Evidence map›Paper›PMID 40738688›Full record

ArticleBJGP open2025

Uptake of video telehealth in general practice: an Australian whole-of-population analysis.

Danielle C Butler, Hsei Di Law, Christine Phillips, Kirsty A Douglas, Sally Hall Dykgraaf, Jason Agostino, Emily Banks, Rachel Freeman-Robinson, Jane Desborough, Alana Dougherty and 9 more

Abstract read
In one paragraph

Article in BJGP open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

19 authors.

Danielle C ButlerNational Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia danielle.butler@anu.edu.au.ORCID https://orcid.org/0000-0003-4870-4544
Hsei Di LawNational Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia.ORCID https://orcid.org/0000-0003-1590-0370
Christine PhillipsSchool of Medicine and Psychology, Australian National University, Canberra, Australia.ORCID https://orcid.org/0000-0001-5602-3664
Kirsty A DouglasSchool of Medicine and Psychology, Australian National University, Canberra, Australia.ORCID https://orcid.org/0000-0003-0174-782X
Sally Hall DykgraafSchool of Medicine and Psychology, Australian National University, Canberra, Australia.ORCID https://orcid.org/0000-0002-8532-1086
Jason AgostinoSchool of Medicine and Psychology, Australian National University, Canberra, Australia.
Emily BanksNational Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia.
Rachel Freeman-RobinsonNational Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia.
Jane DesboroughNational Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia.ORCID https://orcid.org/0000-0003-1406-4593
Alana DoughertyHealth and Aboriginal and Torres Strait Islander Statistics Branch, Australian Bureau of Statistics, Brisbane, Australia.
Grace JoshyNational Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia.ORCID https://orcid.org/0000-0002-0718-6368
Nina LazarevicNational Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia.
Jennifer WelshNational Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia.ORCID https://orcid.org/0000-0003-4415-5920
Muhammad-Shahdaat Bin-SayeedNational Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia.ORCID https://orcid.org/0000-0003-0027-9614
Dan ChateauAustralian Institute for Health and Welfare, Canberra, Australia.
Kay SogaNational Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia.
Anne ParkinsonNational Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia.ORCID https://orcid.org/0000-0001-9053-0707
Sue TrevenarNational Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia.ORCID https://orcid.org/0000-0002-1340-2725
Rosemary J KordaNational Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia.ORCID https://orcid.org/0000-0002-9390-2171

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVideo use remains low in primary care telehealth consultations. Little is known about patterns of use or policy levers to promote video.

aimTo investigate use of video telehealth in Australian general practice under permanent telehealth arrangements post-COVID-19 lockdowns, and during a policy change removing reimbursement for long telephone consultations. DESIGN &

settingWhole-of-population analysis of 2022 national healthcare claims linked to 2021 census data.

methodWe quantified the following: proportions of telehealth consultations by video, and of patients and GPs who used video for telehealth consultations; associations between video use and patient characteristics using Poisson regression; and video use in relation to policy changes using interrupted time-series analysis.

resultsOf 38 million GP telehealth consultations in 2022, 5.1% were by video; 8.6% of patients and 62% of GPs who used telehealth had used video. Patients most likely to use video lived remotely, were frequent GP users, or had multiple health conditions, mental health conditions or dementia. Socioeconomic disadvantage was modestly associated with lower use of video. Over 2022, use of video for telehealth decreased for consultations (from 6.5% of consultations in January to 4.1% in December), patients (from 6.7% to 4.4%), and GPs (from 40.0% to 26.0%). Time-series analyses showed downward trends before removal of reimbursement for long telephone consultations, small step increases immediately following, and shallower negative trends thereafter.

conclusionUse of video telehealth consultations in general practice in Australia is low and declining, more so for disadvantaged groups. Differential financial reimbursement of video and telephone consultations has not substantively increased video use in clinical practice.

Indexed as

general practicehealth policylinked datatelehealthtelemedicine

Identifiers

PMID40738688
PMCPMC12820518

What OpenQuestion holds

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LicenceCC BY
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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.