Evidence map›Paper›PMID 36633894›Full record

ArticleJournal of medical Internet research2023

Characteristics and Health Care Use of Patients Attending Virtual Walk-in Clinics in Ontario, Canada: Cross-sectional Analysis.

Lauren Lapointe-Shaw, Christine Salahub, Cherryl Bird, R Sacha Bhatia, Laura Desveaux, Richard H Glazier, Lindsay Hedden, Noah M Ivers, Danielle Martin, Yingbo Na and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of medical Internet research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
8.7field-weighted citation impact, top 2% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Social and health determinants of wait times for primary care in Canada.Canadian family physician Medecin de famille canadien · 2025
    Article
  8. Response.Canadian family physician Medecin de famille canadien · 2025
    Article
  9. Article
  10. Article
  11. Primary care in the COVID-19 pandemic and beyond: Lessons from Ontario.Canadian family physician Medecin de famille canadien · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Public experiences and perspectives of primary care in Canada: results from a cross-sectional survey.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024
    Article
  17. Article
  18. Article
  19. Article
  20. 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

13 authors at 4 institutions in 1 country.

Lauren Lapointe-ShawDivision of General Internal Medicine and Geriatrics, University Health Network and Sinai Health System, Toronto, ON, Canada.ORCID 0000-0003-4485-6719
Christine SalahubSupport, Systems, and Outcomes Department, University Health Network, Toronto, ON, Canada.ORCID 0000-0002-7867-0747
Cherryl BirdPatient partner, Toronto, ON, Canada.ORCID 0000-0002-0093-0414
R Sacha BhatiaInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.ORCID 0000-0001-6206-5318
Laura DesveauxInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.ORCID 0000-0003-3429-1865
Richard H GlazierInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-7952-8320
Lindsay HeddenFaculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada.ORCID 0000-0001-9552-1324
Noah M IversInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.ORCID 0000-0003-2500-2435
Danielle MartinInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.ORCID 0000-0003-2517-2602
Yingbo NaICES, Toronto, ON, Canada.ORCID 0000-0002-6421-8952
Sheryl SpithoffDepartment of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.ORCID 0000-0001-6965-473X
Mina TadrousWomen's College Institute for Health System Solutions and Virtual Care, Women's College Hospital, Toronto, ON, Canada.ORCID 0000-0003-1911-6129
Tara KiranInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-2520-112X
University of Toronto · CAUniversity Health Network · CASt. Michael's Hospital · CASimon Fraser University · CA

Funding

CIHR 175285
6 · The paper itself

Abstract

backgroundFunding changes in response to the COVID-19 pandemic supported the growth of direct-to-consumer virtual walk-in clinics in several countries. Little is known about patients who attend virtual walk-in clinics or how these clinics contribute to care continuity and subsequent health care use.

objectiveThe objective of the present study was to describe the characteristics and measure the health care use of patients who attended virtual walk-in clinics compared to the general population and a subset that received any virtual family physician visit.

methodsThis was a retrospective, cross-sectional study in Ontario, Canada. Patients who had received a family physician visit at 1 of 13 selected virtual walk-in clinics from April 1 to December 31, 2020, were compared to Ontario residents who had any virtual family physician visit. The main outcome was postvisit health care use.

resultsVirtual walk-in patients (n=132,168) had fewer comorbidities and lower previous health care use than Ontarians with any virtual family physician visit. Virtual walk-in patients were also less likely to have a subsequent in-person visit with the same physician (309/132,168, 0.2% vs 704,759/6,412,304, 11%; standardized mean difference [SMD] 0.48), more likely to have a subsequent virtual visit (40,030/132,168, 30.3% vs 1,403,778/6,412,304, 21.9%; SMD 0.19), and twice as likely to have an emergency department visit within 30 days (11,003/132,168, 8.3% vs 262,509/6,412,304, 4.1%; SMD 0.18), an effect that persisted after adjustment and across urban/rural resident groups.

conclusionsCompared to Ontarians attending any family physician virtual visit, virtual walk-in patients were less likely to have a subsequent in-person physician visit and were more likely to visit the emergency department. These findings will inform policy makers aiming to ensure the integration of virtual visits with longitudinal primary care.

Indexed as

COVID-19PandemicsPrimary Health CareTelemedicineCross-Sectional StudiesDelivery of Health CareHumansOntarioPhysicians, FamilyRetrospective StudiesCanadaemergency departmentengagementfamily physiciansfamily practicehealth care useintegrationprimary health caretelemedicineusevirtual carevirtual health carevirtual walk-in clinicwalk-in clinic

Identifiers

PMID36633894
PMCPMC9880810
OpenAlexW4315705177

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.