학술논문

Individual Patient Factors Associated with the Use of Physical or Digital Primary Care in Sweden.
Document Type
Article
Source
Telemedicine & e-Health. May2024, Vol. 30 Issue 5, p1289-1296. 8p.
Subject
*PRIMARY care
*MEDICAL personnel
*PRIMARY health care
*PATIENT preferences
*MEDICAL care
Language
ISSN
1530-5627
Abstract
Introduction:Little is known about factors that influence patients' choice to use physical or digital primary care. This study aimed to compare self-rated health, internet habits, and what patients deem important when choosing health care between users of physical and digital primary health care. Methods:We recruited 2,716 adults visiting one of six physical or four digital primary health care providers in Stockholm, Sweden, October 2020 to May 2021. Participants answered a questionnaire with questions about sociodemography, self-rated health, internet habits, and what they considered important when seeking care. We used logistic regression and estimated odds ratios (ORs) for choosing digital care. Results:Digital users considered themselves healthier and used the internet more, compared with physical users (p < 0.001). Competence of health care staff was the most important factor when seeking care to both physical and digital users (90% and 78%, respectively). Patients considering it important to avoid leaving home were more likely to seek digital care (OR 29.55, 95% confidence interval [CI] 12.65–69.06), while patients valuing continuity were more likely to seek physical care (OR 0.25, 95% CI 0.19–0.32). These factors were significant also when adjusting for self-rated health and sociodemographic characteristics. Conclusion:What patients considered important when seeking health care was associated with what type of care they sought. Patient preferences should be considered when planning health care to optimize resource allocation. [ABSTRACT FROM AUTHOR]