Evidence map›Paper›PMID 36693392›Full record

ArticleGesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany))2023

[Effects of the Covid-19 Pandemic on Online Use of Video Consultation by General Practitioners in Germany - a Secondary Data Analysis of German Health Insurance Data].

Nathalie Petrick, Cordula Charlotte Josefine Kreuzenbeck

Abstract readEnglish Abstract
In one paragraph

Article in Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Trial
  2. Article
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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

2 authors.

Nathalie PetrickGesundheit und Soziales, IU Internationale Hochschule, Erfurt, Germany.
Cordula Charlotte Josefine KreuzenbeckGesundheit und Soziales, IU Internationale Hochschule, Erfurt, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn order to manage the Covid-19 pandemic in Germany in March 2020, the government implemented non-pharmaceutical interventions including school closures, case-based measures, social distancing, and a ban of all public events. Under these circumstances, professional societies and associations in the healthcare sector recommended the use of video consultations. The objective of this analysis was to generate statistically relevant insights into the use of video consultations before and during the Covid-19 pandemic

methodsThis study is based on the analysis of a comprehensive claims data set comprising anonymized data of 5.6 million beneficiaries of a large German health insurance fund. The dataset encompassed healthcare claims from 1 January 2019 to 30 June 2020 covering 29,464,913 patient contacts. The claims were divided into video consultations and face-to-face consultations. This paper presents descriptive statistics and analyses associations between variables.

resultsIn 8,077 out of all contacts, a video consultation had taken place. This translates into 3.12 of 10,000 contacts. There was no significant difference in the utilization of video consultations by gender. However, the age differed significantly (Chi-square:2280.01, Sig: 0.000) between the contacts with or without use of video consultation. There is a significant increase of up to 27 times the use of video consultation in the first lockdown compared to the same month in 2019.

conclusionsApparent higher usage of telemedicine by patients in the age group 50 to 64 years and the very low usage in the group of 65 to 74 years shows that the use of video consultation is age sensitive and should be subject to goal-oriented implementation of telemedical offers. The observed increase, however, is small relative to the total number of patient contacts and is not significant. Thus, there is no evidence in this large dataset to support the claim that video consultation had risen dramatically through the Covid-19 pandemic. Qualitative research to determine the factors for patients and general practitioners that lead to or hinder the use of video consultation should help in addressing the slow digitalization in the outpatient sector in Germany.

Indexed as

COVID-19General PractitionersTelemedicineCommunicable Disease ControlGermanyHumansInsurance, HealthMiddle AgedPandemicsReferral and ConsultationSecondary Data Analysis

Identifiers

PMID36693392
PMCPMC11248338

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.