Accepted for/Published in: JMIR Formative Research
Date Submitted: Sep 22, 2021
Open Peer Review Period: Sep 22, 2021 - Nov 17, 2021
Date Accepted: Jun 27, 2022
(closed for review but you can still tweet)
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
The preferred way of patient communicating with a cardiologist and declared objectives for future contacts
ABSTRACT
Background:
Telemedicine solutions, especially in the face of a pandemic, have intensified their role in the patient-cardiologist contact. Entirely recognition of modern technology must be based on the patient's acceptance to be able to improve effective cooperation with the physician. However, the successful application of patient-centric telehealth services requires an in-depth analysis of users’ expectations.
Objective:
To evaluate factors determining readiness for telecommunications solutions in patients with cardiovascular diseases (CVD).
Methods:
A cross-sectional study based on an investigator-designed validated questionnaire including 19 items (demographics, health status, medical history, previous healthcare experience, expected telehealth functionalities and preferred remote communication methods) was used. Multivariate logistic regression was applied to assess the relationship between readiness and their determinants.
Results:
Nearly 84% of respondents consent to the use of telemedicine solutions in the cardiologist-patient contact. Disacceptance to using telemedicine was two times frequent for rural dwellers, OR=2.411 (95%CI:1.003-5.796) and for patients without access to the Internet, OR=2.432 (95%CI:1.022-5.786). In comparison to studying participants living in rural areas, city dwellers demonstrated a higher willingness to use telemedicine solutions in particular function such as : issuing prescription (61,2%/83,2%), alarm at the deterioration of health (79,95%/61,5 %), arranging or cancelling a medical visit (53,8 %/75.5%). Contact by mobile phone was preferred by younger patients OR=2.256 (95%CI:1.058-4.814). Older people and patients who had no previous difficulties in contact with physicians prefer contact by line phone.
Conclusions:
Patients with CVD are ready to accept the virtual solutions to contact a cardiologist. However, patients' expectations for telehealth services are associated with socio-demographical factors. Identifying needs in a group of patients with CVD may help to adjust telecommunication technologies for specific groups of patients
Citation
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