• delivery of health care
• general practice
• health care quality, access, and evaluation

The COVID-19 pandemic led to a dramatic increase in virtual (ie, telephone, video) care in many countries, particularly in the primary care setting.1 Yet, the impact of this increase on actual clinical practice remains unclear. Experts have hypothesised that the growth in virtual care could lead to more1 or less2 low-value care. Similarly, recent studies in single healthcare systems suggest that timeliness of care delivered virtually may be better3 or no different4 than in-person care. As this increased use of virtual care is enduring, it is critical to understand the positive and negative practice implications of virtual care.

Here, we report the results of a representative, multinational survey of primary care physician perspectives on how virtual care changed their clinical practices. The Commonwealth Fund’s 2022 International Health Policy Survey of Primary Care Physicians reflects the experiences and perceptions of a nationally representative randomised sample of primary care physicians in 10 countries: Australia, Canada, France, Germany, the Netherlands, New Zealand, Sweden, Switzerland, the UK and the USA. The Commonwealth Fund developed and revised the questionnaire in collaboration with international partners. The samples of physicians were drawn from government or …