Implementation of virtual primary care: a comparative study of family medicine residents’ experiences

Udoka Okpalauwaekwe; Cathy MacLean; Angela Baerwald

doi:10.36834/cmej.81983

Auteurs-es

Udoka Okpalauwaekwe University of Saskatchewan
Cathy MacLean University of Saskatchewan
Angela Baerwald University of Saskatchewan

DOI :

https://doi.org/10.36834/cmej.81983

Résumé

Contexte : Les soins virtuels (SV) ont été rapidement adoptés pendant la pandémie de COVID-19 afin d'assurer la continuité des soins primaires. Dans cette étude, nous avons exploré l'évolution des expériences des résidents en médecine familiale (MF) avec les SV au cours des phases précoce (2020), tardive (2022) et post-pandémique (2024) en Saskatchewan, en nous concentrant sur la satisfaction, la préparation, la supervision et l'impact perçu sur la formation et le bien-être.

Méthodes : Les résidents en MF de huit sites répartis ont été interrogés à trois moments différents à l'aide d'un outil standardisé. Les réponses ont été analysées à l'aide des tests du chi carré, de Kruskal-Wallis et post hoc de Mann-Whitney U (p < 0,05).

Résultats : Soixante-dix-huit résidents ont participé (2020 : n = 26 ; 2022 : n = 19 ; 2024 : n = 33). La satisfaction à l'égard des SV a eu tendance à diminuer au fil du temps (p = 0,074), tandis que les demandes de formation supplémentaire en SV n'ont pas changé (p = 0,269). La confiance dans l'utilisation des SV après la résidence a considérablement diminué, passant de 100 % (2020) à 60,6 % (2024 ; p < 0,001), malgré un niveau de supervision constant et modéré. L'impact négatif de la COVID-19 sur la formation a diminué en 2024 (p = 0,008), tandis que la confiance dans la réponse provinciale à la pandémie de COVID-19 a également diminué (p < 0,0001).

Conclusions : Bien que les résidents en MF se soient adaptés aux SV pendant la pandémie, la viabilité à long terme de l'utilisation des SV nécessite une formation améliorée, une supervision structurée et une intégration dans les programmes d'études. L'intégration des compétences en matière de SV dans la formation postdoctorale est essentielle pour soutenir les modèles hybrides de soins dans le paysage en évolution des soins primaires.

Biographies de l'auteur-e

Udoka Okpalauwaekwe, University of Saskatchewan

Dr. Udoka Okpalauwaekwe is a Primary Care Researcher and currently serves as a Research Officer in the Department of Academic Family Medicine at the University of Saskatchewan. He holds a Bachelor of Medicine, Bachelor of Surgery (MBBS) from the University of Nigeria, as well as a Master of Public Health (MPH) and a PhD in Health Sciences (Primary Care/Family Medicine) from the University of Saskatchewan. He also completed a Primary Care Research Fellowship at Western University in Ontario. Udoka’s research interests focuses on primary health care, primary care, health systems strengthening, disease prevention, and wellness promotion, particularly in underserved and Indigenous communities, using participatory and collaborative methodologies.
Cathy MacLean, University of Saskatchewan

Professor, Department of Family Medicine and Director, Faculty Development; College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, S7M 3Y5, Canada
Angela Baerwald, University of Saskatchewan

Associate Professor and Director, Women’s Health Research Laboratory, Department of Academic Family Medicine, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.

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