Evidence map›Paper›PMID 38124491›Full record

ArticleFamily practice2024

Video versus telephone for telehealth delivery: a cross-sectional study of Australian general practice trainees.

Katie Fisher, Amanda Tapley, Anna Ralston, Andrew Davey, Alison Fielding, Mieke van Driel, Elizabeth Holliday, Jean Ball, Jason Dizon, Neil Spike and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Family practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 28% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  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

12 authors at 5 institutions in 1 country.

Katie FisherSchool of Medicine and Public Health, University of Newcastle, University Drive, Callaghan, Australia.ORCID 0000-0002-2256-2624
Amanda TapleySchool of Medicine and Public Health, University of Newcastle, University Drive, Callaghan, Australia.ORCID 0000-0002-1536-5518
Anna RalstonSchool of Medicine and Public Health, University of Newcastle, University Drive, Callaghan, Australia.ORCID 0000-0003-4713-4930
Andrew DaveySchool of Medicine and Public Health, University of Newcastle, University Drive, Callaghan, Australia.ORCID 0000-0002-7547-779X
Alison FieldingSchool of Medicine and Public Health, University of Newcastle, University Drive, Callaghan, Australia.ORCID 0000-0001-5884-3068
Mieke van DrielFaculty of Medicine, General Practice Clinical Unit, University of Queensland, Level 8 Health Sciences Building, Royal Brisbane & Women's Hospital, Brisbane, QLD, Australia.ORCID 0000-0003-1711-9553
Elizabeth HollidaySchool of Medicine and Public Health, University of Newcastle, University Drive, Callaghan, Australia.ORCID 0000-0002-4066-6224
Jean BallHunter Medical Research Institute, Clinical Research Design, IT and Statistical Support Unit (CReDITSS), New Lambton Heights, Australia.ORCID 0000-0001-5402-6415
Jason DizonHunter Medical Research Institute, Clinical Research Design, IT and Statistical Support Unit (CReDITSS), New Lambton Heights, Australia.ORCID 0000-0002-2450-8429
Neil SpikeEastern Victoria General Practice Training, Regional Training Organisation, Hawthorn, Victoria, Australia.ORCID 0000-0002-9694-8642
Lisa ClarkeRoyal Australian College of General Practitioners GP Training Research Department, 20 McIntosh Drive, Mayfield West, NSW 2304, Australia.ORCID 0009-0005-5290-0144
Parker MaginSchool of Medicine and Public Health, University of Newcastle, University Drive, Callaghan, Australia.ORCID 0000-0001-8071-8749
Royal Australian College of General Practitioners · AUHunter Medical Research Institute · AUThe University of Melbourne · AUThe University of Queensland · AUUniversity of Newcastle Australia · AU

Funding

Royal Australian College of General Practitioners CBW2021-01
6 · The paper itself

Abstract

backgroundRemunerated telehealth consultations were introduced in Australia in 2020 in response to the COVID-19 pandemic. Videoconferencing has advantages over telephone-consulting, including improved diagnostic and decision-making accuracy. However, videoconferencing uptake in Australia has been low. This study aimed to establish prevalence and associations of video versus telephone consultations in Australian general practice (GP) registrars' practice.

methodsA cross-sectional analysis of data from 2020 to 2021 (three 6-monthly data-collection rounds) from the Registrars Clinical Encounters in Training (ReCEnT) study. GP registrars record details of 60 consecutive consultations every 6-month term, for a total of 3 terms. Univariable and multivariable logistic regression were performed within the Generalized Estimating Equations framework with the outcome video versus telephone.

results102,286 consultations were recorded by 1,168 registrars, with 21.4% of consultations performed via telehealth. Of these, telephone accounted for 96.6% (95% CI: 96.3-96.8%) and videoconferencing for 3.4% (95% CI: 3.2-3.7%). Statistically significant associations of using videoconferencing, compared to telephone, included longer consultation duration (OR 1.02, 95% CI: 1.01-1.03 per minute; and mean 14.9 versus 12.8 min), patients aged 0-14 years old (OR 1.29, 95% CI: 1.03-1.62, compared to age 15-34), patients new to the registrar (OR 1.19, 95% CI: 1.04-1.35), part-time registrars (OR 1.84, 95% CI: 1.08-3.15), and areas of less socioeconomic disadvantage (OR 1.27, 95% CI: 1.00-1.62 per decile).

conclusionsRegistrars' telehealth consultations were mostly performed via telephone. Telephone use being associated with socioeconomic disadvantage has health equity implications. Future research should explore barriers to videoconferencing use and strategies to increase its uptake.

Indexed as

General PracticeTelemedicineAdolescentAdultAustraliaChildChild, PreschoolCross-Sectional StudiesHumansInfantInfant, NewbornPandemicsYoung Adultcommunity medicinefamily healthgraduate medical education/fellowship trainingprimary caretelemedicine

Identifiers

PMID38124491
PMCPMC11017778
OpenAlexW4390063157

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.