Evidence map›Paper›PMID 35534063›Full record

ArticleBMJ open2022

Changes in primary care visits arising from the COVID-19 pandemic: an international comparative study by the International Consortium of Primary Care Big Data Researchers (INTRePID).

Karen Tu, Robert Sarkadi Kristiansson, Jessica Gronsbell, Simon de Lusignan, Signe Flottorp, Lay Hoon Goh, Christine Mary Hallinan, Uy Hoang, Seo Young Kang, Young Sik Kim and 9 more

Abstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers.

0numbers the graph read from it
0cells of the map it votes in
56citing 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

56 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

19 authors.

Karen TuDepartment of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada k.tu@utoronto.ca.ORCID 0000-0003-0883-4934
Robert Sarkadi KristianssonDepartment of Public Health and Caring Sciences, Uppsala Universitet, Uppsala, Sweden.ORCID 0000-0002-3036-1048
Jessica GronsbellDepartment of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-5360-5869
Simon de LusignanNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.ORCID 0000-0002-8553-2641
Signe FlottorpNorwegian Institute of Public Health, Oslo, Norway.ORCID 0000-0003-2961-7461
Lay Hoon GohDivision of Family Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.ORCID 0000-0003-1536-3050
Christine Mary HallinanDepartment of General Practice, The University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0002-0471-4444
Uy HoangNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.ORCID 0000-0002-8428-5140
Seo Young KangInternational Healthcare Center, Asan Medical Center, Seoul, South Korea.ORCID 0000-0002-7177-7816
Young Sik KimDepartment of Family Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.ORCID 0000-0002-1786-4273
Zhou LiDepartment of Family Medicine and Primary Care, The University of Hong Kong-Shenzhen Hospital, Shenzhen, China.ORCID 0000-0002-2478-2356
Zheng Jye LingDivision of Family Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.ORCID 0000-0001-9584-4473
Jo-Anne Manski-NankervisDepartment of General Practice, The University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0003-2153-3482
Amy Pui Pui NgDepartment of Family Medicine and Primary Care, The University of Hong Kong-Shenzhen Hospital, Shenzhen, China.ORCID 0000-0003-3867-6447
Wilson D PaceDARTNet Institute, Aurora, Colorado, USA.ORCID 0000-0003-1699-5471
Knut-Arne WensaasResearch Unit for General Practice, NORCE Norwegian Research Centre AS, Bergen, Norway.ORCID 0000-0001-9113-7843
William Cw WongDepartment of Family Medicine and Primary Care, The University of Hong Kong-Shenzhen Hospital, Shenzhen, China.ORCID 0000-0003-2540-4055
Ellen StephensonDepartment of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0003-1869-0073
INTRePID

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThrough the

methodsVisit definitions were agreed on centrally, implemented locally across the various settings in INTRePID countries, and weekly visit counts were shared centrally for analysis. We evaluated the weekly rate of primary care physician visits during 2019 and 2020. Rate ratios (RRs) of total weekly visit volume and the proportion of weekly visits that were virtual in the pandemic period in 2020 compared with the same prepandemic period in 2019 were calculated.

resultsIn 2019 and 2020, there were 80 889 386 primary care physician visits across INTRePID. During the pandemic, average weekly visit volume dropped in China, Singapore, South Korea, and the USA but was stable overall in Australia (RR 0.98 (95% CI 0.92 to 1.05, p=0.59)), Canada (RR 0.96 (95% CI 0.89 to 1.03, p=0.24)), Norway (RR 1.01 (95% CI 0.88 to 1.17, p=0.85)), Sweden (RR 0.91 (95% CI 0.79 to 1.06, p=0.22)) and the UK (RR 0.86 (95% CI 0.72 to 1.03, p=0.11)). In countries that had negligible virtual care prepandemic, the proportion of visits that were virtual were highest in Canada (77.0%) and Australia (41.8%). In Norway (RR 8.23 (95% CI 5.30 to 12.78, p<0.001), the UK (RR 2.36 (95% CI 2.24 to 2.50, p<0.001)) and Sweden (RR 1.33 (95% CI 1.17 to 1.50, p<0.001)) where virtual visits existed prepandemic, it increased significantly during the pandemic.

conclusionsThe drop in primary care in-person visits during the pandemic was a global phenomenon across INTRePID countries. In several countries, primary care shifted to virtual visits mitigating the drop in in-person visits.

Indexed as

COVID-19TelemedicineBig DataHumansPandemicsPrimary Health CareSARS-CoV-2COVID-19HEALTH SERVICES ADMINISTRATION & MANAGEMENTPRIMARY CARE

Identifiers

PMID35534063
PMCPMC9086267

What OpenQuestion holds

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Registered trials

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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.