of respiratory tract infections (RTIs) has been a controversial topic during the fast development of private telemedicine providers in Swedish primary health care. The possibility to unburden the traditional care has been put against a questionable quality of care as well as risks of increased utilization and costs. The COVID-19 pandemic has contributed to a changed management of patient care to decrease viral spread, with an expected shift in contact types from in-person to remote ones.

objectiveThe main aim of this study was to compare health care consumption and type of contacts (in-person or remote) for RTIs before and during the COVID-19 pandemic. The second aim was to study whether the number of follow-up contacts after an index contact for RTIs changed during the study period, and whether the number of follow-up contacts differed if the index contact was in-person or remote. A third aim was to study whether the pattern of follow-up contacts differed depending on whether the index contact was with a traditional or a private telemedicine provider.

methodsThe study design was an observational retrospective analysis with a description of all index contacts and follow-up contacts with physicians in primary care and emergency rooms in a Swedish region (Skåne) for RTIs including patients of all ages and comparison for the same periods in 2018, 2019, and 2020.

resultsCompared with 2018 and 2019, there were fewer index contacts for RTIs per 1000 inhabitants in 2020. By contrast, the number of follow-up contacts, both per 1000 inhabitants and per index contact, was higher in 2020. The composition of both index and follow-up contacts changed as the share of remote contacts, in particular for traditional care providers, increased.

conclusionsDuring the COVID-19 pandemic in 2020, fewer index contacts for RTIs but more follow-up contacts were conducted, compared with 2018-2019. The share of both index and follow-up contacts that were conducted remotely increased. Further studies are needed to study the reasons behind the increase in remote contacts, and if it will last after the pandemic, and more clinical guidelines for remote assessments of RTI are warranted.

Indexed as

COVID-19primary health careremote health carerespiratory tract infectionstelemedicine

Identifiers

PMID34846304
PMCPMC8812677
OpenAlexW3216385111

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.