Abstract
BACKGROUND: The COVID-19 pandemic disrupted primary health care systems worldwide, prompting rapid changes in how care was delivered. In Alberta, this included a significant shift from in-person to virtual care. This study examines trends in primary care utilization among Albertans during COVID-19 and the shift toward virtual care. METHODS: Repeated cross-sectional analyses were conducted from 2018/19 to 2022/23 using Alberta Health Practitioner Claims data. Utilization was measured as the proportion of Albertans with at least one visit and the annual visit rate per person. Annual percent change (APC) was calculated relative to the pre-pandemic year (2019/20) and stratified by demographics. FINDINGS: The proportion of Albertans with a primary care visit decreased by -9.55% in 2020/21 but recovered to -4.62% by 2022/23. Annual visit rates remained stable post-pandemic. The largest declines in 2020/21 were among children aged 5 to 11 (-38.42%), ≤4 (-33.42%), newborns (-30.36% to -25.49%), and those without health conditions (-20.9%). Virtual care accounted for 23.77% of visits in 2020/21, dropping to 14.43% by 2022/23. CONCLUSIONS: While fewer Albertans accessed primary care, visit rates remained stable due to virtual care. Further research is needed to assess the long-term impacts of COVID-19 on primary healthcare delivery.