Perceptions of and Preferences for Telemedicine Use Since the Early Stages of the COVID-19 Pandemic: Cross-Sectional Survey of Patients and Physicians

BackgroundWhile the use of telemedicine (TLM) increased worldwide during the early phases of the COVID-19 pandemic, little is known about the use and acceptance of TLM post the COVID-19 pandemic. ObjectiveThis study aims to evaluate patients’ and physicians’ self-...

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Main Authors: Sanae Mazouri-Karker, Robin Lüchinger, Olivia Braillard, Nadia Bajwa, Sophia Achab, Patricia Hudelson, Melissa Dominicé Dao, Noelle Junod Perron
Format: Article
Language:English
Published: JMIR Publications 2023-11-01
Series:JMIR Human Factors
Online Access:https://humanfactors.jmir.org/2023/1/e50740
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author Sanae Mazouri-Karker
Robin Lüchinger
Olivia Braillard
Nadia Bajwa
Sophia Achab
Patricia Hudelson
Melissa Dominicé Dao
Noelle Junod Perron
author_facet Sanae Mazouri-Karker
Robin Lüchinger
Olivia Braillard
Nadia Bajwa
Sophia Achab
Patricia Hudelson
Melissa Dominicé Dao
Noelle Junod Perron
author_sort Sanae Mazouri-Karker
collection DOAJ
description BackgroundWhile the use of telemedicine (TLM) increased worldwide during the early phases of the COVID-19 pandemic, little is known about the use and acceptance of TLM post the COVID-19 pandemic. ObjectiveThis study aims to evaluate patients’ and physicians’ self-reported use, preferences, and acceptability of different types of TLM after the initial phases of the COVID-19 pandemic. MethodsWe conducted a cross-sectional survey among patients and physicians in Geneva, Switzerland, between September 2021 and January 2022. Patients in waiting rooms of both private and public medical centers and emergency services were invited to answer a web-based questionnaire. Physicians working in private and public settings were invited by email to answer a similar questionnaire. The questionnaires assessed participants’ sociodemographics and digital literacy; self-reported use of TLM; as well as preferences and acceptability of TLM for different clinical situations. ResultsA total of 567 patients (309/567, 55% women) and 448 physicians (230/448, 51% women and 225/448, 50% in private practice) responded to the questionnaire. Patients (263/567, 46.5%) and physicians (247/448, 55.2%) generally preferred the phone over other TLM formats and considered it to be acceptable for most medical situations. Email (417/567, 73.6% and 308/448, 68.8%) was acceptable for communicating exam results, and medical certificates (327/567, 67.7% and 297/448, 66.2%) and video (302/567, 53.2% and 288/448, 64.3%) was considered acceptable for psychological support by patients and physicians, respectively. Older age was associated with lower acceptability of video for both patients and physicians (odds ratio [OR] 0.03, 95% CI 0.00-0.33 and OR 0.23, 95% CI 0.08-0.66) while previous use of video was positively associated with video acceptability (OR 3.16, 95% CI 1.84-5.43 and OR 3.34, 95% CI 2.91-5.54). Psychiatrists and hospital physicians were more likely to consider video to be acceptable (OR 10.79, 95% CI 3.96-29.30 and OR 3.97, 95% CI 2.23-7.60). ConclusionsDespite the development of video, the acceptability of video remains lower than that of the phone for most health issues or patient requests. There is a need to better define for which patients and in which medical situations video can become safe and efficient.
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spelling doaj.art-c577b92032554334936e9083475f37f42023-11-07T14:30:37ZengJMIR PublicationsJMIR Human Factors2292-94952023-11-0110e5074010.2196/50740Perceptions of and Preferences for Telemedicine Use Since the Early Stages of the COVID-19 Pandemic: Cross-Sectional Survey of Patients and PhysiciansSanae Mazouri-Karkerhttps://orcid.org/0000-0003-3754-8742Robin Lüchingerhttps://orcid.org/0000-0002-6169-2704Olivia Braillardhttps://orcid.org/0000-0003-2720-3900Nadia Bajwahttps://orcid.org/0000-0002-1445-4594Sophia Achabhttps://orcid.org/0000-0002-3861-3297Patricia Hudelsonhttps://orcid.org/0000-0003-2601-7479Melissa Dominicé Daohttps://orcid.org/0000-0002-0839-277XNoelle Junod Perronhttps://orcid.org/0000-0002-9124-8663 BackgroundWhile the use of telemedicine (TLM) increased worldwide during the early phases of the COVID-19 pandemic, little is known about the use and acceptance of TLM post the COVID-19 pandemic. ObjectiveThis study aims to evaluate patients’ and physicians’ self-reported use, preferences, and acceptability of different types of TLM after the initial phases of the COVID-19 pandemic. MethodsWe conducted a cross-sectional survey among patients and physicians in Geneva, Switzerland, between September 2021 and January 2022. Patients in waiting rooms of both private and public medical centers and emergency services were invited to answer a web-based questionnaire. Physicians working in private and public settings were invited by email to answer a similar questionnaire. The questionnaires assessed participants’ sociodemographics and digital literacy; self-reported use of TLM; as well as preferences and acceptability of TLM for different clinical situations. ResultsA total of 567 patients (309/567, 55% women) and 448 physicians (230/448, 51% women and 225/448, 50% in private practice) responded to the questionnaire. Patients (263/567, 46.5%) and physicians (247/448, 55.2%) generally preferred the phone over other TLM formats and considered it to be acceptable for most medical situations. Email (417/567, 73.6% and 308/448, 68.8%) was acceptable for communicating exam results, and medical certificates (327/567, 67.7% and 297/448, 66.2%) and video (302/567, 53.2% and 288/448, 64.3%) was considered acceptable for psychological support by patients and physicians, respectively. Older age was associated with lower acceptability of video for both patients and physicians (odds ratio [OR] 0.03, 95% CI 0.00-0.33 and OR 0.23, 95% CI 0.08-0.66) while previous use of video was positively associated with video acceptability (OR 3.16, 95% CI 1.84-5.43 and OR 3.34, 95% CI 2.91-5.54). Psychiatrists and hospital physicians were more likely to consider video to be acceptable (OR 10.79, 95% CI 3.96-29.30 and OR 3.97, 95% CI 2.23-7.60). ConclusionsDespite the development of video, the acceptability of video remains lower than that of the phone for most health issues or patient requests. There is a need to better define for which patients and in which medical situations video can become safe and efficient.https://humanfactors.jmir.org/2023/1/e50740
spellingShingle Sanae Mazouri-Karker
Robin Lüchinger
Olivia Braillard
Nadia Bajwa
Sophia Achab
Patricia Hudelson
Melissa Dominicé Dao
Noelle Junod Perron
Perceptions of and Preferences for Telemedicine Use Since the Early Stages of the COVID-19 Pandemic: Cross-Sectional Survey of Patients and Physicians
JMIR Human Factors
title Perceptions of and Preferences for Telemedicine Use Since the Early Stages of the COVID-19 Pandemic: Cross-Sectional Survey of Patients and Physicians
title_full Perceptions of and Preferences for Telemedicine Use Since the Early Stages of the COVID-19 Pandemic: Cross-Sectional Survey of Patients and Physicians
title_fullStr Perceptions of and Preferences for Telemedicine Use Since the Early Stages of the COVID-19 Pandemic: Cross-Sectional Survey of Patients and Physicians
title_full_unstemmed Perceptions of and Preferences for Telemedicine Use Since the Early Stages of the COVID-19 Pandemic: Cross-Sectional Survey of Patients and Physicians
title_short Perceptions of and Preferences for Telemedicine Use Since the Early Stages of the COVID-19 Pandemic: Cross-Sectional Survey of Patients and Physicians
title_sort perceptions of and preferences for telemedicine use since the early stages of the covid 19 pandemic cross sectional survey of patients and physicians
url https://humanfactors.jmir.org/2023/1/e50740
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