School of Health and Welfare, Jönköping Academy for Improvement of Health and Welfare, Jönköping University, Jönköping, Sweden.
Department of Behavioral Sciences, Oslo Metropolitan University, Oslo, Norway.
Scand J Prim Health Care. 2021 Jun;39(2):204-213. doi: 10.1080/02813432.2021.1913904. Epub 2021 May 11.
The study aimed to explore users' experiences and care patterns concerning telemedicine consultations with physicians in Swedish primary care from 2017 to 2019.: A mixed methods study involving 26 qualitative interviews with users of telemedicine consultations from a national sample, complemented by a quantitative registry study of data from 10,400 users in a Swedish region.
Users mainly described telemedicine consultations as a positive experience and perceived that the service met their current health care needs. Users also valued high accessibility, timesaving, and the contribution to ecological sustainability. Users felt competent about choosing when to use telemedicine consultations, most commonly for less severe health care concerns. This was confirmed by the quantitative results; only a few users had other care contacts within physical primary care before, or after, the telemedicine consultation, attended acute care or phoned 1177 Health Care Guidance.
This study provides a rare account of users' experiences of telemedicine consultations. Users expressed satisfaction with this up-to-date use of health care resources for them as individuals, the health care system, and the environment. Telemedicine consultations were perceived as efficient and safe according to users. In addition, the study shows a low degree of further physical contacts in primary care or in acute care related to the telemedicine consultations.Key pointsUsers have positive experiences of telemedicine consultations with physicians and experienced that the service had meet their actual needs for health care.Users were mainly satisfied with the service and highlighted the value of high accessibility.Users experienced that telemedicine consultants provided an alternative care service for mostly minor health problems, perceiving them to save time and resources for themselves, the health care system, and the environment.Most telemedicine consultations did not result in additional contacts with 1177 Health Care Guidance, physical visits to primary care, or acute health care.Telemedicine consultations with physicians were mainly used by persons aged 0-30 years and need to be further developed to suit other age groups.
本研究旨在探讨 2017 年至 2019 年期间，瑞典初级保健中用户对与医生进行远程医疗咨询的体验和护理模式。方法：这是一项混合方法研究，涉及来自全国样本的 26 名接受远程医疗咨询的用户的定性访谈，并辅以对瑞典一个地区的 10400 名用户数据进行的定量登记研究。
用户主要将远程医疗咨询描述为一种积极的体验，并认为该服务满足了他们当前的医疗保健需求。用户还重视高可及性、节省时间和对生态可持续性的贡献。用户认为自己有能力选择何时使用远程医疗咨询，最常见的是用于不太严重的医疗保健问题。这一结果得到了定量结果的证实；只有少数用户在远程医疗咨询之前或之后在实体初级保健中有其他医疗接触，或前往急性护理或拨打 1177 医疗保健指导热线。
本研究提供了用户对远程医疗咨询体验的罕见描述。用户对个人、医疗保健系统和环境中这种最新使用医疗资源表示满意。根据用户的反馈，远程医疗咨询被认为是高效和安全的。此外，该研究还表明，与远程医疗咨询相关的初级保健或急性保健中的进一步身体接触程度较低。
用户对与医生进行的远程医疗咨询有积极的体验，并认为该服务满足了他们实际的医疗保健需求。用户主要对该服务感到满意，并强调了高可及性的价值。用户体验到远程医疗顾问提供了一种替代护理服务，主要用于解决轻微的健康问题，他们认为这可以节省自己、医疗保健系统和环境的时间和资源。大多数远程医疗咨询不会导致与 1177 医疗保健指导、实体初级保健访问或急性医疗保健的进一步接触。与医生进行的远程医疗咨询主要由 0-30 岁的人使用，需要进一步开发以适应其他年龄组。
