Acceptability of teleconsultation in a public service specialized in the prevention and care of HIV infection and other sexually transmitted infections.

Introduction: Telemedicine was leveraged for its contribution to mitigate the impact of COVID-19 in Brazil and worldwide. Objective: We aim to evaluate the acceptability of incorporating teleconsultation through synchronized videoconference by users and professionals in a service specialized in the...

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Main Authors: Simone Queiroz Rocha, Mariza Vono Tancredi, Mylva Fonsi, Denize Lotufo Estevam, Simone de Barros Tenore, Renata Caricol Dell'Agnolo, Rosangela Rodrigues, Rosa de Alencar Souza
Format: Article
Language:English
Published: Zeppelini Editorial e Comunicacao 2023-03-01
Series:DST
Subjects:
Online Access:https://www.bjstd.org/revista/article/view/1286
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author Simone Queiroz Rocha
Mariza Vono Tancredi
Mylva Fonsi
Denize Lotufo Estevam
Simone de Barros Tenore
Renata Caricol Dell'Agnolo
Rosangela Rodrigues
Rosa de Alencar Souza
author_facet Simone Queiroz Rocha
Mariza Vono Tancredi
Mylva Fonsi
Denize Lotufo Estevam
Simone de Barros Tenore
Renata Caricol Dell'Agnolo
Rosangela Rodrigues
Rosa de Alencar Souza
author_sort Simone Queiroz Rocha
collection DOAJ
description Introduction: Telemedicine was leveraged for its contribution to mitigate the impact of COVID-19 in Brazil and worldwide. Objective: We aim to evaluate the acceptability of incorporating teleconsultation through synchronized videoconference by users and professionals in a service specialized in the prevention and treatment of the human immunodeficiency virus and other sexually transmitted infections, and to identify associated factors. Methods: This is a cross-sectional study with 410 users and 57 professionals who answered a category-standardized questionnaire. Predictors of acceptability were assessed using logistic regression model. Results: A total of 364 (88.8%) users said they would accept the modality. The factors positively associated with the odds of acceptance were the self-assessment of having favorable conditions to participate in a teleconsultation (aOR 54.8; 95%CI 12.4–242.1; p<0.001), the perception of saving money (aOR 5.2; 95%CI 1.9–14.0; p=0.001), and perceived convenience of the modality (aOR 6.7; 95%CI 2.9–15.9; p<0.001). Factors associated with reduced odds of acceptance were the fear of not being evaluated well (aOR 0.2; 95%CI 0.1–0.4; p<0.001), or remaining long without seeing the professional (aOR 0.2; 95%CI 0.1–0.5; p<0.001). The acceptance of the modality among professionals was 75.4% and the perception of its convenience (aOR 16.8; 95%CI 2.6–108.4; p=0.003) and that the institution has appropriated conditions (aOR 7.7; 95%CI 1.5–40.6; p=0.016) were associated with increased odds of accepting its incorporation in their routine. Conclusion: Governance should invest in infrastructure and support, secure protocols, digital literacy, and training of its users and employees for video teleconsultation.
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spelling doaj.art-dbe68fe957e14a47952fa216d9175a972023-03-16T02:00:59ZengZeppelini Editorial e ComunicacaoDST2177-82642023-03-0135Acceptability of teleconsultation in a public service specialized in the prevention and care of HIV infection and other sexually transmitted infections.Simone Queiroz Rocha0Mariza Vono Tancredi1Mylva Fonsi2Denize Lotufo Estevam3Simone de Barros Tenore4Renata Caricol Dell'Agnolo5Rosangela Rodrigues6Rosa de Alencar Souza7Centro de Referência e Treinamento DST/Aids – São Paulo (SP), Brazil.Centro de Referência e Treinamento DST/Aids – São Paulo (SP), Brazil.Centro de Referência e Treinamento DST/Aids – São Paulo (SP), Brazil.Centro de Referência e Treinamento DST/Aids – São Paulo (SP), Brazil.Centro de Referência e Treinamento DST/Aids – São Paulo (SP), Brazil.Centro de Referência e Treinamento DST/Aids – São Paulo (SP), Brazil.Centro de Referência e Treinamento DST/Aids – São Paulo (SP), Brazil.Centro de Referência e Treinamento DST/Aids – São Paulo (SP), Brazil. Introduction: Telemedicine was leveraged for its contribution to mitigate the impact of COVID-19 in Brazil and worldwide. Objective: We aim to evaluate the acceptability of incorporating teleconsultation through synchronized videoconference by users and professionals in a service specialized in the prevention and treatment of the human immunodeficiency virus and other sexually transmitted infections, and to identify associated factors. Methods: This is a cross-sectional study with 410 users and 57 professionals who answered a category-standardized questionnaire. Predictors of acceptability were assessed using logistic regression model. Results: A total of 364 (88.8%) users said they would accept the modality. The factors positively associated with the odds of acceptance were the self-assessment of having favorable conditions to participate in a teleconsultation (aOR 54.8; 95%CI 12.4–242.1; p<0.001), the perception of saving money (aOR 5.2; 95%CI 1.9–14.0; p=0.001), and perceived convenience of the modality (aOR 6.7; 95%CI 2.9–15.9; p<0.001). Factors associated with reduced odds of acceptance were the fear of not being evaluated well (aOR 0.2; 95%CI 0.1–0.4; p<0.001), or remaining long without seeing the professional (aOR 0.2; 95%CI 0.1–0.5; p<0.001). The acceptance of the modality among professionals was 75.4% and the perception of its convenience (aOR 16.8; 95%CI 2.6–108.4; p=0.003) and that the institution has appropriated conditions (aOR 7.7; 95%CI 1.5–40.6; p=0.016) were associated with increased odds of accepting its incorporation in their routine. Conclusion: Governance should invest in infrastructure and support, secure protocols, digital literacy, and training of its users and employees for video teleconsultation. https://www.bjstd.org/revista/article/view/1286TelehealthTelemedicineSynchronous teleconsultationRemote consultationPatient acceptance of health careHIV
spellingShingle Simone Queiroz Rocha
Mariza Vono Tancredi
Mylva Fonsi
Denize Lotufo Estevam
Simone de Barros Tenore
Renata Caricol Dell'Agnolo
Rosangela Rodrigues
Rosa de Alencar Souza
Acceptability of teleconsultation in a public service specialized in the prevention and care of HIV infection and other sexually transmitted infections.
DST
Telehealth
Telemedicine
Synchronous teleconsultation
Remote consultation
Patient acceptance of health care
HIV
title Acceptability of teleconsultation in a public service specialized in the prevention and care of HIV infection and other sexually transmitted infections.
title_full Acceptability of teleconsultation in a public service specialized in the prevention and care of HIV infection and other sexually transmitted infections.
title_fullStr Acceptability of teleconsultation in a public service specialized in the prevention and care of HIV infection and other sexually transmitted infections.
title_full_unstemmed Acceptability of teleconsultation in a public service specialized in the prevention and care of HIV infection and other sexually transmitted infections.
title_short Acceptability of teleconsultation in a public service specialized in the prevention and care of HIV infection and other sexually transmitted infections.
title_sort acceptability of teleconsultation in a public service specialized in the prevention and care of hiv infection and other sexually transmitted infections
topic Telehealth
Telemedicine
Synchronous teleconsultation
Remote consultation
Patient acceptance of health care
HIV
url https://www.bjstd.org/revista/article/view/1286
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