Evidence map›Paper›PMID 36649230›Full record

ArticleJournal of medical Internet research2023

Use of General Practitioner Telehealth Services During the COVID-19 Pandemic in Regional Victoria, Australia: Retrospective Analysis.

Feby Savira, Liliana Orellana, Martin Hensher, Lan Gao, Andrew Sanigorski, Kevin Mc Namara, Vincent L Versace, John Szakiel, Jamie Swann, Elizabeth Manias and 1 more

Abstract 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 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  10. Comparing the trends of MBS telepsychiatry and consultant physician telehealth services from 2017 to 2022: A retrospective study.Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists · 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

11 authors.

Feby SaviraDeakin Health Economics, Institute for Health Transformation, School of Health and Social Development, Deakin University, Burwood, Australia.ORCID 0000-0002-0383-812X
Liliana OrellanaBiostatistics Unit, Faculty of Health, Deakin University, Geelong, Australia.ORCID 0000-0003-3736-4337
Martin HensherMenzies Institute for Medical Research, University of Tasmania, Hobart, Australia.ORCID 0000-0001-6444-6827
Lan GaoDeakin Health Economics, Institute for Health Transformation, School of Health and Social Development, Deakin University, Burwood, Australia.ORCID 0000-0001-9734-1140
Andrew SanigorskiGlobal Centre for Preventive Health and Nutrition, Institute for Health Transformation, School of Health and Social Development, Deakin University, Geelong, Australia.ORCID 0000-0002-2858-4621
Kevin Mc NamaraDeakin Health Economics, Institute for Health Transformation, School of Health and Social Development, Deakin University, Burwood, Australia.ORCID 0000-0001-6547-9153
Vincent L VersaceDeakin Rural Health, School of Medicine, Warrnambool, Australia.ORCID 0000-0002-8514-1763
John SzakielWestern Victoria Primary Health Network, Geelong, Australia.ORCID 0000-0002-3470-4298
Jamie SwannWestern Victoria Primary Health Network, Geelong, Australia.ORCID 0000-0001-6820-6193
Elizabeth ManiasCentre for Quality and Patient Safety Research, Institute for Health Transformation, School of Nursing and Midwifery, Deakin University, Burwood, Australia.ORCID 0000-0002-3747-0087
Anna PeetersInstitute for Health Transformation, School of Health and Social Development, Deakin University, Burwood, Australia.ORCID 0000-0003-4340-9132

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn March 2020, the Australian Government expanded general practitioner (GP) telehealth services in response to the COVID-19 pandemic.

objectiveThis study sought to assess use patterns of GP telehealth services in response to changing circumstances (before and during the COVID-19 pandemic and with or without a lockdown) in regional Victoria, Australia.

methodsWe conducted a secondary analysis of monthly Medicare claims data from July 2019 to June 2021 from 140 regional GP practices in Western Victoria. The longitudinal patterns of proportion of GP telehealth consultations stratified by type of consultation (ie, videoconference vs telephone) and by geographical, consumer, and consultation characteristics were analyzed.

resultsTelehealth comprised 25.8% (522,932/2,025,615) of GP consultations over the 2-year period. After the introduction of the Australian telehealth expansion policy in March 2020, there was a rapid uptake in GP telehealth services (including telephone and video services), from 0% before COVID-19 to 15% (11,854/80,922) of all consultations in March 2020, peaking at 55% (50,828/92,139) in August 2020. Thereafter, the use of telehealth declined steadily to 31% (23,941/77,344) in January 2021 and tapered off to 28% (29,263/103,798) in June 2021. Telephone services and shorter consultations were the most dominant form, and those aged 15-64 years had higher telehealth use rates than younger or older age groups. The proportion of video consultations was higher during periods with government-imposed lockdowns and higher in the most socioeconomically advantaged areas compared to less socioeconomically advantaged areas.

conclusionsOur findings support the continuation of telehealth use in rural and regional Australia post pandemic. Future policy must identify mechanisms to reduce existing equity gaps in video consultations and consider patient- and system-level implications of the dominant use of short telephone consultations.

Indexed as

COVID-19General PractitionersTelemedicineAgedCommunicable Disease ControlHumansNational Health ProgramsPandemicsRetrospective StudiesVictoriaAustraliaconsultationCOVID-19eHealthequitygeneral practitionerGPpandemicprimary careruraltelehealthtelephonetrendvideovirtual

Identifiers

PMID36649230
PMCPMC9907565

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.