RT Journal Article SR Electronic T1 Using the quadruple aim to understand the impact of virtual delivery of care within Ontario community health centres: a qualitative study JF BJGP Open JO BJGP Open FD Royal College of General Practitioners SP BJGPO.2022.0031 DO 10.3399/BJGPO.2022.0031 A1 Sara Bhatti A1 Simone Dahrouge A1 Laura Muldoon A1 Jennifer Rayner YR 2022 UL http://bjgpopen.org/content/early/2022/10/19/BJGPO.2022.0031.abstract AB Background The onset of the COVID-19 pandemic and introduction of various restrictions resulted in drastic changes to 'traditional' primary healthcare service delivery modalities.Aim To understand the impact of virtual care on healthcare system performance within the context of Ontario community health centres (CHCs).Design & setting Thematic analysis of qualitative interviews with 36 providers and 31 patients.Method Semi-structured phone interviews were conducted in the autumn of 2020. Interviews were recorded, transcribed verbatim, and analysed thematically using the quadruple aim framework.Results The transition to virtual delivery of services has had both positive and negative impacts on care. Virtual care removed certain barriers to care such as access. However, patients and providers found that phone visits impacted quality of care owing to the inability to read body language and having to rely solely on patient descriptions. Video visits allowed for a similar experience to in-person visits but technical issues constrained this interaction. Depending on the service provided, some providers felt they were not providing the same quality of care. However, providers reported reductions in no-show rates and highlighted the efficiency of virtual appointments. Providers also found they were able to collaborate at a similar level before the pandemic and saw improvements in work–life balance. Overall, patients and providers alike preferred virtual visits with those known to them, and for less complex or transactional aspects of care.Conclusion The study described positive and negative impacts on patient care, population health, health system costs, and provider experience. These results will be useful for primary care organisations in post-pandemic planning; however, future research is needed for a deeper exploration of the impact on quality of care specifically for more complex health concerns.