Telehealth in Primary Healthcare: A Portrait of its Rapid Implementation during the COVID-19 Pandemic.
Adult
COVID-19
/ diagnosis
Cross-Sectional Studies
Female
Health Personnel
/ statistics & numerical data
Humans
Male
Middle Aged
Pandemics
Patient Acceptance of Health Care
/ statistics & numerical data
Primary Health Care
/ organization & administration
Quebec
SARS-CoV-2
Telemedicine
/ organization & administration
Journal
Healthcare policy = Politiques de sante
ISSN: 1715-6580
Titre abrégé: Healthc Policy
Pays: Canada
ID NLM: 101280107
Informations de publication
Date de publication:
08 2021
08 2021
Historique:
entrez:
20
9
2021
pubmed:
21
9
2021
medline:
1
10
2021
Statut:
ppublish
Résumé
This study documents the adoption of telehealth by various types of primary healthcare (PHC) providers working in teaching PHC clinics in Quebec during the COVID-19 pandemic. It also identifies the perceived advantages and disadvantages of telehealth. A cross-sectional study was conducted between May and August 2020. The e-survey was completed by 48/50 teaching primary care clinics representing 603/1,357 (44%) PHC providers. Telephone use increased the most, becoming the principal virtual modality of consultation, during the pandemic. Video consultations increased, with variations by type of PHC provider: between 2% and 16% reported using it "sometimes." The main perceived advantages of telehealth were minimizing the patient's need to travel, improved efficiency and reduction in infection transmission risk. The main disadvantages were the lack of physical exam and difficulties connecting with some patients. The variation in telehealth adoption by type of PHC provider may inform strategies to maximize the potential of telehealth and help create guidelines for its use in more normal times.
Identifiants
pubmed: 34543178
pii: hcpol.2021.26576
doi: 10.12927/hcpol.2021.26576
pmc: PMC8437249
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
73-90Informations de copyright
Copyright © 2021 Longwoods Publishing.
Références
J Am Med Inform Assoc. 2018 Aug 1;25(8):1080-1088
pubmed: 29788380
JAMA. 2020 Oct 27;324(16):1593-1595
pubmed: 33027503
CMAJ Open. 2021 Feb 17;9(1):E107-E114
pubmed: 33597307
London J Prim Care (Abingdon). 2014;6(4):71-8
pubmed: 25949720
Paediatr Respir Rev. 2020 Sep;35:38-42
pubmed: 32653468
Can Fam Physician. 2020 Oct;66(10):745-747
pubmed: 33077454
J Med Internet Res. 2020 Jun 2;22(6):e19361
pubmed: 32452816
N Engl J Med. 2020 Apr 30;382(18):1679-1681
pubmed: 32160451
JMIR Res Protoc. 2020 Dec 7;9(12):e22847
pubmed: 33211020
JMIR Mhealth Uhealth. 2018 Jun 18;6(6):e128
pubmed: 29914860
Crit Care. 2010;14(5):233
pubmed: 20875149
Ann Fam Med. 2020 Sep;18(5):461-462
pubmed: 32928765
Acta Inform Med. 2016 Jul 16;24(4):286-292
pubmed: 27708494
Ann Intern Med. 2020 Oct 6;173(7):527-535
pubmed: 32628536
BMC Fam Pract. 2021 Feb 3;22(1):31
pubmed: 33535973
JAMA Neurol. 2020 Aug 1;77(8):927-928
pubmed: 32329796
BMC Health Serv Res. 2020 Sep 1;20(1):815
pubmed: 32873295
BMC Fam Pract. 2020 Feb 21;21(1):41
pubmed: 32085728
BMC Health Serv Res. 2013 Jul 08;13:262
pubmed: 23835105
Healthc Policy. 2011 Nov;7(2):e122-35
pubmed: 23115575
Healthc Policy. 2020 Aug;16(1):112-124
pubmed: 32813643
CMAJ. 2021 Feb 8;193(6):E200-E210
pubmed: 33558406
BMC Fam Pract. 2021 Sep 26;22(1):192
pubmed: 34563113
Ann Fam Med. 2020 May;18(3):272-277
pubmed: 32393566
Fam Med Community Health. 2020 Aug;8(3):
pubmed: 32816942
Med Educ Online. 2018 Dec;23(1):1438719
pubmed: 29464984
J Am Med Inform Assoc. 2019 Aug 1;26(8-9):689-695
pubmed: 31411692
Hypertension. 2020 Nov;76(5):1368-1383
pubmed: 32921195
J Telemed Telecare. 2020 Jun;26(5):309-313
pubmed: 32196391
Health Serv Res. 2005 Dec;40(6 Pt 2):2037-56
pubmed: 16316437