Socioeconomic, medical and demographic characteristics of early adopters of digital primary care

Dahlstrand, Amanda; Farrokhnia, Nasim

doi:10.1177/14034948221119640

Cited by 4 publications

(1 citation statement)

References 15 publications

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“…This is in line with other studies reporting that the pandemic has exposed and magnified difference in use [12,25,26], especially for unique populations. Moreover, register-based population studies showed that remote consultations in general practice were most likely offered to younger, affluent, and educated groups, including employed people and non-immigrants [27,28].…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

Video consultation in general practice during COVID-19: a register-based study in Denmark

Bak Kirk,

Høstrup Vestergaard,

Hammer Bech

et al. 2024

BJGP Open

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BackgroundDuring the COVID-19 pandemic, general practices in Denmark rapidly introduced video consultations (VCs) to prevent contamination.AimTo study the use of VCs in daytime general practice by describing the rate of VCs, and the patient characteristics associated with having VCs.Design & settingRegister-based study of consultations in daytime general practice in Denmark.MethodWe included all consultations in daytime general practice from 1 January 2019 to 30 November 2021. We calculated the rate of video use and categorised the general practices into no, low, and high use. Logistic regression was used to calculate adjusted odds ratios (aOR) for having a VC for different patient characteristics when contacting a video-using practice, stratified for low- and high-using practices.ResultsA total of 30,148,478 eligible consultations were conducted during the pandemic period. VCs were used mostly during the early-stage pandemic period, declining to about 2% of all clinic consultations in the late-stage period. Patients having more VCs were young, had a long education, were employed, and living in big cities. In low-using practices, native Danes and western immigrants had higher odds of receiving a VC than non-western immigrants, and patients with ≥2 comorbidities had lower odds than those without comorbidities.ConclusionPatients with low age, long education, or employment had higher odds of a VC, while patients with high age and retired patients had lower odds. This difference in the access to VCs warrants further attention.

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Section: Comparison With Existing Literaturementioning

confidence: 99%

Video consultation in general practice during COVID-19: a register-based study in Denmark

Bak Kirk,

Høstrup Vestergaard,

Hammer Bech

et al. 2024

BJGP Open

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Reasons for encounter in video contacts at a Danish out-of-hours primary care service: a questionnaire study

Nebsbjerg,

Bomholt,

Vestergaard

et al. 2024

BMJ Open

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ObjectiveTo investigate reasons for encounter in telephone triage contacts to an out-of-hours primary care service for which general practitioners (GPs) use video consultations (video contact), overall and stratified for patient age and time of day.DesignA cross-sectional questionnaire study among GPs doing telephone triage in an out-of-hours primary care service. The questionnaire was integrated into the electronic patient registration system, popping up after every third video contact. This setup automatically linked patient register data, including age and sex, with the questionnaire data.SettingThe study was conducted from 5 September 2022 to 21 December 2022 at the out-of-hours primary care service in the Central Denmark Region.Participants649 volunteer GPs who answered 2452 questionnaires.Main outcome measuresReasons for encounter in video contacts registered with codes from International Classification of Primary Care (ICPC) coding system, V.2 (ICPC-2).ResultsGPs doing telephone triage in out-of-hours primary care used video contacts for a broad range of ICPC-2 codes within few ICPC-2 chapters. 83% of all reasons for encounter were due to symptoms in chapters S ‘Skin’ (34.5%), R ‘Respiratory’ (21.8%), A ‘General and unspecified’ (14.7%) and L ‘Musculoskeletal’ (12.0%) in the ICPC-2 classification system. Video contacts concerning skin and musculoskeletal symptoms were more frequent among older children and adults compared with young children. Respiratory symptoms and general and unspecified symptoms dominated by fever were more frequent among video contacts for young children compared with older children and adults.ConclusionOur study suggests a focused use of video contacts in an out-of-hours primary care setting; the majority of registered ICPC-2 codes were within few ICPC-2 chapters.

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Sex-specific socioeconomic risk factors for spontaneous subarachnoid hemorrhage—a case–control study during the 5 years before ictus

Ronne-Engström,

Friberg

2024

Front. Public Health

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BackgroundThere is a difference in the incidence of spontaneous subarachnoid hemorrhage (SAH) between sexes, with the majority of cases occurring in female patients. Although this phenomenon has been studied from a medical perspective, the reasons for the predominance of female cases are still unclear. Non-medical factors, such as a patient’s socioeconomic situation, can differ between female and male patients, with health implications. The aim of the study was to identify socioeconomic profiles for both sexes that may be vulnerable to developing SAH. This information could potentially be used for active preventive health efforts.MethodsThis study was based on a 7-year consecutive cohort of 890 patients with SAH treated at Uppsala University Hospital, along with a sex- and age-matched 5:1 control group from Statistics Sweden. The collected information included demographic data, income that was analyzed through “earnings” (EAs), which is defined as the sum of income and other economic compensations related to work, and “disposable income” (DI), which is the net amount that an individual can use. Pension and sickness-related absence from work were measured using early pension (EP), old age pension (OAP), sickness absence (SA), and disability pension (DP). Univariate and multivariate analyses were used.ResultsAmong the women, the socioeconomic risk profile for SAH included lower education, unemployment, being registered as living single, residing in a sparsely populated municipality, and increased age. For the men, the risk profile included residing in a sparsely populated municipality and changes in civil status. Both women and men with SAH had lower EAs and DI compared to the controls. Notably, a significantly higher proportion of the women with SAH received DP compared to the controls.ConclusionResiding in a sparsely populated area was associated with an increased risk for SAH for both women and men. The women with SAH were more economically vulnerable, whereas the men faced a different type of vulnerability related to changes in civil status. We suggest that healthcare organizations use this information to identify individuals at risk and actively implement preventive measures according to stroke guidelines for both groups.

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Socioeconomic, medical and demographic characteristics of early adopters of digital primary care

Cited by 4 publications

References 15 publications

Video consultation in general practice during COVID-19: a register-based study in Denmark

Video consultation in general practice during COVID-19: a register-based study in Denmark

Reasons for encounter in video contacts at a Danish out-of-hours primary care service: a questionnaire study

Sex-specific socioeconomic risk factors for spontaneous subarachnoid hemorrhage—a case–control study during the 5 years before ictus

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