Epidemiology and Health

COVID-19: Original Article

The general public’s perspectives on telemedicine during the COVID-19 pandemic in Korea: analysis of a nationwide survey: EunKyo Kang, Hyejin Lee, Ki Jeong Hong, Jieun Yun, Jin Yong Lee, Yun-Chul Hong; Epidemiol Health. 2022;44:e2022020. Published online February 4, 2022; DOI: https://doi.org/10.4178/epih.e2022020

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Abstract Summary PDF Supplementary Material

Abstract

OBJECTIVES
We investigated the awareness, experience, approval, intention to use, and the desired type of telemedicine among Korean general public.

METHODS

From November to December 2020, we conducted an online self-reported survey on awareness, experience, approval, and intent to use telemedicine services among Korean residents aged 20 years or older. A total of 2,097 participants completed the survey.

RESULTS

Of the 2,097 participants, 1,558 (74.3%) were aware of, 1,198 (57.1%) approved of, and 1,474 (70.3%) had the intention to use telemedicine. Participants from regions other than the Seoul metropolitan area and Daegu–Gyeongbuk Province (adjusted odds ratio [aOR], 1.29; 95% confidence interval [CI], 1.02 to 1.63), households with a monthly household income of US$6,000 or more (aOR, 1.44; 95% CI, 1.01 to 2.08), participants who had a college/university or associate’s degree (aOR, 1.35. 95% CI, 1.04 to 1.75) or a master’s degree or above (aOR, 1.73; 95% CI, 1.20 to 2.50), and housewives (aOR, 1.30; 95% CI, 1.03 to 1.64) had higher odds of approval. Elderly participants, those with a chronic disease (aOR, 1.26; 95% CI, 1.04 to 1.54), those who had experienced delays of healthcare services (aOR, 1.94; 95% CI, 1.27 to 2.96), and those who had experience with telemedicine (aOR, 4.28; 95% CI, 1.69 to 10.82) were more likely to intend to use telemedicine services. Regarding types of telemedicine, teleconsultation between doctors showed the highest approval rate (73.1%).

CONCLUSIONS

In the context of the coronavirus disease 2019 pandemic, more than 70% of participants had already used or intended to use telemedicine at some point. Groups with a substantial need for telemedicine were more in favor of telemedicine.

Summary

Korean summary
대표성 있는 대상자에 대해 설문조사를 시행하였을 때, 74.3%가 원격의료에 대해 알고 있었다. 코로나19 유행지역, 소득이 높은 군, 대졸자 혹은 그 이상, 주부는 원격의료에 찬성할 가능성이 높았으며만성질환이 있는 고령자, 의료이용에 지연을 겪었던 사람, 원격의료를 이용해 본 사람은 원격의료 사용 의향이 더 높았다.

Key Message
We conducted an online self-reported survey on awareness, experience, approval, and intent to use telemedicine services among Korean residents aged 20 years or older. In the context of the coronavirus disease 2019 pandemic, more than 70% of participants had already used or intended to use telemedicine at some point.

Citations

Citations to this article as recorded by

A comparison of the characteristics of adult medicine patients seeking telemedicine consultations versus in-person consultations in a Philippine public hospital
Fatima Ericka S. Vista, Diana R. Tamondong-Lachica
Baylor University Medical Center Proceedings.2024; 37(1): 80. CrossRef
Factors Influencing the Behavioral Intentions and Use Behaviors of Telemedicine in Patients With Diabetes: Web-Based Survey Study
Huige Shao, Chaoyuan Liu, Li Tang, Bian Wang, Hebin Xie, Yiyu Zhang
JMIR Human Factors.2023; 10: e46624. CrossRef

Lecture

Shared decision making: relevant concepts and facilitating strategies: Jong-Myon Bae; Epidemiol Health. 2017;39:e2017048. Published online October 30, 2017; DOI: https://doi.org/10.4178/epih.e2017048

17,531 View
440 Download
49 Web of Science
52 Crossref

Abstract Summary PDF Supplementary Material

Abstract

As the paradigm in healthcare nowadays is the evidence-based, patient-centered decision making, the issue of shared decision making (SDM) is highlighted. The aims of this manuscript were to look at the relevant concepts and suggest the facilitating strategies for overcoming barriers of conducting SDM. While the definitions of SDM were discordant, several concepts such as good communication, individual autonomy, patient participants, and patient-centered decision-making were involved. Further, the facilitating strategies of SDM were to educate and train physician, to apply clinical practice guidelines and patient decision aids, to develop valid measurement tools for evaluation of SDM processes, and to investigate the impact of SDM.

Summary

Korean summary
오늘날 보건의료가 지향하는 목표가 근거에 기반한 환자중심의 의사결정 (Evidence-based Patient-centered Decision Making)인 점에서, 공유된 의사결정 (Shared Decision Making, SDM)의 중요성이 강조되고 있다. 본 원고는 SDM의 관련 개념들을 정리하고, 진료에 적용하는 과정에서의 한계점들과 이를 극복하기 위한 방안들을 살펴보았다.

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