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Telehealth in Primary Healthcare: A Portrait of its Rapid Implementation during the COVID-19 Pandemic.
Breton, Mylaine; Deville-Stoetzel, Nadia; Gaboury, Isabelle; Smithman, Mélanie Ann; Kaczorowski, Janusz; Lussier, Marie-Thérèse; Haggerty, Jeannie; Motulsky, Aude; Nugus, Peter; Layani, Géraldine; Paré, Guy; Evoy, Gabrielle; Arsenault, Mylène; Paquette, Jean-Sébastien; Quinty, Julien; Authier, Marie; Mokraoui, Nadjib; Luc, Mireille; Lavoie, Marie-Eve.
  • Breton M; Associate Professor, Department of Community Health Sciences, Université de Sherbrooke Longueuil, QC.
  • Deville-Stoetzel N; Research Professional, Université de Sherbrooke, Longueuil, QC; Doctoral Student, Department of Sociology, Université du Québec à Montréal, Montréal, QC.
  • Gaboury I; Professor, Department of Family and Emergency Medicine, Université de Sherbrooke, Longueuil, QC.
  • Smithman MA; Doctoral Student, Department of Community Health Sciences, Université de Sherbrooke, Sherbrooke, QC.
  • Kaczorowski J; Professor, Department of Family and Emergency Medicine, Université de Montréal, Montréal, QC.
  • Lussier MT; Director, Réseau de recherche en soins primaires de l'Université de Montréal (RRSPUM); Professor, Department of Family and Emergency Medicine, Université de Montréal, Montréal, QC.
  • Haggerty J; Professor, Department of Family Medicine, McGill University, Montreal, QC.
  • Motulsky A; Adjunct Professor, Department of Management Evaluation and Health Policy, School of Public Health of the Université de Montréal, Montréal, QC.
  • Nugus P; Associate Professor, Department of Family Medicine, McGill University, Montreal, QC.
  • Layani G; Clinical Adjunct Professor, Department of Family and Emergency Medicine, Université de Montréal, Montréal, QC.
  • Paré G; Professor, Department of Information Technologies, HEC Montréal, Montréal, QC.
  • Evoy G; Student of Medicine, Université de Sherbrooke, Sherbrooke, QC.
  • Arsenault M; Family Physician, UFM-G Herzl Family Practice Centre; Assistant Professor, Department of Family Medicine, McGill University, Montreal, QC.
  • Paquette JS; Co-Director, Réseau de recherche axé sur les pratiques de première ligne de l'Université Laval; Associate Clinical Professor, Département médecine familiale et de médecine d'urgence (DMFMU), Université Laval, Québec City, QC.
  • Quinty J; Adjunct Professor, Department of Family Medicine and Emergency Medicine, Université Laval, Québec City, QC.
  • Authier M; Research Facilitator, Réseau de recherche en soins primaires de l'Université de Montréal (RRSPUM), Montreal, QC.
  • Mokraoui N; Research Facilitator and Coordinator, McGill Practice-Based Research Network (PBRN), Montreal, QC.
  • Luc M; Deputy Director, Department of Family and Emergency Medicine, Practice-Based Research Network, Université de Sherbrooke, Sherbrooke, QC.
  • Lavoie ME; Scientific Coordinator and Research Facilitator, Réseau de recherche en soins primaires de l'Université de Montréal (RRSPUM), Montreal, QC.
Healthc Policy ; 17(1): 73-90, 2021 08.
Article in English | MEDLINE | ID: covidwho-1431156
ABSTRACT

OBJECTIVE:

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.

METHOD:

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.

RESULTS:

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.

CONCLUSION:

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.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Primary Health Care / Patient Acceptance of Health Care / Health Personnel / Telemedicine / COVID-19 Type of study: Diagnostic study / Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: North America Language: English Journal: Healthc Policy Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Primary Health Care / Patient Acceptance of Health Care / Health Personnel / Telemedicine / COVID-19 Type of study: Diagnostic study / Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: North America Language: English Journal: Healthc Policy Year: 2021 Document Type: Article