Evidence map›Paper›PMID 39969688›Full record

ArticleCJEM2025

Physician perspectives on providing virtual emergency department care for equity-deserving populations.

Justin N Hall, Yomna H E Ahmed, Abirami Vijayakumar, Mariam Ahmer, Shaun Mehta, Umberin Najeeb, Alun Ackery, Sander L Hitzig

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in CJEM, 2025. 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

8 authors.

Justin N HallDepartment of Emergency Medicine, Sunnybrook Health Sciences Centre, Toronto, ON, Canada. justin.hall@utoronto.ca.ORCID 0000-0002-6211-9336
Yomna H E AhmedSt. John's Rehab Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.ORCID 0000-0002-4472-3345
Abirami VijayakumarSt. John's Rehab Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.ORCID 0000-0003-3679-1564
Mariam AhmerDepartment of Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.ORCID 0009-0009-8433-6735
Shaun MehtaDivision of Emergency Medicine, Department of Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-2111-167X
Umberin NajeebDepartment of Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-1652-9959
Alun AckeryDivision of Emergency Medicine, Department of Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.ORCID 0000-0001-9904-8888
Sander L HitzigSt. John's Rehab Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.ORCID 0000-0002-9139-9250

Funding

Alternative Funding Plan 410018763Alternative Funding Plan SMH-23-018
6 · The paper itself

Abstract

objectivePatients from equity-deserving populations, such as those who are from racialized communities, the 2SLGBTQIA + community, who are refugees or immigrants, and/or who have a disability, may experience a unique set of challenges accessing and receiving care through virtual models. The objective of this qualitative study was to describe physician perspectives on their experiences providing care to patients from equity-deserving communities and their family members who received care from a Virtual Emergency Department (ED) in Toronto, Canada.

methodsWe interviewed 14 Virtual ED physicians from different sites across the Greater Toronto Area. Semi-structured interviews were conducted to explore ED physicians' experiences with treating patients from equity-deserving populations who used the Virtual ED. Inductive thematic analysis was used to identify themes from the interview data.

resultsThree themes were identified, which included: (1) Considerations for Virtual ED Inclusivity; (2) Beliefs about Compassionate Virtual ED Care Practices; and (3) Proposed Innovations for Advancing Equity through Virtual ED Care. An overarching and connecting theme was accessibility. Across these themes, providers highlighted factors that influenced Virtual ED accessibility for many equity-deserving populations.

conclusionsThe Virtual ED holds many promising applications for the delivery of equitable and compassionate care for equity-deserving populations. There are several patient, provider and system level issues that need to be considered to ensure its inclusivity and accessibility. One suggestion for innovation includes creating community hubs offering access to the Virtual ED to make it easier for equity-deserving populations who may face barriers to using it or need a safe space to do so.

Indexed as

Attitude of Health PersonnelEmergency Service, HospitalHealth Services AccessibilityPhysiciansAdultCanadaFemaleHumansInterviews as TopicMaleMiddle AgedOntarioQualitative ResearchTelemedicineEmergency medicineEquity-deserving populationsQualitativeVirtual care

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.