To connect or not connect: long-term adoption of video consultations, and reasons for discontinuing use

Author:

Muli Irene1ORCID,Hvitfeldt Helena1,Cajander Åsa2,Jäderlund Hagstedt Lovisa3,Davoody Nadia3,Taloyan Marina4,Hägglund Maria15ORCID

Affiliation:

1. Participatory eHealth and Health Data Research Group, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden

2. Department of Information Technology, Uppsala University, Uppsala, Sweden

3. Health Informatics Centre, Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden

4. Academic Primary Healthcare Centre, Region Stockholm, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden

5. Biomedical Engineeering & Physics, Uppsala University Hospital, Uppsala, Sweden

Abstract

Introduction This study investigates factors related to long-term and short-term adoption of video consultations (VCs) and reasons for discontinuing use among primary care patients. Methods A sample of primary care patients using VCs with healthcare providers were invited to take a survey in a cross-sectional study. Participants were asked about their intention to continue to have video consultations in the future, and those indicating no intention to use VCs in the future (short-term adopters) were asked about their reasons for this. Prevalence and statistical differences between long-term and short-term adopters were investigated. Results There were several statistically significant differences between long-term and short-term adopters (76% vs. 24%). Long-term adopters consisted of more middle-aged individuals (35–54 years) and the majority worked full-time (56%). They had more positive opinions of VCs and used VCs and video meetings for other purposes to a larger extent. They chose VCs because of the lack of time to go to the healthcare centre and because their provider offered them. The most common reason for discontinuing use was a preference for face-to-face consultations, with the youngest age group (16–34 years) reporting this to a larger extent. Discussion Younger and older age groups may be less likely to continue the use of VCs, potentially preserving the digital divide. Additionally, disparities in using similar technologies might contribute to the digital divide. Moreover, convenience, positive opinions of VCs, and experience with VCs were related to long-term adoption. Further studies are needed to explore non-use, age’s influence, and address usability issues.

Funder

AFA Försäkring

Publisher

SAGE Publications

Subject

Health Informatics

Reference30 articles.

1. Impact of the Covid-19 pandemic on primary care utilization: evidence from Sweden using national register data

2. Internetstiftelsen. Svenskarna och internet 2019. Stockholm.

3. Svenskarna och internet 2022. https://svenskarnaochinternet.se/rapporter/svenskarna-och-internet-2022/ (accessed 29 October 2022).

4. Acceptability, benefits, and challenges of video consulting: a qualitative study in primary care

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