Evidence map›Paper›PMID 38334940›Full record

ReviewCJEM2024

Virtual urgent care is here to stay: driving toward safe, equitable, and sustainable integration within emergency medicine.

S Mehta, K Gardner, J Hall, D Rosenfield, S Tse, K Ho, K Grant, D J Bradbury-Squires, E Lang, L Chartier

Abstract readReview
PubMed Publisher
In one paragraph

Review in CJEM, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
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  5. 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

10 authors.

S MehtaUnity Health Toronto, Toronto, ON, Canada.ORCID 0000-0002-2111-167X
K GardnerIWK Health, Halifax, NS, Canada. Katie.Gardner@iwk.nshealth.ca.ORCID 0000-0002-7176-2059
J HallTemerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-6211-9336
D RosenfieldDepartment of Paediatrics, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.ORCID 0000-0001-9883-5230
S TseDepartment of Pediatrics and Emergency Medicine, University of Ottawa, Ottawa, ON, Canada.ORCID 0000-0003-2204-7400
K HoFaculty of Medicine, Department of Emergency Medicine, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0002-4936-9031
K GrantFaculty of Medicine, Department of Emergency Medicine, University of British Columbia, Vancouver, BC, Canada.
D J Bradbury-SquiresFaculty of Medicine, Disciplines of Family Medicine and Emergency Medicine, Memorial University of Newfoundland, Newfoundland Regional Health Centre, Grand Falls-Windsor, NL, Canada.ORCID 0009-0002-8955-3703
E LangDepartment of Emergency Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
L ChartierTemerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.ORCID 0000-0001-9716-1684

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVirtual care in Canada rapidly expanded during the COVID-19 pandemic in a low-rules environment in response to pressing needs for ongoing access to care amid public health restrictions. Emergency medicine specialists now face the challenge of advising on which virtual urgent care services ought to remain as part of comprehensive emergency care. Consideration must be given to safe, quality, and appropriate care as well as issues of equitable access, public demand, and sustainability (financial and otherwise). The aim of this project was to summarize current literature and expert opinion and formulate recommendations on the path forward for virtual care in emergency medicine.

methodsWe formed a working group of emergency medicine physicians from across Canada working in a variety of practice settings. The virtual care working group conducted a scoping review of the literature and met monthly to discuss themes and develop recommendations. The final recommendations were circulated to stakeholders for input and subsequently presented at the 2023 Canadian Association of Emergency Physicians (CAEP) Academic Symposium for discussion, feedback, and refinement.

resultsThe working group developed and reached unanimity on nine recommendations addressing the themes of system design, equity and accessibility, quality and patient safety, education and curriculum, financial models, and sustainability of virtual urgent care services in Canada.

conclusionVirtual urgent care has become an established service in the Canadian health care system. Emergency medicine specialists are uniquely suited to provide leadership and guidance on the optimal delivery of these services to enhance and complement emergency care in Canada.

Indexed as

COVID-19Emergency MedicineAmbulatory CareCanadaHealth Services AccessibilityHumansPandemicsSARS-CoV-2TelemedicineEmergency medicineIntegrated health care deliveryPatient safetyTelemedicine

Identifiers

What OpenQuestion holds

Textmetadata
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.