Medication prescribing in face- to- face versus telehealth consultations during the COVID- 19 pandemic in Australian general practice: a retrospective observational study

被引:17
|
作者
Wabe, Nasir [1 ]
Thomas, Judith [1 ]
Sezgin, Gorkem [1 ,2 ]
Sheikh, Muhammad Kashif [2 ,3 ]
Gault, Emma [4 ]
Georgiou, Andrew [1 ]
机构
[1] Macquarie Univ, Australian Inst Hlth Innovat, Ctr Hlth Syst & Safety Res, N Ryde, NSW, Australia
[2] ICT West Gippsland Healthcare Grp, Elect Med Record Subject Matter Expert, Warragul, Australia
[3] Gippsland Primary Hlth Network, Digital Hlth & ICT, Traralgon, Australia
[4] Gippsland Primary Hlth Network, Bairnsdale, Australia
关键词
general practice; COVID-19; telemedicine; COMMUNICATION;
D O I
10.3399/BJGPO.2021.0132
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: There has been a precipitous rise in telehealth use in general practice during the COVID- 19 pandemic. Understanding differences between face -to -face and telehealth consulting is an important component for planning the future use of telehealth services beyond the pandemic. However, there is limited evidence on whether telehealth consulting impacts medication prescribing under pandemic circumstances.Aim: To compare medication prescribing in face -to -face consultations with telehealth during the COVID- 19 pandemic in Australian general practice.Design & setting: A multisite, retrospective observational study. De-identified routinely collected electronic health data were used, which were extracted from 806 general practices in Victoria and New South Wales (NSW), Australia, between April and December 2020. Method: The primary outcome measure was whether at least one medication was prescribed following a telehealth or face -to -face consultation. Data were reported by medication and for each of the Anatomical Therapeutic Chemical (ATC) classification system level 1 groups. The secondary outcome measure was first -time prescribing. Telehealth included both telephone and video consultations. Results: A total of 13 608 216 consultations satisfied the inclusion criteria (61.0% face to face and 39.0% telehealth). Most telehealth consultations were conducted via telephone (97.8%). Overall, 39.3% of face -to -face and 33.0% of telehealth consultations prescribed at least one medication, which is a statistically significant difference (adjusted odds ratio [OR] 1.38, 95% confidence interval [CI] = 1.379 to 1.381). The prescribing rate was greater for face -to -face versus telehealth consultations for all drug groups except ATC level 1N (nervous system).Conclusion: Under COVID- 19 restrictions in the states of Victoria and NSW, Australia, medication prescribing was higher in face -to -face consultations when compared with telehealth consultations in the study population.
引用
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页码:1 / 10
页数:10
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