Gender disparity in telehealth usage in Bangladesh during COVID-19

Rahman, Saanjaana; Kafy, Abdulla Al

doi:10.1016/j.ssmmh.2021.100054

Cited by 23 publications

(14 citation statements)

References 10 publications

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“…A total of 550 patients participated in this study—most were male, aged 18 to 25 years, single, from a high-income family, and highly educated. This reflects the literature suggesting that low education, poverty, older age, and being female are discriminatory barriers to telemedicine use [ 42 ]. Telephone calls were the most common mode of telemedicine.…”

Section: Discussionsupporting

confidence: 74%

Telemedicine Use and the Perceived Risk of COVID-19: Patient Experience

Hosseinzadeh

Ratan

Nahar

et al. 2023

IJERPH

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Introduction: The COVID-19 outbreak resulted in an increased demand for telemedicine worldwide. Telemedicine is a technology-based virtual platform that allows the exchange of clinical data and images over remote distances. This study aims to examine the impact of the perceived risk of COVID-19 on telemedicine use in Bangladesh. Methods: This explanatory study was conducted in hospital settings across Dhaka city in Bangladesh. Patients were eligible to participate if they were aged 18 years or over and had used telemedicine in a hospital at least once since the COVID-19 outbreak. Outcome variables included sociodemographic, the perceived risk of COVID-19, and telehealth use. Study data were collected using an online and paper-based survey. Results: A total of 550 patients participated in this study, mostly male (66.4%), single (58.2%), and highly educated (74.2%). The means of the different domains of telemedicine use reflected a high degree of perceived benefit, accessibility, and satisfaction but a lower degree of privacy and discomfort, care personnel expertise, and usability. COVID 19 perceived risk predicted between 13.0% and 26.6% of variance in telemedicine domains, while the effects of demographic variables were controlled or removed. The perceived risk of COVID-19 was negatively correlated with privacy and discomfort, as well as care personnel concerns. Low and high levels of perceived COVID-19 risk were less likely to encourage the use of telemedicine as a risk reduction tool. Discussion: The participants were mainly satisfied with telemedicine, finding it beneficial and accessible; however, many were concerned about privacy, care personnel expertise, and its usability. The perceived risk of COVID-19 was a strong predictor (contributor) of telemedicine use, suggesting that risk perception can be used to encourage telemedicine use as a risk reduction strategy during pandemics; however, a medium level of risk was more promising.

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Section: Discussionsupporting

confidence: 74%

Telemedicine Use and the Perceived Risk of COVID-19: Patient Experience

Hosseinzadeh

Ratan

Nahar

et al. 2023

IJERPH

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“…China [ 111 , 112 ], India [ 113 , 114 ], Norway [ 115 , 116 ], and Thailand [ 117 , 118 ] were each represented in 2 (2.3%) papers. Other countries represented were Bangladesh [ 119 ], the Czech Republic [ 120 ], Denmark [ 121 ], the United Kingdom [ 122 ], Greece and Finland (a joint paper) [ 123 ], Italy [ 124 ], Jamaica [ 125 ], Libya [ 126 ], Saudi Arabia [ 127 ], South Africa [ 128 ], and Turkey [ 129 ].…”

Section: Resultsmentioning

confidence: 99%

The Use of Digital Health Services Among Patients and Citizens Living at Home: Scoping Review

Rosenlund¹,

Kinnunen²,

Saranto³

2023

J Med Internet Res

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Background The development of digital health services reflects not only the technical development of services but also a change in attitude and the way of thinking. It has become a cornerstone for engaging and activating patients and citizens in health management while living at home. Digital health services are also aimed at enhancing the efficiency and quality of services, while simultaneously providing services more cost-effectively. In 2020, the COVID-19 pandemic accelerated worldwide the development and use of digital services in response to requirements for social distancing and other regulations. Objective The aim of this review is to identify and summarize how digital health services are being used among patients and citizens while living at home. Methods The Joanna Briggs Institute (JBI) methodology for scoping reviews was used as guidance. A search conducted in 3 databases (CINAHL, PubMed, Scopus) resulted in 419 papers. The reporting was conducted by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping review (PRISMA-ScR), and the analysis of the included papers was performed using a framework consisting of 5 clusters describing the use of digital health services. After screening and excluding papers that did not match the inclusion criteria, 88 (21%) papers from 2010 to 2022 were included in the final analysis. Results Results indicated that digital health services are used in different situations and among different kinds of populations. In most studies, digital health services were used in the form of video visits or consultations. The telephone was also used regularly for consultations. Other services, such as remote monitoring and transmitting of recorded information and the use the of internet or portals for searching information, were observed as well. Alerts, emergency systems, and reminders were observed to offer possibilities of use, for example, among older people. The digital health services also showed to have potential for use in patient education. Conclusions The development of digital services reflects a shift toward the provision of care regardless of time and place. It also reflects a shift toward emphasis on patient-centered care, meaning activating and engaging patients in their own care as they use digital services for various health-related purposes. Despite the development of digital services, many challenges (eg, adequate infrastructure) still prevail worldwide.

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“…Our ndings related to sex coincide with the data published by Rahman et al in Bangladesh, who found a profound gender disparity in the Telemedicine use during the COVID-19 pandemic, with fewer females than males. The reasons given by the authors include the difference in education levels and technical literacy in using online platforms for telehealth services (20).…”

Section: Discussionmentioning

confidence: 99%

Experience of a Telemergency Program in Colombia Southamerica. Descriptive Observational Study Between 2019 and 2021.

Vallejo-Bocanumen

Pérez-Martínez

Quiceno-Salazar

et al. 2023

Preprint

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Introduction: Colombia has 50,912,429 inhabitants. Only 50–70% of the population could effectively access healthcare services. The Emergency Room (ER) is a main contributor to the in-hospital care system, since up to half of the admissions comes through. Telemedicine becomes a tool to facilitate effective access to healthcare services, improve the opportunity of care, reduce diagnostic variability, and reduce costs associated with health. The aim of this study is to describe the experience of a Distance Emergency Care Program through Telemedicine (TelEmergency), to improve specialist access for patients at the Emergency Room (ER) in low- and medium-level care hospitals in Colombia. Methods: Observational descriptive study of a cohort including 1,544 patients during the program’s first two years. Descriptive statistics were used to analyze the available data. The data is presented with summarized statistics of sociodemographic, clinical, and patient-care variables. Results: The study included a total of 1,544 patients, the majority were adults between 60 and 79 years of age (n = 491, 32%). More than half were men (n = 832, 54%), and 68% (n = 1,057) belonged to the contributory healthcare regime. The service was requested from 346 municipalities, 70% (n = 1,076) from intermediate and rural settings. The most common diagnoses were related to COVID-19 (n = 356, 22%), respiratory diseases (n = 217, 14%) and cardiovascular diseases (n = 162, 10%). We observed 47% (n = 721) of local admissions either under observation (n = 58, 4%) or hospitalization (n = 403, 26%), limiting the need for hospital transfers. Program operation data revealed that 50% (n = 799) of the requests were answered within two hours by the medical staff. The initial diagnosis was modified in 7% (n = 119) of the patients after being evaluated by specialists at the TelEmergency program. Conclusions: This study shows the operational data collected during the first two years after implementation of the TelEmergency program in Colombia, the first of its kind in the country. Its implementation offered specialized timely management of patients at the ER in low- and medium-level care hospitals, where there is no availability of specialized doctors.

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Gender disparity in telehealth usage in Bangladesh during COVID-19

Cited by 23 publications

References 10 publications

Telemedicine Use and the Perceived Risk of COVID-19: Patient Experience

Telemedicine Use and the Perceived Risk of COVID-19: Patient Experience

The Use of Digital Health Services Among Patients and Citizens Living at Home: Scoping Review

Experience of a Telemergency Program in Colombia Southamerica. Descriptive Observational Study Between 2019 and 2021.

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