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5. Video consultation in general practice during COVID-19: a register-based study in Denmark.

Author

Kirk, Ulrik Bak, Vestergaard, Claus Høstrup, Bech, Bodil Hammer, Christensen, Morten Bondo, Kallestrup, Per, and Huibers, Linda

Subjects
CROSS-sectional method, FAMILY medicine, RESEARCH funding, LOGISTIC regression analysis, DESCRIPTIVE statistics, TELEMEDICINE, MEDICAL consultation, ODDS ratio, DATA analysis software, CONFIDENCE intervals, COVID-19 pandemic
Abstract

Background: During the COVID-19 pandemic, general practices in Denmark rapidly introduced video consultations (VCs) to prevent viral transmission. Aim: To study the use of VCs in daytime general practice by describing the rate of VCs, and the patient characteristics associated with having VCs. Design & setting: Register-based study of consultations in daytime general practice in Denmark. Method: We included all consultations in daytime general practice from 1 January 2019–30 November 2021. We calculated the rate of video use and categorised the general practices into no, low, and high use. Logistic regression was used to calculate adjusted odds ratios (aOR) for having a VC for different patient characteristics when contacting a video-using practice, stratified for low- and high-using practices. Results: A total of 30 148 478 eligible consultations were conducted during the pandemic period. VCs were used mostly during the early stage pandemic period, declining to about 2% of all clinic consultations in the late-stage period. Patients having more VCs were young, had a long education, were employed, and lived in big cities. In low-using practices, native Danes and 'western' immigrants had higher odds of receiving a VC than 'non-western' immigrants, and patients with ≥2 comorbidities had lower odds than those without comorbidities. Conclusion: Patients of a younger age, with long education, or employment had higher odds of receiving a VC, while patients of an older age and patients who had retired had lower odds. This difference in the access to VCs warrants further attention. [ABSTRACT FROM AUTHOR]

Published
2024
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24. sj-pdf-1-eso-10.1177_2396987320945834 - Supplemental material for Understanding the seriousness of a stroke is essential for appropriate help-seeking and early arrival at a stroke centre: A cross-sectional study of stroke patients and their bystanders

Author

Iversen, Ane Bull, Blauenfeldt, Rolf Ankerlund, Johnsen, Søren Paaske, Sandal, Birgitte F, Christensen, Bo, Andersen, Grethe, and Christensen, Morten Bondo

Subjects
FOS: Clinical medicine, Cardiology, Medicine, 110904 Neurology and Neuromuscular Diseases
Abstract

Supplemental material, sj-pdf-1-eso-10.1177_2396987320945834 for Understanding the seriousness of a stroke is essential for appropriate help-seeking and early arrival at a stroke centre: A cross-sectional study of stroke patients and their bystanders by Ane Bull Iversen, Rolf Ankerlund Blauenfeldt, Søren Paaske Johnsen, Birgitte F Sandal, Bo Christensen, Grethe Andersen and Morten Bondo Christensen in European Stroke Journal

Published
2021
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25. sj-pdf-2-eso-10.1177_2396987320945834 - Supplemental material for Understanding the seriousness of a stroke is essential for appropriate help-seeking and early arrival at a stroke centre: A cross-sectional study of stroke patients and their bystanders

Author

Iversen, Ane Bull, Blauenfeldt, Rolf Ankerlund, Johnsen, Søren Paaske, Sandal, Birgitte F, Christensen, Bo, Andersen, Grethe, and Christensen, Morten Bondo

Subjects
FOS: Clinical medicine, Cardiology, Medicine, 110904 Neurology and Neuromuscular Diseases
Abstract

Supplemental material, sj-pdf-2-eso-10.1177_2396987320945834 for Understanding the seriousness of a stroke is essential for appropriate help-seeking and early arrival at a stroke centre: A cross-sectional study of stroke patients and their bystanders by Ane Bull Iversen, Rolf Ankerlund Blauenfeldt, Søren Paaske Johnsen, Birgitte F Sandal, Bo Christensen, Grethe Andersen and Morten Bondo Christensen in European Stroke Journal

Published
2021
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26. sj-pdf-4-eso-10.1177_2396987320945834 - Supplemental material for Understanding the seriousness of a stroke is essential for appropriate help-seeking and early arrival at a stroke centre: A cross-sectional study of stroke patients and their bystanders

Author

Iversen, Ane Bull, Blauenfeldt, Rolf Ankerlund, Johnsen, Søren Paaske, Sandal, Birgitte F, Christensen, Bo, Andersen, Grethe, and Christensen, Morten Bondo

Subjects
FOS: Clinical medicine, Cardiology, Medicine, 110904 Neurology and Neuromuscular Diseases
Abstract

Supplemental material, sj-pdf-4-eso-10.1177_2396987320945834 for Understanding the seriousness of a stroke is essential for appropriate help-seeking and early arrival at a stroke centre: A cross-sectional study of stroke patients and their bystanders by Ane Bull Iversen, Rolf Ankerlund Blauenfeldt, Søren Paaske Johnsen, Birgitte F Sandal, Bo Christensen, Grethe Andersen and Morten Bondo Christensen in European Stroke Journal

Published
2021
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27. sj-pdf-3-eso-10.1177_2396987320945834 - Supplemental material for Understanding the seriousness of a stroke is essential for appropriate help-seeking and early arrival at a stroke centre: A cross-sectional study of stroke patients and their bystanders

Author

Iversen, Ane Bull, Blauenfeldt, Rolf Ankerlund, Johnsen, Søren Paaske, Sandal, Birgitte F, Christensen, Bo, Andersen, Grethe, and Christensen, Morten Bondo

Subjects
FOS: Clinical medicine, Cardiology, Medicine, 110904 Neurology and Neuromuscular Diseases
Abstract

Supplemental material, sj-pdf-3-eso-10.1177_2396987320945834 for Understanding the seriousness of a stroke is essential for appropriate help-seeking and early arrival at a stroke centre: A cross-sectional study of stroke patients and their bystanders by Ane Bull Iversen, Rolf Ankerlund Blauenfeldt, Søren Paaske Johnsen, Birgitte F Sandal, Bo Christensen, Grethe Andersen and Morten Bondo Christensen in European Stroke Journal

Published
2021
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32. Antibiotic treatment of community‐acquired pneumonia: A questionnaire survey in Danish general practice.

Author

Eggers‐Kaas, Lotti, Bisgaard, Lise, Thomsen, Janus Laust, Jarbøl, Dorte Ejg, Llor, Carl, Christensen, Morten Bondo, Bjerrum, Lars, Siersma, Volkert, and Hansen, Malene Plejdrup

Subjects
COMMUNITY-acquired pneumonia, TREATMENT duration, GENERAL practitioners, ODDS ratio, LOGISTIC regression analysis
Abstract

Background: Discrepancies exist in Danish guidelines for the treatment of bacterial community‐acquired pneumonia (CAP). This study aimed to investigate how general practitioners (GPs) treat adults with CAP and explore associations between GP characteristics and treatment duration. Methods: In autumn 2020, GPs in the North Denmark Region were asked to complete an electronic questionnaire on antibiotic prescribing for CAP. Information about GP gender, age, experience and type of practice was obtained. Multivariable logistic regression was used to analyse the association between GP characteristics and treatment duration. Results: A total of 298 GPs were invited to participate of whom 108 completed the survey. Penicillin V was used as first line treatment for CAP by all participants. Treatment duration varied from 5 (54.6%) to 10 days (8.3%). A 5‐day course of penicillin was less likely to be prescribed by male GPs (odds ratio [OR] 0.35, 95% confidence interval [CI] 0.13–0.94) and more likely to be prescribed by GPs with 5–9 years of experience in general practice (OR 5.03, 95% CI 1.09–23.21) compared to those with 10–19 years of experience. Conclusion: Variation in antibiotic treatment of CAP emphasises the importance of generating solid evidence about the optimal duration regarding both effectiveness and safety. [ABSTRACT FROM AUTHOR]

Published
2022
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36. Communication quality in telephone triage conducted by general practitioners, nurses or physicians: a quasi-experimental study using the AQTT to assess audio-recorded telephone calls to out-of-hours primary care in Denmark

Author

Graversen, Dennis Schou, primary, Huibers, Linda, additional, Christensen, Morten Bondo, additional, Bro, Flemming, additional, Collatz Christensen, Helle, additional, Vestergaard, Claus Høstrup, additional, and Pedersen, Anette Fischer, additional

Published
2020
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44. Video Consultations in Primary Care Outside Office Hours.

Author

Nebsbjerg, Mette Amalie, Bomholt, Katrine Bjørnshave, Vetsergaard, Claus Høstrup, Christensen, Morten Bondo, and Huibers, Linda

Subjects
COVID-19 pandemic, MEDICAL consultation, PRIMARY care, MEDICAL care, MEDICAL technology
Abstract

Background: Out-of-hours primary care (OOH-PC) is facing increasing demands and workload with many negative consequences, including longer waiting time and increased risk of treatment delay and safety incidents. During the COVID-19 pandemic, video consultation (VC) was introduced as an alternative to face-to-face contact. We hypothesize that VC contributes to sustainable OOH-PC by changing patient flows, decreasing workload, and reducing waiting time. Objective: This study aims to evaluate the use of video in telephone triage in OOH-PC by studying user rate, the effect on contact patterns, and patient characteristics related to receiving a VC. Methods: We conducted a register-based study of VC use in OOH-PC, including all Danish residents contacting OOH-PC in the regions of Central Denmark, Southern Denmark, Northern Denmark, and Zealand. The study population will be followed from birth, immigration, or March 1, 2020 (whichever came last), until death, emigration, or December 31, 2021 (whichever comes first). We will use national registers, linking data with the unique personal identification number. We plan to conduct descriptive analyses, calculating the proportion of VC of all teletriage consultations per month during the study period. We plan to use regression models to measure the association between VC and triage outcome and the association between VC and patient characteristics, calculating risk ratios and 95% CIs. Both crude and mutual adjusted risk ratios for patient characteristics will be presented. Results: Data analyses started in May 2022. Conclusions: A preliminary conclusion will be presented at the conference. [ABSTRACT FROM AUTHOR]

Published
2023
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