Evidence map›Paper›PMID 40855465›Full record

SynthesisBMC primary care2025

General practitioners' experience about synchronous teleconsultation in primary care: a mixed-method systematic review.

Alphonse Sowanou, Gabin F Morillon, Marlène Guillon, Thomas G Poder, Maude Laberge

Abstract readSystematic Review
In one paragraph

Synthesis in BMC primary care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Alphonse SowanouFaculty of nursing sciences, Université Laval, Québec, QC, Canada. alphonse.sowanou.1@ulaval.ca.ORCID 0000-0001-6594-2240
Gabin F MorillonMontpellier Recherche en Economie, Université de Montpellier, Montpellier, France.ORCID 0000-0002-6689-6298
Marlène GuillonMontpellier Recherche en Economie, Université de Montpellier, Montpellier, France.ORCID 0000-0003-2369-8547
Thomas G PoderCentre interuniversitaire de recherche en analyse des organisations (CIRANO), Montréal, QC, Canada.ORCID 0000-0001-7017-096X
Maude LabergeCentre de recherche du CHU de Québec-Université Laval, Axe Santé des populations et pratiques optimales en santé, Québec, QC, Canada. maude.laberge@fmed.ulaval.ca.ORCID 0000-0003-1274-136X

Funding

CIHR 202209PJT-487640-HPM-CFBA-207592
6 · The paper itself

Abstract

backgroundGeneral practitioners (GPs) extensively used synchronous teleconsultation (STC) during the COVID-19 pandemic. Although this utilization decreased after the state of sanitary emergency was lifted, it remains higher than pre-pandemic levels.

methodsThe aim is to summarize the scientific evidence on the factors influencing GPs’ decision to conduct STC instead of face-to-face consultation. We conducted a systematic review and reported our results following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline. We searched four electronic databases: MEDLINE, Cumulative Index of Nursing Literature and allied health, Web of Science and the Cochrane Central Register of Controlled Trials and conducted the last search on March 23, 2023. Two independent reviewers selected English/French articles reporting on GPs’ use, attitude, satisfaction, and experience with STC. We assessed the studies’ quality using the Mixed Methods Appraisal Tool, and a narrative approach was performed to synthesize findings.

resultsThe screening of 9,288 references resulted in the inclusion of 34 studies, for a total of 5,563 participants. Results show that GPs’ decision to use STC is influenced by six categories of factors: (1) consultation, such as consultation purpose (e.g., follow-up care, administrative requests); (2) information and communication technology, such as quality of equipment and bandwidth (internet connection and the effectiveness of the hardware and software); (3) GP, such as convenience (the flexibility offered by the STC); (4) patient, such as access barriers (ex., physical, geographical, financial); (5) GP-patient relationship, such as ease of diagnosis; and (6) the institution, such as organizational and peer support. Lack of a reliable internet connection, need for physical exams, and limited visual cues were the main barriers to using STC.

conclusionsGPs’ utilization of STC depends on the interplay of six categories of factors, the most important being the purpose of consultation. Equity in access and a fair payment model are key elements to consider in designing health policies aimed at supporting adoption and appropriate use of STC. REVIEW’S PROTOCOL REGISTRATION: PROSPERO CRD42024505744

Indexed as

Attitude of Health PersonnelCOVID-19General PractitionersPrimary Health CareRemote ConsultationHumansSARS-CoV-2General practitionersOnline visitPhone consultationTeleconsultationTeleconsultation’s utilizationTelemedicineVideo consultation

Identifiers

PMID40855465
PMCPMC12376371

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.