{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T16:05:15Z","timestamp":1788883515204,"version":"build-2803163510"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024]]},"abstract":"Abstract<\/jats:title>\n \n Introduction:<\/jats:title>\n An estimated 20% of residents of Renfrew County, a rural and underserved community in Ontario, do not have a family physician or alternative primary care provider. Integrated virtual care (IVC) aims to address this crisis by enrolling individuals who are not currently attached to a primary care provider, to a named family physician who works predominantly remotely. The physician is embedded within an existing, local family health team. The aim of this study was to assess and describe the IVC model\u2019s capacity to enrol previously unattached patients in Renfrew County and provide adequate primary care.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n We conducted a cross-sectional, descriptive study of data collected from patients enrolled for at least 3 months to an IVC family physician from 15 November 2021 (earliest appointment date for first IVC patients) to 30 June 2022 inclusive.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n N<\/jats:italic>\n = 790 patients were successfully attached to a family physician and received at least 3 months of care through IVC within the study period. Of the study population, 65% were female and over 75% were under the age of 55. Among patients who were current smokers at the time of IVC enrolment (\n n<\/jats:italic>\n = 115), approximately 1 in 5 (18.3%) started a smoking cessation programme following referral by their IVC physician. In addition, IVC physicians and allied health professionals performed 66 colorectal cancer screenings, 164 cervical cancer screenings and 39 breast cancer screenings during the study period, bringing many overdue patients up to date for routine testing.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n IVC has been successful in attaching previously unattached patients to a family physician and providing, comprehensive, team-based primary care during its initial 7 months of operation. Similar integrated primary care delivery concepts can also use these results to guide their own development and quality improvement.<\/jats:p>\n <\/jats:sec>\n \n Introduction:<\/jats:title>\n On estime que 20% des habitants du comt\u00e9 de Renfrew, une communaut\u00e9 rurale et mal desservie de l\u2019Ontario, n\u2019ont pas de m\u00e9decin de famille ou d\u2019autre prestataire de soins primaires. Le programme de Soins virtuels int\u00e9gr\u00e9s (SVI) vise \u00e0 r\u00e9soudre cette crise en proposant aux personnes qui n\u2019ont pas de prestataire de soins primaires de consulter un m\u00e9decin de famille d\u00e9sign\u00e9 qui travaille principalement \u00e0 distance. Le m\u00e9decin est int\u00e9gr\u00e9 \u00e0 une \u00e9quipe de sant\u00e9 familiale locale existante. L\u2019objectif de cette \u00e9tude \u00e9tait d\u2019\u00e9valuer et de d\u00e9crire la capacit\u00e9 du mod\u00e8le de SVI \u00e0 inscrire des patients qui n\u2019\u00e9taient pas rattach\u00e9s \u00e0 un prestataire de soins primaires dans le comt\u00e9 de Renfrew et \u00e0 leur fournir des soins primaires ad\u00e9quats.<\/jats:p>\n <\/jats:sec>\n \n M\u00e9thodes:<\/jats:title>\n Nous avons men\u00e9 une \u00e9tude transversale et descriptive des donn\u00e9es recueillies aupr\u00e8s des patients inscrits depuis au moins trois mois aupr\u00e8s d\u2019un m\u00e9decin de famille IVC entre le 15 novembre 2021 (date de rendez-vous la plus proche pour les premiers patients SVI) et le 30 juin 2022 inclus.<\/jats:p>\n <\/jats:sec>\n \n R\u00e9sultats:<\/jats:title>\n \n N<\/jats:italic>\n = 790 patients ont \u00e9t\u00e9 rattach\u00e9s avec succ\u00e8s \u00e0 un m\u00e9decin de famille et ont re\u00e7u au moins 3 mois de soins par l\u2019interm\u00e9diaire des SVI au cours de la p\u00e9riode d\u2019\u00e9tude. Parmi la population \u00e9tudi\u00e9e, 65% \u00e9taient des femmes et plus de 75% avaient moins de 55 ans. Parmi les patients qui fumaient au moment de leur inscription aux SVI (\n n<\/jats:italic>\n = 115), environ 1 sur 5 (18,3%) a entam\u00e9 un programme de sevrage tabagique apr\u00e8s avoir \u00e9t\u00e9 orient\u00e9 par son m\u00e9decin en SVI. En outre, les m\u00e9decins du centre et les professionnels param\u00e9dicaux ont effectu\u00e9 66 d\u00e9pistages du cancer colorectal, 164 d\u00e9pistages du cancer du col de l\u2019ut\u00e9rus et 39 d\u00e9pistages du cancer du sein au cours de la p\u00e9riode d\u2019\u00e9tude, ce qui a permis \u00e0 de nombreux patients en retard de SE soumettre \u00e0 des tests de routine.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Le programme de SVI a r\u00e9ussi \u00e0 mettre en relation des patients qui ne l\u2019\u00e9taient pas auparavant avec un m\u00e9decin de famille et \u00e0 fournir des soins primaires complets en \u00e9quipe au cours de ses sept premiers mois d\u2019activit\u00e9. Des concepts similaires de prestation de soins primaires int\u00e9gr\u00e9s peuvent \u00e9galement utiliser ces r\u00e9sultats pour guider leur propre d\u00e9veloppement et l\u2019am\u00e9lioration de la qualit\u00e9.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/cjrm.cjrm_14_23","type":"journal-article","created":{"date-parts":[[2024,2,15]],"date-time":"2024-02-15T09:00:07Z","timestamp":1707987607000},"page":"7-12","source":"Crossref","is-referenced-by-count":9,"title":["Assessing new patient attachment to an integrated, virtual care programme in rural primary care"],"prefix":"10.4103","volume":"29","author":[{"given":"Cayden","family":"Peixoto","sequence":"first","affiliation":[{"name":"Institut du Savoir Montfort, Ottawa, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Fitzsimon","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, University of Ottawa, Ottawa, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Hawkins","sequence":"additional","affiliation":[{"name":"Petawawa Centennial Family Health Centre, Petawawa, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judy","family":"Hill","sequence":"additional","affiliation":[{"name":"Petawawa Centennial Family Health Centre, Petawawa, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,2,20]]},"reference":[{"key":"R1-20240318","doi-asserted-by":"crossref","first-page":"14","DOI":"10.4103\/CJRM.CJRM_84_19","article-title":"Progress made on access to rural healthcare in Canada","volume":"25","author":"Wilson","year":"2020","journal-title":"Can J Rural Med"},{"key":"R2-20240318","doi-asserted-by":"crossref","first-page":"102297","DOI":"10.1016\/j.pmedr.2023.102297","article-title":"Travel for medical or dental care by race\/ethnicity and rurality in the U. 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