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Visit Experience and Fulfillment of Care Needs in Primary Care Differs for Video Visits Compared to In-person and Chat Visits.
Söderberg, Daniel; Bonn, Stephanie E; Sjöblom, Linnea; Dahlgren, Anna; Muli, Irene; Amer-Wåhlin, Isis; Bertilson, Bo C; Farrokhnia, Nasim; Hvitfeldt, Helena; Taloyan, Marina; Hägglund, Maria; Trolle Lagerros, Ylva.
Afiliación
  • Söderberg D; Division of Clinical Epidemiology, Department of Medicine (Solna), Karolinska Institutet, Karolinska University Hospital, Solna, Stockholm, Sweden. daniel.soderberg@ki.se.
  • Bonn SE; Division of Clinical Epidemiology, Department of Medicine (Solna), Karolinska Institutet, Karolinska University Hospital, Solna, Stockholm, Sweden.
  • Sjöblom L; Division of Clinical Epidemiology, Department of Medicine (Solna), Karolinska Institutet, Karolinska University Hospital, Solna, Stockholm, Sweden.
  • Dahlgren A; Division of Clinical Epidemiology, Department of Medicine (Solna), Karolinska Institutet, Karolinska University Hospital, Solna, Stockholm, Sweden.
  • Muli I; Participatory eHealth and Health Data Research Group, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
  • Amer-Wåhlin I; Medical Management Centre, Department of Learning, Informatics, Management and Ethics, Karolinska Institute, Solna, Sweden.
  • Bertilson BC; Digital Health Unit, Research Institute of Sweden, Stockholm, Sweden.
  • Farrokhnia N; Division of Family Medicine and Primary Care, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Solna, Sweden.
  • Hvitfeldt H; Academic Primary Health Care Center, Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden.
  • Taloyan M; Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.
  • Hägglund M; Participatory eHealth and Health Data Research Group, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
  • Trolle Lagerros Y; Academic Primary Health Care Center, Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden.
J Gen Intern Med ; 2024 May 17.
Article en En | MEDLINE | ID: mdl-38758339
ABSTRACT

BACKGROUND:

There is a lack of research comparing patient experience and to what extent patients' care needs are fulfilled in telemedicine compared to in-person care.

OBJECTIVE:

To investigate if patient experience and fulfillment of care needs differ between video and chat visits with direct to consumer telemedicine providers compared to in-person visits.

DESIGN:

Cross-sectional study.

PARTICIPANTS:

Adults visiting a primary care physician in person or via chat or video in Region Stockholm, Sweden, October 2020-May 2021. MAIN

MEASURES:

Patient-reported visit experience and fulfillment of care needs. KEY

RESULTS:

The sample included 3315 patients who had an in-person (1950), video (844), or chat (521) visit. Response rates were 42% for in-person visitors and 41% for telemedicine visitors. Patients were 18-97 years old, mean age of 51 years, and 66% were female. In-person visitors reported the most positive patient experience ("To a very high degree" or "Yes, completely") for being listened to (64%), being treated with care (64%), and feeling trust and confidence in the health care professional (76%). Chat visitors reported the most positive patient experience for being given enough time (61%) and having care needs fulfilled during the care visit (76%). Video visitors had the largest proportion of respondents choosing "To a very low degree" or "No, not at all" for all visit experience measures. There were statistically significant differences in the distribution of visit experiences between in-person, video, and chat visits for all visit experience measures (P < 0.001).

CONCLUSIONS:

Video visits were associated with a more negative visit experience and lower fulfillment of care needs than in-person visits. Chat visits were associated with a similar patient experience and fulfillment of care needs as in-person visits. Chat visits may be a viable alternative to in-person visits for selected patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Gen Intern Med Asunto de la revista: MEDICINA INTERNA Año: 2024 Tipo del documento: Article País de afiliación: Suecia Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Gen Intern Med Asunto de la revista: MEDICINA INTERNA Año: 2024 Tipo del documento: Article País de afiliación: Suecia Pais de publicación: Estados Unidos