Rural use of health service and telemedicine during COVID-19: The role of access and eHealth literacy

Rush, Kathy L.; Seaton, Cherisse L.; Li, Eric; Oelke, Nelly D.; Pesut, Barbara

doi:10.1177/14604582211020064

Cited by 47 publications

(43 citation statements)

References 29 publications

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“…The negative correlation found between age and satisfaction with telemedicine is consistent with previous studies that showed the difficulties faced by the elderly with access to the internet and telemedicine [38,39], including studies conducting during the COVID-19 period [40][41][42]. The positive correlation between eHealth literacy and satisfaction with telemedicine was also supported by previous research studies [43,44].…”

Section: Discussionsupporting

confidence: 89%

“…Women tend to search for more healthcare information than men and use telemedicine more, as per Horrell et al [36] who found that 50% of the women used telemedicine compared with 43% of the men, and expressed greater satisfaction with telemedicine [43]. On many occasions, it is the women in the family who are responsible for overall family health, so they are the ones who contact the physicians on behalf of other family members [45].…”

Section: Discussionmentioning

confidence: 99%

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Telemedicine and eHealth Literacy in the Era of COVID-19: A Cross-Sectional Study in a Peripheral Clinic in Israel

Dopelt

Avni

Haimov-Sadikov

et al. 2021

IJERPH

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The COVID-19 pandemic mandating isolation, quarantine, and social distancing has accelerated and expanded the use of telemedicine. This study examines the extent of the use of telemedicine and the relationship between eHealth literacy and satisfaction with using telemedicine during the pandemic. A total of 156 participants from a clinic in a peripheral community in southern Israel completed an online questionnaire. We found that 85% knew how to use the internet for health information, but only one third felt safe using it to make health decisions. Furthermore, 93% used the internet for technical needs, such as renewing prescriptions or making a doctor’s appointment. Even lower use for telemedicine was found (38%) for consultation or treatment sessions. A positive association was found between eHealth literacy and satisfaction variables with using telemedicine (rp = 0.39, p < 0.001). Although respondents understood the benefits of telemedicine, they were not satisfied nor interested in online sessions after the epidemic’s end, preferring a meeting involving personal interaction. Young people and academics benefit more from telemedicine, thereby creating usage gaps and potentially increasing existing inequality. We recommend developing intervention programs, especially among vulnerable populations, to strengthen eHealth literacy and remove barriers causing skepticism about the use of telemedicine during and after the pandemic.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Telemedicine and eHealth Literacy in the Era of COVID-19: A Cross-Sectional Study in a Peripheral Clinic in Israel

Dopelt

Avni

Haimov-Sadikov

et al. 2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…Patients from rural areas of BC have indicated high satisfaction with telehealth. They have a preference for video over phone visits and for telehealth as a supplement to rather than a replacement for in-person visits [ 50 ].…”

Section: Discussionmentioning

confidence: 99%

Cancer Patients’ Experiences with Telehealth before and during the COVID-19 Pandemic in British Columbia

Izadi‐Najafabadi

McQuarrie²,

Peacock³

et al. 2022

Current Oncology

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Background: Patients have had their cancer care either postponed or changed to telehealth visits to reduce exposure to COVID-19. However, it is unclear how these changes may have affected their experiences. We aim to identify patient characteristics that affect telehealth experiences and evaluate their preferences for using telehealth in the future. Methods: Patients who completed the Outpatient Cancer Care (OCC) Patient Experience Survey were invited to participate. They comepleted the modified OCC Survey, which focused on telehealth during the pandemic. Linear and logistic regression analyses were used to identify patient characteristics that influenced telehealth experiences and preferences for future telehealth use. Results: Perceived ease of participation in telehealth is a significant predictor of the change in patients’ ratings of their telehealth experience. We found that cancer patients had lower preferences for using telehealth in the future if they were older, female, or non-white; resided in an urban area; had no previous telehealth experience; had lower education; and had poorer mental health. Conclusions: To optimize cancer care and improve equitable access to high-quality telehealth care during the pandemic and beyond, clinicians and policymakers will need to consider patients’ self-reported experiences and their personal characteristics.

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“…Second, smart healthcare services play an important role in diagnosing infectious diseases and reducing the risk of cross-contamination caused by face-to-face contact. For example, during COVID-19, patients have showed a higher willingness to use video consultations than before (37). Based on telemedicine service systems and intelligent medical robots, patients can be classified, evaluated, monitored, and treated within a safe distance, which reduces the risk of frontline medical staff infected with COVID-19.…”

Section: Theoretical Underpinning and Hypotheses Developmentmentioning

confidence: 99%

How Does Smart Healthcare Service Affect Resident Health in the Digital Age? Empirical Evidence From 105 Cities of China

Chen

Zhang

Wei

2022

Front. Public Health

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With the emergence of the digital age, smart healthcare services based on the new generation of information technologies play an increasingly important role in improving the quality of resident health. This study empirically examined the impact of regional smart healthcare services on resident health as well as the underlying mechanism by employing a two-way fixed effects model. We constructed a Regional Smart Healthcare Service Development Index and matched it with survey data from the China Health and Retirement Longitudinal Study to validate the model. The results showed that (1) smart healthcare services have a significant positive impact on resident health. (2) The availability of outpatient services and inpatient services plays a mediating role in the relationship between regional smart healthcare services and resident health. (3) The influence of regional smart healthcare services on resident health is heterogeneous among different regions. Specifically, the effect of smart healthcare services on resident health is significant in the eastern regions, while it is not significant in the central, western, and northeastern regions. The effect of smart healthcare services on resident health is significant in rural regions but not in urban regions. This study enriches the nascent research stream of smart healthcare services. This study offers useful insights for practitioners and the government to guide them in formulating smart healthcare strategies.

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Rural use of health service and telemedicine during COVID-19: The role of access and eHealth literacy

Cited by 47 publications

References 29 publications

Telemedicine and eHealth Literacy in the Era of COVID-19: A Cross-Sectional Study in a Peripheral Clinic in Israel

Telemedicine and eHealth Literacy in the Era of COVID-19: A Cross-Sectional Study in a Peripheral Clinic in Israel

Cancer Patients’ Experiences with Telehealth before and during the COVID-19 Pandemic in British Columbia

How Does Smart Healthcare Service Affect Resident Health in the Digital Age? Empirical Evidence From 105 Cities of China

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