Evaluating the Impact of COVID-19 on the Adoption of Virtual Care in General Practice in 20 Countries (inSIGHT): Protocol and Rationale Study

被引：10

作者：

Neves, Ana Luisa ^{[1
]}

Li, Edmond ^{[1
]}

Serafini, Alice ^{[2
]}

Jimenez, Geronimo ^{[3
,4
]}

Lingner, Heidrun ^{[5
]}

Koskela, Tuomas H. ^{[6
]}

Hoffman, Robert D. ^{[7
]}

Collins, Claire ^{[8
]}

Petek, Davorina ^{[9
]}

Claveria, Ana ^{[10
,11
]}

Tsopra, Rosy ^{[12
,13
]}

Irving, Greg ^{[14
]}

Gusso, Gustavo ^{[15
]}

O'Neill, Braden Gregory ^{[16
]}

Hoedebecke, Kyle ^{[17
]}

Espitia, Sandra Milena ^{[18
]}

Ungan, Mehmet ^{[19
]}

Nessler, Katarzyna ^{[20
]}

Lazic, Vanja ^{[21
]}

Laranjo, Liliana ^{[22
,23
]}

Memarian, Ensieh ^{[24
,25
]}

Fernandez, Maria Jose ^{[11
,26
]}

Ghafur, Saira ^{[1
]}

Fontana, Gianluca ^{[1
]}

Majeed, Azeem ^{[27
]}

Car, Josip ^{[3
,27
]}

Darzi, Ara ^{[1
]}

机构：

[1] Imperial Coll London, Fac Med, Inst Global Hlth Innovat, Dept Surg & Canc, Room 1035-7,QEQM Wing,St Marys Hosp Campus, London W2 1NY, England

[2] Local Hlth Author Modena, Modena, Italy

[3] Nanyang Technol Univ, Ctr Populat Hlth Sci, Lee Kong Chian Sch Med, Singapore, Singapore

[4] Leiden Univ, Dept Publ Hlth & Primary Care, Med Ctr, Leiden, Netherlands

[5] Hannover Med Sch, German Ctr Lung Res DZL BREATH Hannover, Ctr Publ Hlth & Healthcare, Hannover, Germany

[6] Tampere Univ, Tampere Univ Hosp, Fac Med & Hlth Technol, Dept Gen Practice, Tampere, Finland

[7] Tel Aviv Univ, Sackler Fac Med, Dept Family Med, Tel Aviv, Israel

[8] Irish Coll Gen Practitioners, Dublin, Ireland

[9] Univ Ljubljana, Fac Med, Dept Family Med, Ljubljana, Slovenia

[10] Vigo Hlth Area, Primary Care Res Unit, Vigo, Spain

[11] Galicia South Hlth Res Inst, Vigo, Spain

[12] Univ Paris, Ctr Rech Cordeliers, Sorbonne Univ, INSERM,Informat Sci Support Personalized Med, Paris, France

[13] Hop Europeen Georges Pompidou, AP HP, Dept Med Informat, Paris, France

[14] Edge Hill Univ, Hlth Res Inst, Ormskirk, England

[15] Univ Sao Paulo, Dept Internal Med, Sao Paulo, Brazil

[16] St Michaels Hosp, Li Ka Shing Knowledge Inst, MAP Ctr Urban Hlth Solut, Toronto, ON, Canada

[17] Oscar Hlth, Dept Utilizat Management, Dallas, TX USA

[18] Colombian Soc Family Med, Bogota, Colombia

[19] Ankara Univ, Dept Family Med, Sch Med, Ankara, Turkey

[20] Jagiellonian Univ Med Coll, Dept Family Med, Krakow, Poland

[21] Hlth Ctr Zagreb, Zagreb, Croatia

[22] Univ Sydney, Fac Med & Hlth, Westmead Appl Res Ctr, Sydney, NSW, Australia

[23] Macquarie Univ, Australian Inst Hlth Innovat, Sydney, NSW, Australia

[24] Lund Univ, Dept Clin Sci Malmo, Malmo, Sweden

[25] Skane Univ Hosp, Internal Med & Epidemiol Res Grp, Malmo, Sweden

[26] Leiro Hlth Ctr, Leiro, Spain

[27] Imperial Coll London, Sch Publ Hlth, Dept Primary Care & Publ Hlth, London, England

来源：

JMIR RESEARCH PROTOCOLS | 2021年 / 10卷 / 08期

关键词：

primary care; telemedicine; virtual care; digital-first models; quality of care; patient safety;

D O I：

10.2196/30099

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background: In recent decades, virtual care has emerged as a promising option to support primary care delivery. However, despite the potential, adoption rates remained low. With the outbreak of COVID-19, it has suddenly been pushed to the forefront of care delivery. As we progress into the second year of the COVID-19 pandemic, there is a need and opportunity to review the impact remote care had in primary care settings and reassess its potential future role. Objective: This study aims to explore the perspectives of general practitioners (GPs) and family doctors on the (1) use of virtual care during the COVID-19 pandemic, (2) perceived impact on quality and safety of care, and (3) essential factors for high-quality and sustainable use of virtual care in the future. Methods: This study used an online cross-sectional questionnaire completed by GPs distributed across 20 countries. The survey was hosted in Qualtrics and distributed using email, social media, and the researchers' personal contact networks. GPs were eligible for the survey if they were working mainly in primary care during the period of the COVID-19 pandemic. Descriptive statistical analysis will be performed for quantitative variables, and relationships between the use of virtual care and perceptions on impact on quality and safety of care and participants' characteristics may be explored. Qualitative data (free-text responses) will be analyzed using framework analysis. Results: Data collection took place from June 2020 to September 2020. As of this manuscript's submission, a total of 1605 GP respondents participated in the questionnaire. Further data analysis is currently ongoing. Conclusions: The study will provide a comprehensive overview of the availability of virtual care technologies, perceived impact on quality and safety of care, and essential factors for high-quality future use. In addition, a description of the underlying factors that influence this adoption and perceptions, in both individual GP and family doctor characteristics and the context in which they work, will be provided. While the COVID-19 pandemic may prove the first great stress test of the capabilities, capacity, and robustness of digital systems currently in use, remote care will likely remain an increasingly common approach in the future. There is an imperative to identify the main lessons from this unexpected transformation and use them to inform policy decisions and health service design. International Registered Report Identifier (IRRID): DERR1-10.2196/30099

引用

页数：9

共 42 条

[1] Use and Content of Primary Care Office-Based vs Telemedicine Care Visits During the COVID-19 Pandemic in the US [J].

Alexander, G. Caleb ;

Tajanlangit, Matthew ;

Heyward, James ;

Mansour, Omar ;

Qato, Dima M. ;

Stafford, Randall S. .

JAMA NETWORK OPEN, 2020, 3 (10)

[2]

[Anonymous], 2020, [No title captured]

[3]

[Anonymous], 2003, NEW HLTH SYST 21 CEN

[4]

[Anonymous], 2018, Health at a Glance: Europe 2018, DOI [10.1787/health_glance_eur-2018-en, DOI 10.1787/HEALTH_GLANCE_EUR-2018-EN]

[5]

[Anonymous], 2019, HLTH WORKF DAT

[6]

[Anonymous], 2014, GEN PRACT TOT

[7]

[Anonymous], SIST INF SAN

[8]

[Anonymous], 2017, VIR ZDRAVSTV

[9]

[Anonymous], 2021, GEN PRACT WORKF 31 D

[10]

ASTM International, 2018, STANDARD SPECIFICATI, DOI [10.1520/C0033_C0033M-18, DOI 10.1520/C0033_C0033M-18]

← 1 2 3 4 5 →