TY  - JOUR
AU  - Lapointe-Shaw, Lauren
AU  - Salahub, Christine
AU  - Bird, Cherryl
AU  - Bhatia, R Sacha
AU  - Desveaux, Laura
AU  - Glazier, Richard H
AU  - Hedden, Lindsay
AU  - Ivers, Noah M
AU  - Martin, Danielle
AU  - Na, Yingbo
AU  - Spithoff, Sheryl
AU  - Tadrous, Mina
AU  - Kiran, Tara
PY  - 2023
DA  - 2023/1/12
TI  - Characteristics and Health Care Use of Patients Attending Virtual Walk-in Clinics in Ontario, Canada: Cross-sectional Analysis
JO  - J Med Internet Res
SP  - e40267
VL  - 25
KW  - virtual walk-in clinic
KW  - telemedicine
KW  - virtual care
KW  - primary health care
KW  - family practice
KW  - family physicians
KW  - Canada
KW  - health care use
KW  - emergency department
KW  - walk-in clinic
KW  - use
KW  - engagement
KW  - virtual health care
KW  - integration
AB  - Background: Funding changes in response to the COVID-19 pandemic supported the growth of direct-to-consumer virtual walk-in clinics in several countries. Little is known about patients who attend virtual walk-in clinics or how these clinics contribute to care continuity and subsequent health care use. Objective: The objective of the present study was to describe the characteristics and measure the health care use of patients who attended virtual walk-in clinics compared to the general population and a subset that received any virtual family physician visit. Methods: This was a retrospective, cross-sectional study in Ontario, Canada. Patients who had received a family physician visit at 1 of 13 selected virtual walk-in clinics from April 1 to December 31, 2020, were compared to Ontario residents who had any virtual family physician visit. The main outcome was postvisit health care use. Results: Virtual walk-in patients (n=132,168) had fewer comorbidities and lower previous health care use than Ontarians with any virtual family physician visit. Virtual walk-in patients were also less likely to have a subsequent in-person visit with the same physician (309/132,168, 0.2% vs 704,759/6,412,304, 11%; standardized mean difference [SMD] 0.48), more likely to have a subsequent virtual visit (40,030/132,168, 30.3% vs 1,403,778/6,412,304, 21.9%; SMD 0.19), and twice as likely to have an emergency department visit within 30 days (11,003/132,168, 8.3% vs 262,509/6,412,304, 4.1%; SMD 0.18), an effect that persisted after adjustment and across urban/rural resident groups. Conclusions: Compared to Ontarians attending any family physician virtual visit, virtual walk-in patients were less likely to have a subsequent in-person physician visit and were more likely to visit the emergency department. These findings will inform policy makers aiming to ensure the integration of virtual visits with longitudinal primary care. 
SN  - 1438-8871
UR  - https://www.jmir.org/2023/1/e40267
UR  - https://doi.org/10.2196/40267
UR  - http://www.ncbi.nlm.nih.gov/pubmed/36633894
DO  - 10.2196/40267
ID  - info:doi/10.2196/40267
ER  -