Universität zu Köln

Knoerr, Vera, Dini, Lorena ORCID: 0000-0002-3776-0658, Gunkel, Sophie, Hoffmann, Jan, Mause, Laura, Ohnhaeuser, Tim, Stoecker, Arno and Scholten, Nadine (2022). Use of telemedicine in the outpatient sector during the COVID-19 pandemic: a cross-sectional survey of German physicians. BMC Prim. Care, 23 (1). LONDON: BMC. ISSN 2731-4553

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Abstract

Background In the wake of the coronavirus disease 2019 (COVID-19) pandemic, administrative barriers to the use of telemedicine have been reduced in Germany. The study focused on the analysis of use and assessment of telemedicine by physicians working in the outpatient sector, considering the perspective of different disciplines during the COVID-19 pandemic in Germany. Methods The anonymous cross-sectional online survey within the study COVID-GAMS was conducted from 16 November 2020 to 1 January 2021. General practitioners; cardiologists; gastroenterologists; paediatricians; gynaecologists; ear, nose, and throat (ENT) specialists were randomly selected and invited to participate in the survey. At the same time, open recruitment to the online survey was conducted via the professional societies. Descriptive and regression analyses were performed based on the data of 1521 outpatient responding physicians. Results The use of telephone and video consultation increased during the pandemic. Regarding the frequency of use, physicians already using telephone/video consultations in March/April 2020 report an increase in such services. General medicine was associated with an increased use of telephone and video consultations than cardiology, gynaecology or ENT, and in the case of telephone consultations also compared to paediatrics. General practitioners assessed the subjective usefulness higher than gynaecology and ENT. And the self-reported proportion of patients receiving telemedical care was higher correlated with general medicine than all other disciplines. The location of the practice (rural vs. urban), type of practice (individual vs. group) and gender (male vs. female) were also shown to be significant influencing factors on the variables mentioned above. Barriers reported by physicians not using telemedicine were the lack of equivalence to face-to-face contact and perceived low demand from patients. Conclusion The COVID-19 pandemic has led to a significant increase in the use of telemedicine, to varying degrees in the different specialities. Individual and structural factors lead to a reduced use of telemedicine and there are physician's and patient's barriers that have prevented telephone and video consultations from gaining acceptance by physicians. All these factors must be addressed if telemedicine procedures are to be implemented widely.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Knoerr, Vera UNSPECIFIED UNSPECIFIED UNSPECIFIED Dini, Lorena UNSPECIFIED orcid.org/0000-0002-3776-0658 UNSPECIFIED Gunkel, Sophie UNSPECIFIED UNSPECIFIED UNSPECIFIED Hoffmann, Jan UNSPECIFIED UNSPECIFIED UNSPECIFIED Mause, Laura UNSPECIFIED UNSPECIFIED UNSPECIFIED Ohnhaeuser, Tim UNSPECIFIED UNSPECIFIED UNSPECIFIED Stoecker, Arno UNSPECIFIED UNSPECIFIED UNSPECIFIED Scholten, Nadine UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-672391
DOI:	10.1186/s12875-022-01699-7
Journal or Publication Title:	BMC Prim. Care
Volume:	23
Number:	1
Date:	2022
Publisher:	BMC
Place of Publication:	LONDON
ISSN:	2731-4553
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PATIENT; HEALTH; GENDER Multiple languages Primary Health Care; Medicine, General & Internal Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/67239