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Was Virtual Care as Safe as In-Person Care? Analyzing Patient Outcomes at Seven and Thirty Days in Ontario during the
Shawn Mondoux1, Frank Battaglia2, Anastasia Gayowsky3
1Is an associate professor in the Department of Medicine, Division of Emergency Medicine, McMaster University, in Hamilton, ON; an assistant professor at the Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, at the University of Toronto in Toronto, ON; and an emergency physician at St. Joseph's Healthcare Hamilton in Hamilton, ON.
Abstract:
In 2020, almost overnight, the paradigm for healthcare interactions changed in Ontario. To limit person-to-person transmission of COVID-19, the norm of in-person interactions shifted to virtual care. While this shift was part of broader public health measures and an acknowledgment of patient and societal concerns, it also represented a change in care modalities that had the potential to affect the quality of care provided, as well as short- and long-term patient outcomes. While public policy decisions were being made to moderate the use of virtual care at the end of the declared pandemic, a thorough analysis of short-term patient outcomes was needed to quantify the impact of virtual care on the population of Ontario.
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