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Changes in primary care visits arising from the COVID-19 pandemic : an international comparative study by the International Consortium of Primary Care Big Data Researchers (INTRePID)
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- Tu, Karen (author)
- Univ Toronto, Dept Family & Community Med, Toronto, ON, Canada.;Univ Hlth Network, Dept Res & Innovat, North York Gen Hosp, Toronto Western Family Hlth Team, Toronto, ON, Canada.;Univ Hlth Network, Dept Family Med, North York Gen Hosp, Toronto Western Family Hlth Team, Toronto, ON, Canada.
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- Kristiansson, Robert S. (author)
- Uppsala universitet,Hälso- och sjukvårdsforskning
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- Gronsbell, Jessica (author)
- Univ Toronto, Dept Family & Community Med, Toronto, ON, Canada.;Univ Toronto, Dept Stat Sci, Toronto, ON, Canada.
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- de Lusignan, Simon (author)
- Univ Oxford, Nuffield Dept Primary Care Hlth Sci, Oxford, England.
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- Flottorp, Signe (author)
- Norwegian Inst Publ Hlth, Oslo, Norway.;Univ Oslo, Dept Gen Practice, Oslo, Norway.
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- Goh, Lay Hoon (author)
- Natl Univ Singapore, Yong Loo Lin Sch Med, Div Family Med, Singapore, Singapore.
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- Hallinan, Christine Mary (author)
- Univ Melbourne, Dept Gen Practice, Melbourne, Vic, Australia.
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- Hoang, Uy (author)
- Univ Oxford, Nuffield Dept Primary Care Hlth Sci, Oxford, England.
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- Kang, Seo Young (author)
- Asan Med Ctr, Int Healthcare Ctr, Seoul, South Korea.
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- Kim, Young Sik (author)
- Univ Ulsan, Asan Med Ctr, Dept Family Med, Coll Med, Seoul, South Korea.
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- Li, Zhou (author)
- Univ Hong Kong Shenzhen Hosp, Dept Family Med & Primary Care, Shenzhen, Peoples R China.
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- Ling, Zheng Jye (author)
- Natl Univ Singapore, Yong Loo Lin Sch Med, Div Family Med, Singapore, Singapore.
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- Manski-Nankervis, Jo-Anne (author)
- Univ Melbourne, Dept Gen Practice, Melbourne, Vic, Australia.
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- Ng, Amy Pui Pui (author)
- Univ Hong Kong Shenzhen Hosp, Dept Family Med & Primary Care, Shenzhen, Peoples R China.;Univ Hong Kong, Sch Clin Med, Li Ka Shing Fac Med, Dept Family Med & Primary Care, Hong Kong, Peoples R China.
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- Pace, Wilson D. (author)
- DARTNet Inst, Aurora, CO USA.
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- Wensaas, Knut-Arne (author)
- NORCE Norwegian Res Ctr AS, Res Unit Gen Practice, Bergen, Norway.
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- Wong, William C. W. (author)
- Univ Hong Kong Shenzhen Hosp, Dept Family Med & Primary Care, Shenzhen, Peoples R China.;Univ Hong Kong, Sch Clin Med, Li Ka Shing Fac Med, Dept Family Med & Primary Care, Hong Kong, Peoples R China.
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- Stephenson, Ellen (author)
- Univ Toronto, Dept Family & Community Med, Toronto, ON, Canada.
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Univ Toronto, Dept Family & Community Med, Toronto, ON, Canada;Univ Hlth Network, Dept Res & Innovat, North York Gen Hosp, Toronto Western Family Hlth Team, Toronto, ON, Canada.;Univ Hlth Network, Dept Family Med, North York Gen Hosp, Toronto Western Family Hlth Team, Toronto, ON, Canada. Hälso- och sjukvårdsforskning (creator_code:org_t)
- 2022-05-09
- 2022
- English.
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In: BMJ Open. - : BMJ Publishing Group Ltd. - 2044-6055. ; 12:5
- Related links:
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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Abstract
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- Introduction Through the INTernational ConsoRtium of Primary Care BIg Data Researchers (INTRePID), we compared the pandemic impact on the volume of primary care visits and uptake of virtual care in Australia, Canada, China, Norway, Singapore, South Korea, Sweden, the UK and the USA. Methods Visit definitions were agreed on centrally, implemented locally across the various settings in INTRePID countries, and weekly visit counts were shared centrally for analysis. We evaluated the weekly rate of primary care physician visits during 2019 and 2020. Rate ratios (RRs) of total weekly visit volume and the proportion of weekly visits that were virtual in the pandemic period in 2020 compared with the same prepandemic period in 2019 were calculated. Results In 2019 and 2020, there were 80 889 386 primary care physician visits across INTRePID. During the pandemic, average weekly visit volume dropped in China, Singapore, South Korea, and the USA but was stable overall in Australia (RR 0.98 (95% CI 0.92 to 1.05, p=0.59)), Canada (RR 0.96 (95% CI 0.89 to 1.03, p=0.24)), Norway (RR 1.01 (95% CI 0.88 to 1.17, p=0.85)), Sweden (RR 0.91 (95% CI 0.79 to 1.06, p=0.22)) and the UK (RR 0.86 (95% CI 0.72 to 1.03, p=0.11)). In countries that had negligible virtual care prepandemic, the proportion of visits that were virtual were highest in Canada (77.0%) and Australia (41.8%). In Norway (RR 8.23 (95% CI 5.30 to 12.78, p<0.001), the UK (RR 2.36 (95% CI 2.24 to 2.50, p<0.001)) and Sweden (RR 1.33 (95% CI 1.17 to 1.50, p<0.001)) where virtual visits existed prepandemic, it increased significantly during the pandemic. Conclusions The drop in primary care in-person visits during the pandemic was a global phenomenon across INTRePID countries. In several countries, primary care shifted to virtual visits mitigating the drop in in-person visits.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Keyword
- COVID-19
- PRIMARY CARE
- HEALTH SERVICES ADMINISTRATION & MANAGEMENT
Publication and Content Type
- ref (subject category)
- art (subject category)
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Tu, Karen
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Kristiansson, Ro ...
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Gronsbell, Jessi ...
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de Lusignan, Sim ...
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Flottorp, Signe
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Goh, Lay Hoon
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Hallinan, Christ ...
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Hoang, Uy
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Kang, Seo Young
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Kim, Young Sik
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Li, Zhou
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Ling, Zheng Jye
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Manski-Nankervis ...
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Ng, Amy Pui Pui
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Pace, Wilson D.
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Wensaas, Knut-Ar ...
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Wong, William C. ...
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Stephenson, Elle ...
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Uppsala University