A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä
Quality of the digital gp visits and characteristics of the users : retrospective observational study (2024)
Lakoma, S., Pasanen, H., Lahdensuo, K., Pehkonen, J., Viinikainen, J., & Torkki, P. (2024). Quality of the digital gp visits and characteristics of the users : retrospective observational study. Scandinavian Journal of Primary Health Care, Early online. https://doi.org/10.1080/02813432.2024.2380921
JYU-tekijät tai -toimittajat
Julkaisun tiedot
Julkaisun kaikki tekijät tai toimittajat: Lakoma, Sanna; Pasanen, Henna; Lahdensuo, Kaisla; Pehkonen, Jaakko; Viinikainen, Jutta; Torkki, Paulus
Lehti tai sarja: Scandinavian Journal of Primary Health Care
ISSN: 0281-3432
eISSN: 1502-7724
Julkaisuvuosi: 2024
Ilmestymispäivä: 21.07.2024
Volyymi: Early online
Kustantaja: Taylor & Francis
Julkaisumaa: Britannia
Julkaisun kieli: englanti
DOI: https://doi.org/10.1080/02813432.2024.2380921
Julkaisun avoin saatavuus: Avoimesti saatavilla
Julkaisukanavan avoin saatavuus: Kokonaan avoin julkaisukanava
Julkaisu on rinnakkaistallennettu (JYX): https://jyx.jyu.fi/handle/123456789/96816
Tiivistelmä
This study compares the demographics, diagnoses, re-admission rates, sick leaves, and prescribed medications of patients accessing digital general practitioner (GP) visits with those of patients opting for traditional face-to-face appointments in a primary health care setting.
Design
The study adopted a retrospective analysis of patient record data collected in 2019, comparing visits to a digital primary health center with traditional health center visits.
Setting
Primary health care.
Participants
The data encompassed patients who utilized the digital clinic and those who visited public health centers for primary health care services.
Main Outcome Measures
The study assessed demographics, health diagnoses, prescribed medications, sick leave recommendations, re-admission rates, and differences in costs between digital clinic and face-to-face visits. Secondary outcomes included a comparative analysis of medication categories, resolution rates for health problems, and potential impacts on health care utilization.
Results
Digital clinic users were typically younger, more educated, and predominantly female compared with health centre users. Digital visits were well-suited for uncomplicated infections, while health centre appointments were associated with a higher prevalence of chronic conditions. Medication patterns differed between the two modalities, with digital clinic users receiving generic over-the-counter drugs and antibiotics, whereas health centre visits commonly involved cardiac and antihypertensive medications. Sick leave recommendations were slightly higher in the digital clinic, but the difference was not significant. Approximately 70% of health problems addressed in the digital clinic were successfully resolved, and the cost of digital visits was about 50,3% of face-to-face appointments.
Conclusion
Digital health care services offer a cost-efficient alternative for specific health problems, appealing to younger, educated individuals, when compared to the users of public health center, and may enable improvement of cost-effectiveness combined with acceptable demand management and patient segmentation practices. The results highlight the potential benefits of digital clinics, particularly for uncomplicated cases, while also emphasizing the importance of suitable referral mechanisms for in-person consultations.
YSO-asiasanat: terveydenhoito; perusterveydenhuolto; yleislääketiede; sähköiset palvelut
Vapaat asiasanat: primary health care; general practice; digital healthcare services
Liittyvät organisaatiot
OKM-raportointi: Kyllä
VIRTA-lähetysvuosi: 2024
Alustava JUFO-taso: 2
