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Evaluating the Impact of COVID-19 on the Adoption of Virtual Care in General Practice in 20 Countries (inSIGHT): Protocol and Rationale Study.
JMIR Res Protoc. 2021 Aug 26; 10(8):e30099.JR

Abstract

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.

Authors+Show Affiliations

Institute of Global Health Innovation, Department of Surgery & Cancer, Faculty of Medicine, Imperial College London, London, United Kingdom.Institute of Global Health Innovation, Department of Surgery & Cancer, Faculty of Medicine, Imperial College London, London, United Kingdom.Local Health Authority of Modena, Modena, Italy.Center for Population Health Sciences, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore. Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, Netherlands.Center for Public Health and Healthcare, German Center for Lung Research (DZL) / BREATH Hannover, Hannover Medical School, Hannover, Germany.Department of General Practice, Faculty of Medicine and Health Technology, Tampere University Hospital, Tampere University, Tampere, Finland.Department of Family Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.Irish College of General Practitioners, Dublin, Ireland.Department of Family Medicine, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.Primary Care Research Unit, Vigo Health Area, Vigo, Spain. Galicia South Health Research Institute, Vigo, Spain.Information Sciences to Support Personalized Medicine, Centre de Recherche des Cordeliers, Sorbonne Université, INSERM, Université de Paris, Paris, France. Department of Medical Informatics, Hôpital Européen Georges-Pompidou, Assistance Publique - Hôpitaux de Paris, Paris, France.Health Research Institute, Edge Hill University, Ormskirk, United Kingdom.Department of Internal Medicine, Universidade de Sao Paulo, Sao Paulo, Brazil.MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada.Department of Utilization Management, Oscar Health, Dallas, TX, United States.Colombian Society of Family Medicine, Bogotá, Colombia.Department of Family Medicine, Ankara University School of Medicine, Ankara, Turkey.Department of Family Medicine, Jagiellonian University Medical College, Krakow, Poland.Health Center Zagreb, Zagreb, Croatia.Westmead Applied Research Centre, Faculty of Medicine and Health, University of Sydney, Sydney, Australia. Australian Institute of Health Innovation, Macquarie University, Sydney, Australia.Department of Clinical Sciences in Malmö, Lund University, Malmö, Sweden. Internal Medicine and Epidemiology Research Group, Skane University Hospital, Malmö, Sweden.Galicia South Health Research Institute, Vigo, Spain. Leiro Health Center, Leiro, Spain.Institute of Global Health Innovation, Department of Surgery & Cancer, Faculty of Medicine, Imperial College London, London, United Kingdom.Institute of Global Health Innovation, Department of Surgery & Cancer, Faculty of Medicine, Imperial College London, London, United Kingdom.Department of Primary Care & Public Health, School of Public Health, Imperial College London, London, United Kingdom.Center for Population Health Sciences, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore. Department of Primary Care & Public Health, School of Public Health, Imperial College London, London, United Kingdom.Institute of Global Health Innovation, Department of Surgery & Cancer, Faculty of Medicine, Imperial College London, London, United Kingdom.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

34292867

Citation

Neves, Ana Luísa, et al. "Evaluating the Impact of COVID-19 On the Adoption of Virtual Care in General Practice in 20 Countries (inSIGHT): Protocol and Rationale Study." JMIR Research Protocols, vol. 10, no. 8, 2021, pp. e30099.
Neves AL, Li E, Serafini A, et al. Evaluating the Impact of COVID-19 on the Adoption of Virtual Care in General Practice in 20 Countries (inSIGHT): Protocol and Rationale Study. JMIR Res Protoc. 2021;10(8):e30099.
Neves, A. L., Li, E., Serafini, A., Jimenez, G., Lingner, H., Koskela, T. H., Hoffman, R. D., Collins, C., Petek, D., Claveria, A., Tsopra, R., Irving, G., Gusso, G., O'Neill, B. G., Hoedebecke, K., Espitia, S. M., Ungan, M., Nessler, K., Lazic, V., ... Darzi, A. (2021). Evaluating the Impact of COVID-19 on the Adoption of Virtual Care in General Practice in 20 Countries (inSIGHT): Protocol and Rationale Study. JMIR Research Protocols, 10(8), e30099. https://doi.org/10.2196/30099
Neves AL, et al. Evaluating the Impact of COVID-19 On the Adoption of Virtual Care in General Practice in 20 Countries (inSIGHT): Protocol and Rationale Study. JMIR Res Protoc. 2021 Aug 26;10(8):e30099. PubMed PMID: 34292867.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evaluating the Impact of COVID-19 on the Adoption of Virtual Care in General Practice in 20 Countries (inSIGHT): Protocol and Rationale Study. AU - Neves,Ana Luísa, AU - Li,Edmond, AU - Serafini,Alice, AU - Jimenez,Geronimo, AU - Lingner,Heidrun, AU - Koskela,Tuomas H, AU - Hoffman,Robert D, AU - Collins,Claire, AU - Petek,Davorina, AU - Claveria,Ana, AU - Tsopra,Rosy, AU - Irving,Greg, AU - Gusso,Gustavo, AU - O'Neill,Braden Gregory, AU - Hoedebecke,Kyle, AU - Espitia,Sandra Milena, AU - Ungan,Mehmet, AU - Nessler,Katarzyna, AU - Lazic,Vanja, AU - Laranjo,Liliana, AU - Memarian,Ensieh, AU - Fernandez,Maria Jose, AU - Ghafur,Saira, AU - Fontana,Gianluca, AU - Majeed,Azeem, AU - Car,Josip, AU - Darzi,Ara, Y1 - 2021/08/26/ PY - 2021/05/02/received PY - 2021/07/19/accepted PY - 2021/06/29/revised PY - 2021/7/23/pubmed PY - 2021/7/23/medline PY - 2021/7/22/entrez KW - digital-first models KW - patient safety KW - primary care KW - quality of care KW - telemedicine KW - virtual care SP - e30099 EP - e30099 JF - JMIR research protocols JO - JMIR Res Protoc VL - 10 IS - 8 N2 - 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. SN - 1929-0748 UR - https://www.unboundmedicine.com/medline/citation/34292867/Evaluating_the_impact_of_COVID-19_on_the_adoption_of_virtual_care_in_general_practice_in_20_countries_(inSIGHT):_rationale_and_study_protocol. L2 - https://www.researchprotocols.org/2021/8/e30099/ DB - PRIME DP - Unbound Medicine ER -
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