Sustainable Virtual Care in Ontario’s Health System: A Quality Metrics Comparison
Notice bibliographique
Résumé
Objective: The lack of pre-existing public virtual care platforms in Ontario at the start of the COVID-19 pandemic led to the generation of many private companies employing physicians in corporate practice groups. The quality of care provided remains unknown. This study assesses the quality of care provided by physicians through a virtual care platform that focuses on independent physicians providing coordinated care within the public sector. Methodology: A prospective self-directed survey was distributed to Ontario patients who received virtual care visits through the Rocket Doctor platform between October 18, 2022 and November 30, 2022. Quality indicators were selected and benchmarked against Health Quality Ontario’s (HQO) quality framework. Additional indicators of quality were measured using internal platform metrics. Results: A total of 2276 patients completed the survey out of 14,324 who completed virtual care encounters. Among the respondents, 40% reported using physicians on Rocket Doctor as their primary care provider. Compared with in-person primary care clinics, patients were able to book appointments on the same day or the next day, 74% versus 41% of the time. In addition, the platform was able to book an appointment on the same day or the next day with a specialist 86% of the time. Physicians were able to resolve or provide follow-up on 94% of encounters, with only 1% of patients referred to the emergency department. Conclusion: Quality of care metrics overall met and surpassed comparable HQO indicators. Services provided were more timely, efficient, and effective. High-quality virtual care can be effectively delivered through a private technology platform built on public health insurance and integrated into Canada’s healthcare system. Plain Language Summary Delivery of care through a virtual platform in Canada is novel and expanded rapidly in response to the COVID-19 pandemic. While the medical care provided is publicly funded, private companies manage the virtual care platforms. The quality of care provided in this unique, novel system was currently unknown and much needed to help inform Canada’s health policies on virtual care. This patient survey study looked at the quality of care provided on one of these virtual care platforms and compared it with provincial quality standards. Patients were able to be seen effectively, timely, and efficiently above provincial quality standards. Virtual care platforms can help provide high-quality clinical care and sustainably integrate into the Canadian healthcare system.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,004 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,001 | 0,002 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».