Evidence map›Paper›PMID 37501087›Full record

ArticleBMC health services research2023

Patient perspectives on telemedicine during the COVID-19 pandemic: a mixed-methods community-based study.

Marije J Splinter, M Kamran Ikram, Charles W Helsper, Patrick J E Bindels, Evelien I T de Schepper, Silvan Licher

Erratum issuedAbstract read
In one paragraph

Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Perceptions and Experiences of a Multimodal Rehabilitation Program for People With Post-Acute COVID-19: A Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2025
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  11. Quality of life in the digital age: young adult hematopoietic stem cell transplantation patients and healthcare providers' views of telehealth.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Marije J SplinterDepartment of Epidemiology, Erasmus MC - University Medical Center Rotterdam, PO Box 2040, Rotterdam, 3000 CA, The Netherlands. m.splinter@erasmusmc.nl.
M Kamran IkramDepartment of Epidemiology, Erasmus MC - University Medical Center Rotterdam, PO Box 2040, Rotterdam, 3000 CA, The Netherlands.
Charles W HelsperJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Patrick J E BindelsDepartment of General Practice, Erasmus MC - University Medical Center Rotterdam, Rotterdam, The Netherlands.
Evelien I T de SchepperDepartment of General Practice, Erasmus MC - University Medical Center Rotterdam, Rotterdam, The Netherlands.
Silvan LicherDepartment of Epidemiology, Erasmus MC - University Medical Center Rotterdam, PO Box 2040, Rotterdam, 3000 CA, The Netherlands.

Funding

ZonMw 05160482220001
6 · The paper itself

Abstract

backgroundDetailed community-based perspectives on patient experiences with telemedicine are currently lacking, yet essential to assess clinical applicability of telemedicine during and beyond pandemics, alike COVID-19. The aim of this study was to expose patient perspectives on virtual compared to in-person consultations, including determinants of these preferences.

methodsWe invited 5864 participants of the population-based Rotterdam Study to fill in a validated questionnaire using both close-ended and free-text questions. The questionnaire was sent on 30 July 2020, following a period of lockdowns and closures of non-essential workplaces. It assessed preferences for physician contact, healthcare utilisation, socioeconomic factors, and overall health. Those who experienced at least one virtual consultation (telephone or video call) between March 2020 and the beginning of July 2020 were asked whether those consultations were more, equally or less pleasant than in-person consultations, and to detail their experiences through free-text comments. These narrative data were examined using thematic analysis.

results4514 participants completed the questionnaire (response rate 77.0%, 58.7% women, mean age 70.8 ± 10.5 years). 1103 participants (24.4%) reported having had experience with virtual consultations. Half of these participants considered virtual consultations less pleasant than in-person consultations (N = 556; 50.4%), while 11.5% found it more pleasant. In total, we coded free-text comments of 752 participants. Prominent themes behind patient preferences for virtual or in-person consultations were lack of nonverbal communication, lack of physical examination, consultation scheduling, personal circumstances, and the presence of somatic and/or language barriers.

conclusionsBased on the experiences of a large elderly patient population, we showed that preference for virtual or in-person consultations is dependent on personal and situational variety, and their interplay. Healthcare providers should consider patients' complex care needs and evaluate the potential added value of nonverbal communication and physical examination before scheduling a virtual consultation.

Indexed as

COVID-19TelemedicineAgedAged, 80 and overCommunicable Disease ControlDelivery of Health CareFemaleHumansMaleMiddle AgedPandemicsCohort studyHealth services researchMixed-methodsTelemedicine

Identifiers

PMID37501087
PMCPMC10375760

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.