Evidence map›Paper›PMID 39564746›Full record

ArticlePrimary health care research & development2024

The impact of COVID-19 on referrals among general practitioners and specialists in Shanghai, China.

Zhongqing Xu, Jingchun Fan, Dandan Shi, Jingjing Ding, Jun Zhou, Xianzhen Feng, Brett D Hambly, Kun Tao, Shisan Bao

Abstract read
In one paragraph

Article in Primary health care research & development, 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
–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. 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

9 authors.

Zhongqing Xu *Department of General Practice, Tongren Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai, China.ORCID 0000-0001-5976-5356
Jingchun Fan *School of Public Health, Gansu University of Chinese Medicine, Lanzhou, China.
Dandan Shi *Department of General Practice, Tongren Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai, China.
Jingjing DingDepartment of General Practice, Tongren Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai, China.ORCID 0000-0001-7269-6762
Jun ZhouDepartment of General Practice, Tongren Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai, China.
Xianzhen FengDepartment of General Practice, Tongren Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai, China.
Brett D HamblyDepartment of General Practice, Tongren Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai, China.ORCID 0000-0002-5988-562X
Kun TaoDepartment of General Practice, Tongren Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai, China.
Shisan BaoDepartment of General Practice, Tongren Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai, China.ORCID 0000-0002-6687-3846

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has impacted patient's visits to general practitioners (GPs). However, it is unclear what the impact of COVID-19 has been on the interaction among the local primary care clinics, the GP Department within the hospital and specialists.

methodsThe interaction among GPs referring to hospital-based specialists and specialists to local doctors was determined, comparing pre-pandemic 2019 and 2020 during the pandemic.

resultsReduced referrals from GPs to specialists were consistent with the reduction in specialist referrals back to the local doctors, which dropped by approximately 50% in 2020, particularly in the two most common chronic conditions (hypertension and diabetes mellitus). DISCUSSION: Reduced referral of patients from local clinics to Tongren Hospital is probably due to the extensive online training provided to the local GPs to become more competent in handling local patients via telehealth. Our data provide some insight to assist in combatting the pandemic of COVID-19, offering objective evidence of the impact of COVID-19 on patient management by GPs.

Indexed as

COVID-19General PractitionersReferral and ConsultationChinaFemaleHumansMaleMiddle AgedPandemicsPrimary Health CareSARS-CoV-2SpecializationCOVID-19GPreferralspecialists

Identifiers

PMID39564746
PMCPMC11669811

What OpenQuestion holds

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LicenceCC BY
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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.