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Patients’ Experiences With a Digital Primary Health Care Concept Using Written Dialogues : A Pilot Study

Johansson, Anders LU ; Larsson, Monica and Ivarsson, Bodil LU (2020) In Journal of Primary Care and Community Health 11.
Abstract

Background: The changing health care environment promotes the adoption of new information technologies to connect patients and health care providers. However, individuals greatly vary in their ability to use new digital systems, and in their feelings regarding integrity and validation. Caregivers in southern Sweden plan to implement a new digital primary health care (DPHC) service, and patients’ experiences must be studied to guide the best possible implementation of this service. Purpose: To examine the patients’ experiences with DPHC using written dialogues. Method: Patients were consecutively recruited from June 2018 to April 2019. This prospective pilot study used questionnaires with fixed response options, summarized as index... (More)

Background: The changing health care environment promotes the adoption of new information technologies to connect patients and health care providers. However, individuals greatly vary in their ability to use new digital systems, and in their feelings regarding integrity and validation. Caregivers in southern Sweden plan to implement a new digital primary health care (DPHC) service, and patients’ experiences must be studied to guide the best possible implementation of this service. Purpose: To examine the patients’ experiences with DPHC using written dialogues. Method: Patients were consecutively recruited from June 2018 to April 2019. This prospective pilot study used questionnaires with fixed response options, summarized as index values (IV, 0-1.0) in the following domains: communication, technical functionality, and general experience of DPHC. Results: Participants included 286 patients with a mean age of 40 ± 15 years. The response rate was 49% (n = 140), including 40 men (29%) and 100 women (71%). Communication using DPHC was experienced as fairly good (IV, 0.58), technical functionality was experienced as good (IV, 0.80), and the general experience of DPHC was positive with an IV of 0.76. The overall experience of the concept (IV, 0.71), corresponds to a median satisfaction value of 8.0 (interquartile range, 6-9). The patients felt well-prepared and experienced reasonable time aspects. Of the responding patients, 81% would recommend DPHC to others, and a notable reason for satisfaction was availability. However, patients expressed some uncertainty regarding the physician’s ability to assess correct care needs. Conclusion: The patients in our pilot study described their satisfaction and expressed good experiences with the concept of DPHC using written dialogues.

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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
availability of health care, digital patient, e-health, primary health care, telephone triage
in
Journal of Primary Care and Community Health
volume
11
publisher
SAGE Publications
external identifiers
  • scopus:85080839327
  • pmid:32114868
ISSN
2150-1319
DOI
10.1177/2150132720910564
language
English
LU publication?
yes
id
a17c86a1-b211-407d-ba85-3a77985821f5
date added to LUP
2020-03-20 16:21:49
date last changed
2024-04-03 03:24:07
@article{a17c86a1-b211-407d-ba85-3a77985821f5,
  abstract     = {{<p>Background: The changing health care environment promotes the adoption of new information technologies to connect patients and health care providers. However, individuals greatly vary in their ability to use new digital systems, and in their feelings regarding integrity and validation. Caregivers in southern Sweden plan to implement a new digital primary health care (DPHC) service, and patients’ experiences must be studied to guide the best possible implementation of this service. Purpose: To examine the patients’ experiences with DPHC using written dialogues. Method: Patients were consecutively recruited from June 2018 to April 2019. This prospective pilot study used questionnaires with fixed response options, summarized as index values (IV, 0-1.0) in the following domains: communication, technical functionality, and general experience of DPHC. Results: Participants included 286 patients with a mean age of 40 ± 15 years. The response rate was 49% (n = 140), including 40 men (29%) and 100 women (71%). Communication using DPHC was experienced as fairly good (IV, 0.58), technical functionality was experienced as good (IV, 0.80), and the general experience of DPHC was positive with an IV of 0.76. The overall experience of the concept (IV, 0.71), corresponds to a median satisfaction value of 8.0 (interquartile range, 6-9). The patients felt well-prepared and experienced reasonable time aspects. Of the responding patients, 81% would recommend DPHC to others, and a notable reason for satisfaction was availability. However, patients expressed some uncertainty regarding the physician’s ability to assess correct care needs. Conclusion: The patients in our pilot study described their satisfaction and expressed good experiences with the concept of DPHC using written dialogues.</p>}},
  author       = {{Johansson, Anders and Larsson, Monica and Ivarsson, Bodil}},
  issn         = {{2150-1319}},
  keywords     = {{availability of health care; digital patient; e-health; primary health care; telephone triage}},
  language     = {{eng}},
  month        = {{03}},
  publisher    = {{SAGE Publications}},
  series       = {{Journal of Primary Care and Community Health}},
  title        = {{Patients’ Experiences With a Digital Primary Health Care Concept Using Written Dialogues : A Pilot Study}},
  url          = {{http://dx.doi.org/10.1177/2150132720910564}},
  doi          = {{10.1177/2150132720910564}},
  volume       = {{11}},
  year         = {{2020}},
}