Knowledge, Attitudes, and Practices of Teleconsultation in France Among General Population and Physicians: A National Survey.

Robin Ohannessian, Dorothée Lamarche, Solange Brugnaux, Sarah Ghazarian, Jamel Cheniour, Paul Martin Gousset, Jean-Pascal Piermé, Julie Salomon
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Abstract

Introduction: The utilization of teleconsultation (TC) via synchronous video calls has surged globally and in France since the onset of the COVID-19 pandemic in 2020. The objective was to describe the knowledge, attitudes, and practices regarding TC among the general population and physicians in France. Methods: We conducted two national voluntary anonymous online surveys for the general population and for physicians. The sample size, calculated for a 95% confidence level and a 5% margin of error, was determined to be 2,001 participants for the general population and was estimated with the quota method to ensure representativeness. The survey for physicians was sent from April 27 to June 2, 2023. Results: Among the population, 32% were TC users primarily conducted for themselves (83%) or their children (28%), as a replacement for a physical consultation (75%) and not with their treating physician (56%), while considering the physician location as not relevant (68%). The satisfaction among TC users was 88%. They experienced quicker access to care (54%) and similar or better experience (74%), and 84% agreed that TC improved access to care. If TC had not been available, 28% would have gone to the emergency department (ED). The main reasons cited for consulting remotely were to obtain a medical opinion related to new symptoms (38%) and to acquire a medical certificate or sick leave (35%). Among non-TC users, 53% were considering using it. Among physicians, 83.6% used TC for 1-4 years (68%), with 32% practicing for at least 3 years. Discussion: Thirty-two percent of the French population practiced TCs in France in 2023 with a very high satisfaction rate of 88%. Almost one-third of patients would visit the ED if they could not do a TC.

法国普通人群和医生远程会诊的知识、态度和实践:一项全国调查。
导言:自2020年COVID-19大流行爆发以来,通过同步视频通话进行远程咨询(TC)的使用在全球和法国大幅增加。目的是描述法国普通人群和医生对TC的知识、态度和做法。方法:我们对普通人群和医生进行了两项全国自愿匿名在线调查。以95%的置信水平和5%的误差范围计算的样本量确定为一般人群的2001名参与者,并使用配额法进行估计以确保代表性。对医生的调查于2023年4月27日至6月2日进行。结果:在人群中,32%的TC使用者主要是为自己(83%)或子女(28%)进行的,作为身体咨询(75%)的替代(56%),而不是与他们的治疗医生(56%),同时考虑到医生的位置无关(68%)。用户满意度为88%。他们获得护理的速度更快(54%),体验相似或更好(74%),84%的人同意TC改善了获得护理的机会。如果没有TC, 28%的人会去急诊室(ED)。远程咨询的主要原因是获得与新症状有关的医疗意见(38%)和获得医疗证明或病假(35%)。在非tc用户中,53%的人考虑使用tc。83.6%(68%)的医生使用TC 1-4年,32%的医生至少使用了3年。讨论:2023年,32%的法国人在法国实行tc,满意度非常高,达到88%。几乎三分之一的患者如果不能做TC就会去急诊科。
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