Currently submitted to: JMIR Medical Informatics
Date Submitted: Oct 3, 2019
Open Peer Review Period: Oct 3, 2019 - Nov 22, 2019
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Which characteristics of primary care doctors determine their use of teleconsultations in the catalan public Health system? A retrospective descriptive cross-sectional study
eConsulta is a teleconsultation service involving doctors and patients which is part of Catalonia's public health system's IT system. It 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 socio-demographic characteristics of General Practitioners who determine its use.
to analyse the socio-demographic factors which affect the likelihood of doctors using eConsulta.
using a retrospective cross-sectional analysis of administrative data, a multivariate logistic regression analysis of the use of eConsulta in relation to a set of socio-demographic variables is performed.
the model shows that the characteristics of the doctors who use eConsulta are that they are between 45 and 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 an urban setting which also has a high socio-economic level.
the results suggest that certain socio-demographic characteristics associated with General Practitioners determine whether they use eConsulta. These must be taken into account if its deployment is to be encouraged in the context of a public health system.
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