Evidence map›Paper›PMID 37875808›Full record

ArticleBMC primary care2023

Insights into the use of telemedicine in primary care in times of the SARS-CoV-2 pandemic - a cross-sectional analysis based on the international PRICOV-19 study in Austria.

Florian Odilo Stummer, Lisa Voggenberger, Maria de la Cruz Gomez Pellin, Esther van Poel, Sara Willems, Kathryn Hoffmann

Abstract read
In one paragraph

Article in BMC primary care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. 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

6 authors.

Florian Odilo StummerDepartment of Primary Care Medicine, Center for Public Health, Medical University of Vienna, Vienna, Austria.
Lisa VoggenbergerInstitute for General Medicine, Johannes-Kepler-University, Linz, Austria.
Maria de la Cruz Gomez PellinDepartment of Primary Care Medicine, Center for Public Health, Medical University of Vienna, Vienna, Austria.
Esther van PoelDepartment of Public Health and Primary Care, Ghent University, Ghent, Belgium.
Sara WillemsDepartment of Public Health and Primary Care, Ghent University, Ghent, Belgium.
Kathryn HoffmannDepartment of Primary Care Medicine, Center for Public Health, Medical University of Vienna, Vienna, Austria. kathryn.hoffmann@meduniwien.ac.at.ORCID 0000-0001-8760-4250

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe SARS-CoV2 pandemic as well as the implementation of public health measures to decrease the spread of the virus re-sparked the call for "virtual" health or "distance" treatments. This paper aimed to assess the use of video consultations, the up-to-dateness of practice websites, and the views of GPs on whether eHealth is a positive aspect for the future of their practices in publicly -funded primary healthcare facilities in Austria.

methodsThe cross-sectional online questionnaire, part of the PRICOV-19 study, was conducted from December 2020 until July 2021. We randomly recruited 176 GP practices across Austria. Descriptive statistics as well as binary logistic regression models were applied to examine the associations between telemedicine use and practice factors.

resultsCompared with before the pandemic (3.8%), 7.6% of publicly funded GP practices have been using video consultations since the pandemic. In line with this, 93.9% of the practices had no increase in video consultation use. Fewer than half (44.3%) had an up-to-date webpage, and 27.8% assumed that the pandemic might have been a positive driver for eHealth in their practices. Positive associations with video consultation use could be found in practices with fewer patients aged 70 years and over than the average and more patients with chronic diseases than the average.

conclusionThe use of video consultations in general practice and the readiness for other telemedicine approaches are both very low in Austria. Austria has to urgently follow the example of countries with a transparent and comprehensive national digital health strategy that includes video consultation. Without a proper payment system, patient inclusion, and support with regard to administrative and organizational aspects, no substantial change will occur in spite of an increase in need due to the pandemic and changes in the patient population.

Indexed as

COVID-19TelemedicineAgedAged, 80 and overAustriaCross-Sectional StudiesHumansPandemicsPrimary Health CareRNA, ViralSARS-CoV-2RNA, ViralAustriaCOVID-19General practicePRICOV-19Primary health careSARS-CoV-2 pandemicTelemedicineVideo consultations

Identifiers

PMID37875808
PMCPMC10598885

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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.