Idioma:

Shifts in office and virtual primary care during the early COVID-19 pandemic in Ontario, Canada

Glazier, Richard H ; Green, Michael E ; Wu, Fangyun C ; Frymire, Eliot ; Kopp, Alexander ; Kiran, Tara

Canadian Medical Association journal (CMAJ), 2021-02, Vol.193 (6), p.E200-E210 [Periódico revisado por pares]

Canada: Joule Inc

Texto completo disponível

Citações Citado por

Enviar para

Título:
Shifts in office and virtual primary care during the early COVID-19 pandemic in Ontario, Canada
Autor: Glazier, Richard H ; Green, Michael E ; Wu, Fangyun C ; Frymire, Eliot ; Kopp, Alexander ; Kiran, Tara
Assuntos: Adolescent ; Adult ; Aged ; Canada ; Child ; Coronaviruses ; COVID-19 ; Epidemics ; Family physicians ; Female ; Forecasts and trends ; Health care access ; Health insurance ; Humans ; Influence ; Male ; Management ; Medical appointments and schedules ; Middle Aged ; Office Visits - statistics & numerical data ; Ontario - epidemiology ; Pandemics ; Patients ; Personal health ; Primary care ; Primary health care ; Primary Health Care - methods ; Primary Health Care - statistics & numerical data ; Primary Health Care - trends ; Remote Consultation - statistics & numerical data ; Retrospective Studies ; Rural areas ; SARS-CoV-2 ; Telemedicine ; Time series ; Trends ; Young Adult
É parte de: Canadian Medical Association journal (CMAJ), 2021-02, Vol.193 (6), p.E200-E210
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Descrição: Globally, primary care changed dramatically as a result of the coronavirus disease 2019 (COVID-19) pandemic. We aimed to understand the degree to which office and virtual primary care changed, and for which patients and physicians, during the initial months of the pandemic in Ontario, Canada. This population-based study compared comprehensive, linked primary care physician billing data from Jan. 1 to July 28, 2020, with the same period in 2019. We identified Ontario residents with at least 1 office or virtual (telephone or video) visit during the study period. We compared trends in total physician visits, office visits and virtual visits before COVID-19 with trends after pandemic-related public health measures changed the delivery of care, according to various patient and physician characteristics. We used interrupted time series analysis to compare trends in the early and later halves of the COVID-19 period. Compared with 2019, total primary care visits between March and July 2020 decreased by 28.0%, from 7.66 to 5.51 per 1000 people/day. The smallest declines were among patients with the highest expected health care use (8.3%), those who could not be attributed to a primary care physician (10.2%), and older adults (19.1%). In contrast, total visits in rural areas increased by 6.4%. Office visits declined by 79.1% and virtual care increased 56-fold, comprising 71.1% of primary care physician visits. The lowest uptake of virtual care was among children (57.6%), rural residents (60.6%) and physicians with panels of ≥ 2500 patients (66.0%). Primary care in Ontario saw large shifts from office to virtual care over the first 4 months of the COVID-19 pandemic. Total visits declined least among those with higher health care needs. The determinants and consequences of these major shifts in care require further study.
Editor: Canada: Joule Inc
Idioma: Inglês

Links

View this record in MEDLINE/PubMed

Voltar para lista de resultados

Realização: Logos de Redes Sociais:

Shifts in office and virtual primary care during the early COVID-19 pandemic in Ontario, Canada

Glazier, Richard H ; Green, Michael E ; Wu, Fangyun C ; Frymire, Eliot ; Kopp, Alexander ; Kiran, Tara

Canada: Joule Inc

Buscando em bases de dados remotas. Favor aguardar.