Evidence mapPaperPMID 36360997Full record

ArticleInternational journal of environmental research and public health2022

Face-to-Face and Tele-Consults: A Study of the Effects on Diagnostic Activity and Patient Demand in Primary Healthcare.

Lourdes E Barón-Miras, Antoni Sisó-Almirall, Belchin Kostov, Encarna Sánchez, Silvia Roura, Jaume Benavent-Àreu, Luis González-de Paz

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2022. 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. Observational
  2. Observational
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

7 authors.

Lourdes E Barón-MirasDepartment of Preventive Medicine and Epidemiology, Hospital Clínic de Barcelona, 08036 Barcelona, Spain.ORCID 0000-0003-2574-1780
Antoni Sisó-AlmirallConsorci d'Atenció Primària de Salut Barcelona Esquerra (CAPSBE), 08028 Barcelona, Spain.ORCID 0000-0001-9832-2689
Belchin KostovDepartment of Statistics and Operations Research, Universitat Politècnica de Catalunya (UPC), 08034 Barcelona, Spain.
Encarna SánchezConsorci d'Atenció Primària de Salut Barcelona Esquerra (CAPSBE), 08028 Barcelona, Spain.
Silvia RouraConsorci d'Atenció Primària de Salut Barcelona Esquerra (CAPSBE), 08028 Barcelona, Spain.
Jaume Benavent-ÀreuConsorci d'Atenció Primària de Salut Barcelona Esquerra (CAPSBE), 08028 Barcelona, Spain.
Luis González-de PazConsorci d'Atenció Primària de Salut Barcelona Esquerra (CAPSBE), 08028 Barcelona, Spain.ORCID 0000-0002-4767-8121

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Primary healthcare services have changed from face-to-face to tele-consults during the two COVID-19 years. We examined trends before and during the COVID-19 pandemic years based on groups of professionals, patient ages, and the associations with the diagnostic registry. We analyzed proportions for both periods, and ratios of the type of consults in 2017-2019 and 2020-2021 were calculated. The COVID-19 period was examined using monthly linear time trends. The results showed that consults in 2020-2021 increased by 24%. General practitioners saw significant falls in face-to-face consults compared with 2017-2019 (ratio 0.44; 95% CI: 0.44 to 0.45), but the increase was not proportional across age groups; patients aged 15-44 years had 45.8% more tele-consults, and those aged >74 years had 18.2% more. Trends in linear regression models of face-to-face consults with general practitioners and monthly diagnostic activity were positive, while the tele-consult trend was inverse to the trend of the diagnostic registry and face-to-face consults. Tele-consults did not resolve the increased demand for primary healthcare services caused by COVID-19. General practitioners, nurses and primary healthcare professionals require better-adapted tele-consult tools for an effective diagnostic registry to maintain equity of access and answer older patients' needs and priorities in primary healthcare.

Indexed as

COVID-19General PractitionersTelemedicineHumansPandemicsPrimary Health CareReferral and ConsultationCOVID-19pandemicsphysician–patient relationsprimary healthcareremote consultationtelemedicine

Identifiers

PMID36360997
PMCPMC9656153

What Socratic holds

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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 Socratic graph.