TY  - JOUR
AU  - Fernández, Oscar Solans
AU  - Seguí, Francesc López
AU  - Vidal-Alaball, Josep
AU  - Bonet Simo, Josep Maria
AU  - Vian, Oscar Hernandez
AU  - Cabo, Pascual Roig
AU  - Hernandez, Marta Carrasco
AU  - Dominguez, Carmen Olmos
AU  - Reig, Xavier Alzaga
AU  - Rodríguez, Yesika Díaz
AU  - Peralta, Manuel Medina
AU  - Hermosilla, Eduardo
AU  - León, Nuria Martínez
AU  - Guimferrer, Nuria
AU  - González, Mercedes Abizanda
AU  - Cuyàs, Francesc García
AU  - Sust, Pol Pérez
PY  - 2020
DA  - 2020/1/31
TI  - Primary Care Doctor Characteristics That Determine the Use of Teleconsultations in the Catalan Public Health System: Retrospective Descriptive Cross-Sectional Study
JO  - JMIR Med Inform
SP  - e16484
VL  - 8
IS  - 1
KW  - tele-medicine
KW  - tele-consultation
KW  - remote consultation
KW  - primary care
KW  - general practitioners
AB  - Background: eConsulta is a tele-consultation service involving doctors and patients, and is part of Catalonia's public health information technology system. The service has been in operation since the end of 2015 as an adjunct to face-to-face consultations. A key factor in understanding the barriers and facilitators to the acceptance of the tool is understanding the sociodemographic characteristics of general practitioners who determine its use. Objective: This study aimed to analyze the sociodemographic factors that affect the likelihood of doctors using eConsulta. Methods: A retrospective cross-sectional analysis of administrative data was used to perform a multivariate logistic regression analysis on the use of eConsulta in relation to sociodemographic variables. Results: The model shows that the doctors who use eConsulta are 45-54 years of age, score higher than the 80th percentile on the quality of care index, have a high degree of accessibility, are involved in teaching, and work on a health team in a high socioeconomic urban setting. Conclusions: The results suggest that certain sociodemographic characteristics associated with general practitioners determine whether they use eConsulta. These results must be taken into account if its deployment is to be encouraged in the context of a public health system. 
SN  - 2291-9694
UR  - http://medinform.jmir.org/2020/1/e16484/
UR  - https://doi.org/10.2196/16484
UR  - http://www.ncbi.nlm.nih.gov/pubmed/32012061
DO  - 10.2196/16484
ID  - info:doi/10.2196/16484
ER  -