The French General Population’s Perception of New Information and Communication Technologies for Medical Consultations: National Survey

BackgroundThe development of telehealth and telemedicine, in the form of increased teleconsultation and medical telemonitoring, accelerated during the COVID-19 health crisis in France to ensure continued access to care for the population. Since these new information and commu...

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Main Authors: Rajae Touzani, Elodie Dembele, Emilien Schultz, Alexandra Rouquette, Lorène Seguin, Jean-Charles Dufour, Marie Bannier, Julien Mancini
Format: Article
Language:English
Published: JMIR Publications 2023-06-01
Series:Journal of Medical Internet Research
Online Access:https://www.jmir.org/2023/1/e45822
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author Rajae Touzani
Elodie Dembele
Emilien Schultz
Alexandra Rouquette
Lorène Seguin
Jean-Charles Dufour
Marie Bannier
Julien Mancini
author_facet Rajae Touzani
Elodie Dembele
Emilien Schultz
Alexandra Rouquette
Lorène Seguin
Jean-Charles Dufour
Marie Bannier
Julien Mancini
author_sort Rajae Touzani
collection DOAJ
description BackgroundThe development of telehealth and telemedicine, in the form of increased teleconsultation and medical telemonitoring, accelerated during the COVID-19 health crisis in France to ensure continued access to care for the population. Since these new information and communication technologies (ICTs) are diverse and likely to transform how the health care system is organized, there is a need better to understand public attitudes toward them and their relationship with peoples’ current experience of health care. ObjectiveThis study aimed to determine the French general population’s perception of the usefulness of video recording/broadcasting (VRB) and mobile Health (mHealth) apps for medical consultations in France during the COVID-19 health crisis and the factors associated with this perception. MethodsData were collected for 2003 people in 2 waves of an online survey alongside the Health Literacy Survey 2019 (1003 in May 2020 and 1000 in January 2021) based on quota sampling. The survey collected sociodemographic characteristics, health literacy levels, trust in political representatives, and perceived health status. The perceived usefulness of VRB in medical consultations was measured by combining 2 responses concerning this technology for consultations. The perceived usefulness of mHealth apps was measured by combining 2 responses concerning their usefulness for booking doctor appointments and for communicating patient-reported outcomes to doctors. ResultsThe majority (1239/2003, 62%) of respondents considered the use of mHealth apps useful, while only 27.6% (551/2003) declared VRB useful. The factors associated with the perceived usefulness of both technologies were younger age (≤ 55 years), trust in political representatives (VRB: adjusted odds ratio [aOR] 1.68, 95% CI 1.31-2.17; mHealth apps: aOR 1.88, 95% CI 1.42-2.48), and higher (sufficient and excellent) health literacy. The period of the beginning of the COVID-19 epidemic, living in an urban area, and being limited in daily activities were also associated with perceiving VRB positively. The perceived usefulness of mHealth apps increased with the level of education. It was also higher in people who had 3 or more consultations with a medical specialist. ConclusionsThere are important differences in attitudes toward new ICTs. Perceived usefulness was lower for VRB than for mHealth apps. Moreover, it decreased after the initial months of the COVID-19 pandemic. There is also the possibility of new inequalities. Hence, despite the potential benefits of VRB and mHealth apps, people with low health literacy considered them to be of little use for their health care, possibly increasing their difficulties in accessing health care in the future. As such, health care providers and policy makers need to consider those perceptions to guarantee that new ICTs are accessible and beneficial to all.
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spelling doaj.art-5a1ca2d325f1478fb5b8993d93a173442023-08-29T00:04:14ZengJMIR PublicationsJournal of Medical Internet Research1438-88712023-06-0125e4582210.2196/45822The French General Population’s Perception of New Information and Communication Technologies for Medical Consultations: National SurveyRajae Touzanihttps://orcid.org/0000-0002-2713-0943Elodie Dembelehttps://orcid.org/0009-0007-8844-0324Emilien Schultzhttps://orcid.org/0000-0002-6215-3606Alexandra Rouquettehttps://orcid.org/0000-0002-2473-1719Lorène Seguinhttps://orcid.org/0000-0002-5522-4197Jean-Charles Dufourhttps://orcid.org/0000-0003-2392-1817Marie Bannierhttps://orcid.org/0000-0003-0600-8698Julien Mancinihttps://orcid.org/0000-0001-9500-8598 BackgroundThe development of telehealth and telemedicine, in the form of increased teleconsultation and medical telemonitoring, accelerated during the COVID-19 health crisis in France to ensure continued access to care for the population. Since these new information and communication technologies (ICTs) are diverse and likely to transform how the health care system is organized, there is a need better to understand public attitudes toward them and their relationship with peoples’ current experience of health care. ObjectiveThis study aimed to determine the French general population’s perception of the usefulness of video recording/broadcasting (VRB) and mobile Health (mHealth) apps for medical consultations in France during the COVID-19 health crisis and the factors associated with this perception. MethodsData were collected for 2003 people in 2 waves of an online survey alongside the Health Literacy Survey 2019 (1003 in May 2020 and 1000 in January 2021) based on quota sampling. The survey collected sociodemographic characteristics, health literacy levels, trust in political representatives, and perceived health status. The perceived usefulness of VRB in medical consultations was measured by combining 2 responses concerning this technology for consultations. The perceived usefulness of mHealth apps was measured by combining 2 responses concerning their usefulness for booking doctor appointments and for communicating patient-reported outcomes to doctors. ResultsThe majority (1239/2003, 62%) of respondents considered the use of mHealth apps useful, while only 27.6% (551/2003) declared VRB useful. The factors associated with the perceived usefulness of both technologies were younger age (≤ 55 years), trust in political representatives (VRB: adjusted odds ratio [aOR] 1.68, 95% CI 1.31-2.17; mHealth apps: aOR 1.88, 95% CI 1.42-2.48), and higher (sufficient and excellent) health literacy. The period of the beginning of the COVID-19 epidemic, living in an urban area, and being limited in daily activities were also associated with perceiving VRB positively. The perceived usefulness of mHealth apps increased with the level of education. It was also higher in people who had 3 or more consultations with a medical specialist. ConclusionsThere are important differences in attitudes toward new ICTs. Perceived usefulness was lower for VRB than for mHealth apps. Moreover, it decreased after the initial months of the COVID-19 pandemic. There is also the possibility of new inequalities. Hence, despite the potential benefits of VRB and mHealth apps, people with low health literacy considered them to be of little use for their health care, possibly increasing their difficulties in accessing health care in the future. As such, health care providers and policy makers need to consider those perceptions to guarantee that new ICTs are accessible and beneficial to all.https://www.jmir.org/2023/1/e45822
spellingShingle Rajae Touzani
Elodie Dembele
Emilien Schultz
Alexandra Rouquette
Lorène Seguin
Jean-Charles Dufour
Marie Bannier
Julien Mancini
The French General Population’s Perception of New Information and Communication Technologies for Medical Consultations: National Survey
Journal of Medical Internet Research
title The French General Population’s Perception of New Information and Communication Technologies for Medical Consultations: National Survey
title_full The French General Population’s Perception of New Information and Communication Technologies for Medical Consultations: National Survey
title_fullStr The French General Population’s Perception of New Information and Communication Technologies for Medical Consultations: National Survey
title_full_unstemmed The French General Population’s Perception of New Information and Communication Technologies for Medical Consultations: National Survey
title_short The French General Population’s Perception of New Information and Communication Technologies for Medical Consultations: National Survey
title_sort french general population s perception of new information and communication technologies for medical consultations national survey
url https://www.jmir.org/2023/1/e45822
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