Patient consultations during SARS-CoV-2 pandemic: a mixed-method cross-sectional study in 16 European countries

被引:8
作者
Petrazzuoli, Ferdinando [1 ]
Gokdemir, Ozden [2 ]
Antonopoulou, Maria [3 ]
Blahova, Beata [4 ]
Mrduljas-Dujic, Natasa [5 ]
Dumitra, Gindrovel [6 ]
Falanga, Rosario [7 ]
Ferreira, Mercedes [8 ]
Gintere, Sandra [9 ]
Hatipoglu, Sehnaz [10 ]
Jacquet, Jean-Pierre [11 ]
Javorska, Katerina [12 ]
Kareli, Ana [13 ]
Mohos, Andras [14 ]
Naimer, Sody [15 ]
Tkachenko, Victoria [16 ]
Tomacinschii, Angela [17 ]
Randall-Smith, Jane
Kurpas, Donata [18 ]
机构
[1] Lund Univ, Ctr Primary Hlth Care Res, Dept Clin Sci, Malmo, Sweden
[2] Izmir Univ Econ, Fac Med, Balcova, Izmir, Turkey
[3] Spili Primary Care Ctr, Reg Hlth Syst Crete, Spili, Greece
[4] Slovak Med Univ, Dept Publ Hlth, Bratislava, Slovakia
[5] Univ Split, Sch Med, Dept Family Med, Split, Croatia
[6] Univ Med & Pharm, Dept Family Med, Craiova, Romania
[7] Azienda Sanit Friuli Occidentale, Dept Primary Care, Pordenone, Italy
[8] Area Sanitaria Ferrol, Dept Primary Care, Sergas, Spain
[9] Riga Stradins Univ, Med Fac, Dept Family Med, Dzirciema St 16, LV-1007 Riga, Latvia
[10] Turkish Assoc Family Phys, Primary Care Ctr, Izmir, Turkey
[11] Coll Med Gen, Paris, France
[12] Charles Univ Prague, Fac Med, Dept Social Med, Czech GP Soc, Hradec Kralove, Czech Republic
[13] Tbilisi State Med Univ, Georgian Family Med Assoc, Tbilisi, Georgia
[14] Univ Szeged, Fac Med, Dept Family Med, Szeged, Hungary
[15] Bengur Gurion Univ Negev, Fac Hlth Sci, Siaal Family Med & Primary Care Res Ctr, Dept Family Med, Beer Sheva, Israel
[16] Shupyk Natl Healthcare Univ Ukraine, Dept Family Med, Kiev, Ukraine
[17] State Univ Med & Pharm, Univ Clin Primary Med Assistance, N Testemitanu, Moldova
[18] Wroclaw Med Univ, Fac Med, Family Med Dept, Wroclaw, Poland
来源
RURAL AND REMOTE HEALTH | 2022年 / 22卷 / 04期
关键词
access to care; consultation; COVID-19; primary care; telemedicine; telephone consultation; PRIMARY-CARE; COVID-19; TELEMEDICINE; MOBILE;
D O I
10.22605/RRH7196
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Introduction: Remote consultations help reduce contact between people and prevent cross-contamination. Little is known about the changes in consultation in European rural primary care during the SARS-CoV-2 (COVID-19) pandemic. The purpose of this mixed-methods cross-sectional study was to find out more about the effects of the pandemic on changes in patient consultations in European rural primary care.Methods: A key informant survey from 16 member countries of the European Rural and Isolated Practitioners Association (EURIPA) was undertaken using a self-developed questionnaire. The steering committee of this project, called EURIPA Covid-19 study, developed a semi-structured questionnaire with 68 questions, 21 of which included free-text comments. Proportions were calculated for dichotomized or categorized data, and means were calculated for continuous data. Multivariate analysis by logistic regression model was used to assess the association of multiple variables. Results: A total of 406 questionnaires from primary care providers (PCPs) in 16 European countries were collected; 245 respondents (60.5%) were females, 152 PCPs were rural (37.5%), 124 semi-rural (30.5%). Mean age of the respondents was 45.9 years (standard deviation (SD) 11.30) while mean seniority (length of experience) was 18.2 years (SD 11.6). A total of 381 (93.8%) respondents were medical doctors. Significant differences were found between countries in adopting alternative arrangements to face-to-face consultation: remote teleconsultation is well appreciated by both healthcare professionals and patients, but the most common way of remote consultation remains telephone consultation. A factor significantly inversely associated with the adoption of video consultation was the seniority of the PCP (odds ratio 1.19, 95% confidence interval 1.02-1.40, p=0.03).Conclusion: Telephone consultation is the most common form of remote consultation. The adoption of video-consultation is inversely related to the seniority of the informants.
引用
收藏
页数:14
相关论文
共 32 条
  • [1] Atherton H, 2018, HLTH SERV DELIV RES, V6, P1, DOI [10.3310/hsdr06200, DOI 10.3310/HSDR06200]
  • [2] Patients' perceptions of teleconsultation during COVID-19: A cross-national study
    Baudier, Patricia
    Kondrateva, Galina
    Ammi, Chantal
    Chang, Victor
    Schiavone, Francesco
    [J]. TECHNOLOGICAL FORECASTING AND SOCIAL CHANGE, 2021, 163
  • [3] How does it work? Factors involved in telemedicine home-interventions effectiveness: A review of reviews
    Bertoncello, Chiara
    Colucci, Massimiliano
    Baldovin, Tatjana
    Buja, Alessandra
    Baldo, Vincenzo
    [J]. PLOS ONE, 2018, 13 (11):
  • [4] Exploring the adoption of telemedicine and virtual software for care of outpatients during and after COVID-19 pandemic
    Bokolo, Anthony Jnr.
    [J]. IRISH JOURNAL OF MEDICAL SCIENCE, 2021, 190 (01) : 1 - 10
  • [5] Bradford NK, 2016, RURAL REMOTE HEALTH, V16
  • [6] Using alternatives to face-to-face consultations: a survey of prevalence and attitudes in general practice
    Brant, Heather
    Atherton, Helen
    Ziebland, Sue
    McKinstry, Brian
    Campbell, John L.
    Salisbury, Chris
    [J]. BRITISH JOURNAL OF GENERAL PRACTICE, 2016, 66 (648) : E460 - E466
  • [7] Campbell D, 2020, ONLY ONE 4 GP APPOIN
  • [8] Rural Telemedicine Use Before and During the COVID-19 Pandemic: Repeated Cross-sectional Study
    Chu, Cherry
    Cram, Peter
    Pang, Andrea
    Stamenova, Vess
    Tadrous, Mina
    Bhatia, R. Sacha
    [J]. JOURNAL OF MEDICAL INTERNET RESEARCH, 2021, 23 (04)
  • [9] Addressing the Digital Inverse Care Law in the Time of COVID-19: Potential for Digital Technology to Exacerbate or Mitigate Health Inequalities
    Davies, Alisha R.
    Honeyman, Matthew
    Gann, Bob
    [J]. JOURNAL OF MEDICAL INTERNET RESEARCH, 2021, 23 (04)
  • [10] Cost-Utility and Cost-Effectiveness Studies of Telemedicine, Electronic, and Mobile Health Systems in the Literature: A Systematic Review
    de la Torre-Diez, Isabel
    Lopez-Coronado, Miguel
    Vaca, Cesar
    Saez Aguado, Jesus
    de Castro, Carlos
    [J]. TELEMEDICINE AND E-HEALTH, 2015, 21 (02) : 81 - 85