Evidence map›Paper›PMID 36380318›Full record

ArticleBMC health services research2022

Provider reported value and use of virtual resources in extended primary care prior to and during COVID-19.

Jolie N Haun, Vanessa Panaite, Bridget A Cotner, Christine Melillo, Hari H Venkatachalam, Christopher A Fowler, Brian Zilka, William Messina

Abstract read
In one paragraph

Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

8 authors.

Jolie N HaunResearch and Development Service, James A. Haley Veterans' Hospital and Clinics, 8900 Grand Oak Circle, Tampa, FL, 33637, USA.
Vanessa PanaiteResearch and Development Service, James A. Haley Veterans' Hospital and Clinics, 8900 Grand Oak Circle, Tampa, FL, 33637, USA.
Bridget A CotnerResearch and Development Service, James A. Haley Veterans' Hospital and Clinics, 8900 Grand Oak Circle, Tampa, FL, 33637, USA.
Christine MelilloResearch and Development Service, James A. Haley Veterans' Hospital and Clinics, 8900 Grand Oak Circle, Tampa, FL, 33637, USA. Christine.Melillo@va.gov.
Hari H VenkatachalamResearch and Development Service, James A. Haley Veterans' Hospital and Clinics, 8900 Grand Oak Circle, Tampa, FL, 33637, USA.
Christopher A FowlerResearch and Development Service, James A. Haley Veterans' Hospital and Clinics, 8900 Grand Oak Circle, Tampa, FL, 33637, USA.
Brian ZilkaPrimary Care, James A. Haley Veterans' Hospital and Clinics, 13000 Bruce B. Downs Boulevard, Tampa, FL, 33612, USA.
William MessinaAmbulatory Care, James A. Haley Veterans' Hospital and Clinics, 13000 Bruce B. Downs Boulevard, Tampa, FL, 33612, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA proactive approach to delivering care using virtual resources, while reducing in-person contact, is needed during the COVID-19 pandemic.

objectiveIn the current study we describe pre- to post- COVID-19 pandemic onset related changes in electronic delivery of primary care.

methodsA longitudinal, pre-post within-subjects design was used. Patient-aligned care team providers from one VA medical center, a primary care annex, and four affiliated community-based outpatient clinics completed both a baseline and follow up survey (N = 62) or the follow-up survey only (N = 85). The follow-up survey contained questions about COVID-19.

resultsThe majority of providers (88%) reported they would continue virtual care once pandemic restrictions were lifted. Most (83%) felt prepared to transition to virtual care when pandemic restrictions began. Use of My HealtheVet, Telehealth, and mobile apps showed a significant increase (22.7%; 31.1%; 48.5%). Barriers to virtual care included (1) internet connectivity; (2) patients' lack of technology comfort and skills; and (3) technical issues. Main supports to provide virtual care to patients were (1) peers/ colleagues; (2) technology support through help desk; (3) equipment such as laptops and dual screens; (4) being able to use doximety and virtual care manager, and (5) training.

conclusionsOverall, provider-use and perceptions related to using virtual care improved over time. Providers adapted quickly to providing virtual care during COVID-19 and planned to provide virtual care long-term.

Indexed as

COVID-19TelemedicineAmbulatory Care FacilitiesHumansPandemicsPrimary Health CarePrimary careTechnologyVeteranVirtual healthcare resources

Identifiers

PMID36380318
PMCPMC9664037

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.