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Willingness to engage in post-discharge follow-up service conducted via video telemedicine: Cross-sectional study.
Li, Ting; Zhang, Yucai; Wang, Guangming; Xie, Junqin; Hu, Jianyun; Zhu, Dujuan; Wang, Dong.
  • Li T; School of Public Health, Southern Medical University, Guangzhou, Guangdong, China; School of Health Management, Southern Medical University, Guangzhou, Guangdong, China.
  • Zhang Y; School of Health Management, Southern Medical University, Guangzhou, Guangdong, China; Shenzhen Longhua District People's Hospital, Shenzhen, Guangdong, China.
  • Wang G; Shenzhen Longhua District Central Hospital, Shenzhen, Guangdong, China.
  • Xie J; Shenzhen Longhua District People's Hospital, Shenzhen, Guangdong, China.
  • Hu J; Shenzhen Longhua District People's Hospital, Shenzhen, Guangdong, China.
  • Zhu D; Shenzhen Longhua District People's Hospital, Shenzhen, Guangdong, China.
  • Wang D; School of Health Management, Southern Medical University, Guangzhou, Guangdong, China; Institute of Health Management, Southern Medical University, Guangzhou, Guangdong, China. Electronic address: dongw96@smu.edu.cn.
Int J Med Inform ; 168: 104885, 2022 12.
Article in English | MEDLINE | ID: covidwho-2069137
ABSTRACT

BACKGROUND:

Leading influencing factors for telemedicine implementation remain unclear, affecting the focus of intervention strategies. Despite recent effectiveness evidence of video telemedicine visits, limited evidence exists regarding patients' willingness to use video follow-up. Moreover, patients' acceptance is crucial for implementing such services.

OBJECTIVE:

We conducted a large-sample survey to analyze patient willingness and perceptions of post-discharge video follow-up and assessed the factors influencing their willingness during the COVID-19 outbreak.

METHOD:

In February and March 2022, we conducted a face-to-face questionnaire survey involving inpatients in a tertiary care hospital in Longhua District, Shenzhen, China. We assessed demographics, health-related determinants, access to technology and literacy, preferences, willingness, and opinions toward video telemedicine follow-up. We implemented random forest and logistic regression analyses to obtain reliable results.

RESULTS:

In total, 1,017 inpatients completed the survey. Overall, as an initial choice, 44.9 % preferred telephone consultation for post-discharge follow-up, which was followed by video telemedicine (17.1 %), WeChat voice calls (11.6 %), SMS text messages (10.7 %), WeChat graphic messages (10.5 %), and in-person visits (4.5 %). Moreover, 54.9 % were willing to experience video visits. The results highlight the perceived benefits outweighing the risks (OR 2.64, 95 % CI 1.76, 3.95), patients' trust in the physician (OR 2.41, 95 % CI 1.45, 3.99), access to a private space (OR 2.18, 95 % CI 1.01, 2.96), medium geographical distance (compared to long distance, OR 0.72, 95 % CI 0.54, 0.98), moderate disease (compared to mild disease, OR 0.75, 95 % CI 0.57, 0.99), followed by the comfort with video technology (OR 1.73, 95 % CI 1.76, 3.95), broadband internet accessibility (OR 1.56, 95 % CI 1.07, 2.27), privacy concerns (OR 0.62, 95 % CI 0.43, 0.89), and prior telemedicine video experience (OR 1.77, 95 % CI 1.15, 2.72), as factors influencing the willingness to use video follow-up.

CONCLUSIONS:

A low percentage of patients chose video visits as their initial decisions; nevertheless, most had a positive attitude toward video follow-up visits. The willingness to choose video telemedicine post-discharge follow-up was influenced by geographical distance, disease severity, basic telemedicine requirements, physician-patient relationship, and perceptions of video communication.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Telemedicine / COVID-19 Type of study: Cohort study / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Topics: Long Covid Limits: Humans Language: English Journal: Int J Med Inform Journal subject: Medical Informatics Year: 2022 Document Type: Article Affiliation country: J.ijmedinf.2022.104885

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Telemedicine / COVID-19 Type of study: Cohort study / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Topics: Long Covid Limits: Humans Language: English Journal: Int J Med Inform Journal subject: Medical Informatics Year: 2022 Document Type: Article Affiliation country: J.ijmedinf.2022.104885