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10.1503/cmaj.202303 http://scihub22266oqcxt.onion/10.1503/cmaj.202303 33558406!7954541!33558406     free     free     free Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       CMAJ 2021 ; 193 (6): E200-E210 Nephropedia Template TP {{tp|p=33558406|t=2021. Shifts in office and virtual primary care during the early COVID-19 pandemic in Ontario, Canada |pdf=|usr=}}{{33558406}} gab.com Text Shifts in office and virtual primary care during the early COVID-19 pandemic in Ontario, Canada JO: CMAJ http://www.kidney.de/pget.php?&tw=1&pmid=33558406 #FOAvip BACKGROUND: Globally, primary care changed dramatically as a result of the coronavirus disease 2019 (COVID-19) pandemic. We aimed to understand the degree to which office and virtual primary care changed, and for which patients and physicians, during the initial months of the pandemic in Ontario, Canada. METHODS: This population-based study compared comprehensive, linked primary care physician billing data from Jan. 1 to July 28, 2020, with the same period in 2019. We identified Ontario residents with at least 1 office or virtual (telephone or video) visit during the study period. We compared trends in total physician visits, office visits and virtual visits before COVID-19 with trends after pandemic-related public health measures changed the delivery of care, according to various patient and physician characteristics. We used interrupted time series analysis to compare trends in the early and later halves of the COVID-19 period. RESULTS: Compared with 2019, total primary care visits between March and July 2020 decreased by 28.0%, from 7.66 to 5.51 per 1000 people/day. The smallest declines were among patients with the highest expected health care use (8.3%), those who could not be attributed to a primary care physician (10.2%), and older adults (19.1%). In contrast, total visits in rural areas increased by 6.4%. Office visits declined by 79.1% and virtual care increased 56-fold, comprising 71.1% of primary care physician visits. The lowest uptake of virtual care was among children (57.6%), rural residents (60.6%) and physicians with panels of >/= 2500 patients (66.0%). INTERPRETATION: Primary care in Ontario saw large shifts from office to virtual care over the first 4 months of the COVID-19 pandemic. Total visits declined least among those with higher health care needs. The determinants and consequences of these major shifts in care require further study. Twit Text FOAVip Shifts in office and virtual primary care during the early COVID-19 pandemic in Ontario, Canada ????CMAJ http://www.kidney.de/pget.php?&tw=1&pmid=33558406 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=33558406 #FOAvip English Wikipedia <ref>{{Cite pmid|33558406}}</ref> Shifts in office and virtual primary care during the early COVID-19 pandemic in Ontario, Canada #MMPMID33558406 Glazier RH; Green ME; Wu FC; Frymire E; Kopp A; Kiran T CMAJ 2021[Feb]; 193 (6): E200-E210 PMID33558406show ga BACKGROUND: Globally, primary care changed dramatically as a result of the coronavirus disease 2019 (COVID-19) pandemic. We aimed to understand the degree to which office and virtual primary care changed, and for which patients and physicians, during the initial months of the pandemic in Ontario, Canada. METHODS: This population-based study compared comprehensive, linked primary care physician billing data from Jan. 1 to July 28, 2020, with the same period in 2019. We identified Ontario residents with at least 1 office or virtual (telephone or video) visit during the study period. We compared trends in total physician visits, office visits and virtual visits before COVID-19 with trends after pandemic-related public health measures changed the delivery of care, according to various patient and physician characteristics. We used interrupted time series analysis to compare trends in the early and later halves of the COVID-19 period. RESULTS: Compared with 2019, total primary care visits between March and July 2020 decreased by 28.0%, from 7.66 to 5.51 per 1000 people/day. The smallest declines were among patients with the highest expected health care use (8.3%), those who could not be attributed to a primary care physician (10.2%), and older adults (19.1%). In contrast, total visits in rural areas increased by 6.4%. Office visits declined by 79.1% and virtual care increased 56-fold, comprising 71.1% of primary care physician visits. The lowest uptake of virtual care was among children (57.6%), rural residents (60.6%) and physicians with panels of >/= 2500 patients (66.0%). INTERPRETATION: Primary care in Ontario saw large shifts from office to virtual care over the first 4 months of the COVID-19 pandemic. Total visits declined least among those with higher health care needs. The determinants and consequences of these major shifts in care require further study. |*COVID-19[MESH] |Adolescent[MESH] |Adult[MESH] |Aged[MESH] |Child[MESH] |Female[MESH] |Humans[MESH] |Male[MESH] |Middle Aged[MESH] |Office Visits/*statistics & numerical data[MESH] |Ontario/epidemiology[MESH] |Pandemics[MESH] |Primary Health Care/*methods/*statistics & numerical data/trends[MESH] |Remote Consultation/*statistics & numerical data[MESH] |Retrospective Studies[MESH] |SARS-CoV-2[MESH]Shifts in office and virtual primary care during the early COVID-19 pa(epmc).pdf DeepDyve Pubget Overpricing