Evidence map›Paper›PMID 41034894›Full record

ArticleBMC health services research2025

Understanding the experience of clinicians and non-clinical staff in Integrated Virtual Care, a hybrid primary care program in rural Ontario, Canada: a qualitative study.

Shawna Cronin, Kush Patel, Antoine St-Amant, Jonathan Fitzsimon

Abstract read
In one paragraph

Article in BMC health services research, 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
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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

4 authors.

Shawna CroninDepartment of Family Medicine, University of Ottawa, Ottawa, ON, Canada.
Kush PatelDepartment of Family Medicine, University of Ottawa, Ottawa, ON, Canada.
Antoine St-AmantInstitut du Savoir Montfort, Ottawa, ON, Canada.
Jonathan FitzsimonDepartment of Family Medicine, University of Ottawa, Ottawa, ON, Canada. jfitzsi2@uOttawa.ca.ORCID https://orcid.org/0000-0002-0314-1664

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrent physician shortages are exacerbated in rural areas, worsening access to primary care. In Renfrew County, Ontario, the Integrated Virtual Care (IVC) program addresses this by attaching patients to a family physician working predominantly off-site, supported by an interprofessional healthcare team at a local clinic. Patients receive a hybrid of in-person and virtual care, based on their individual clinical needs and preferences. Limited evidence exists regarding the experiences of clinicians and non-clinical staff working in hybrid teams, with some members working off-site. This study explored the experiences of family physicians, interprofessional health providers (IHP), and non-clinical staff (clerical staff, managers, and leaders) working in a hybrid primary care program.

methodsWe conducted a qualitative descriptive study using one-on-one semi-structured interviews with clinicians (physicians and interprofessional team) and non-clinical staff working in the IVC program. Interview questions addressed satisfaction, team communication, collaboration, technology use, and rapport with patients. Transcripts were analyzed thematically using an inductive approach. Themes and quotes were then charted by participant type: physician, interprofessional health provider (IHP), and non-clinical staff.

resultsSixteen participants (10 clinicians and six non-clinical staff) were interviewed. Five themes were generated, describing their experiences within the IVC program: support for IVC and meeting community needs, importance and role of interprofessional and non-clinical teams, IVC as a developing model: early program experiences, ongoing logistical challenges, and varied views on strengths and benefits. After charting themes by participant type, we identified a number of diverging views among the three groups, with perceived program benefits being more pronounced for physicians.

conclusionsUnderstanding the experiences of clinicians and non-clinical staff, which emphasized community ties, roles of clinical and non-clinical teams, and supportive leadership environments, can inform improvements to programs that combine interprofessional primary care teams and virtual technologies to enhance access to primary care in rural areas.

Indexed as

Attitude of Health PersonnelDelivery of Health Care, IntegratedPrimary Health CareRural Health ServicesAdultFemaleHumansInterprofessional RelationsInterviews as TopicMaleMiddle AgedOntarioPatient Care TeamQualitative ResearchTelemedicineAttachmentInterprofessional teamPrimary careProvider experienceRural healthcareVirtual care

Identifiers

PMID41034894
PMCPMC12487192

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.