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Differences in use of telemedicine integrated into traditional primary health care – a comparative observational study.

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Title: Differences in use of telemedicine integrated into traditional primary health care – a comparative observational study.
Authors: Eriksson, Pär (AUTHOR), Randjelovic, Maria (AUTHOR), Thulesius, Hans (AUTHOR), Hammar, Tora (AUTHOR), Lagrosen, Stefan (AUTHOR), Nilsson, Evalill (AUTHOR)
Source: Scandinavian Journal of Primary Health Care. Jun2025, Vol. 43 Issue 2, p476-487. 12p.
Subjects: Medical care use, Primary health care, Scientific observation, Population health, Sex distribution, Quantitative research, Help-seeking behavior, Descriptive statistics, Telemedicine, Medical appointments, Content mining, Comparative studies, Integrated health care delivery, Social classes
Geographic Terms: Sweden
Abstract: Telemedicine in primary health care is expected to address many of the issues currently challenging service delivery. However, the impact and effect will depend on who will use the new technology. Objective: The objective of the study was to investigate differences between users and non-users of telemedicine integrated into traditional office-based primary health care. Methods: Quantitative registry-based population study in two regions in the southeast part of Sweden (n = 73,486), comparing users with non-users of telemedicine across the variables sex, age, socioeconomic status (SES), morbidity and health care seeking behaviour (HSB). Two study periods of six months were used (September 2019–February 2020 for Region Östergötland, and September 2021–February 2022 for Region Kalmar County) to collect user data. A reference period of 36 months (September 2016–August 2019) was used, to collect data on HSB. Results: Users were more often women under the age of 60 and had higher morbidity (measured as resource utilisation) than non-users (p <.001). In contrast, no statistically significant differences were seen between the two groups regarding SES, measured as Care Need Index (CNI). Regarding HSB, a proxy measure (health record entries) showed more entries for users than non-users. Conclusions: Our findings suggest that users are more likely to be women and below the age of 60. Likewise, users also tend to have a greater need for health care services compared to non-users, and they seek health care more often compared to non-users. No differences regarding SES were found. [ABSTRACT FROM AUTHOR]
Copyright of Scandinavian Journal of Primary Health Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Differences in use of telemedicine integrated into traditional primary health care – a comparative observational study.
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  Data: Telemedicine in primary health care is expected to address many of the issues currently challenging service delivery. However, the impact and effect will depend on who will use the new technology. Objective: The objective of the study was to investigate differences between users and non-users of telemedicine integrated into traditional office-based primary health care. Methods: Quantitative registry-based population study in two regions in the southeast part of Sweden (n = 73,486), comparing users with non-users of telemedicine across the variables sex, age, socioeconomic status (SES), morbidity and health care seeking behaviour (HSB). Two study periods of six months were used (September 2019–February 2020 for Region &#214;sterg&#246;tland, and September 2021–February 2022 for Region Kalmar County) to collect user data. A reference period of 36 months (September 2016–August 2019) was used, to collect data on HSB. Results: Users were more often women under the age of 60 and had higher morbidity (measured as resource utilisation) than non-users (p &lt;.001). In contrast, no statistically significant differences were seen between the two groups regarding SES, measured as Care Need Index (CNI). Regarding HSB, a proxy measure (health record entries) showed more entries for users than non-users. Conclusions: Our findings suggest that users are more likely to be women and below the age of 60. Likewise, users also tend to have a greater need for health care services compared to non-users, and they seek health care more often compared to non-users. No differences regarding SES were found. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Scandinavian Journal of Primary Health Care is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1080/02813432.2025.2457542
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 12
        StartPage: 476
    Subjects:
      – SubjectFull: Medical care use
        Type: general
      – SubjectFull: Primary health care
        Type: general
      – SubjectFull: Scientific observation
        Type: general
      – SubjectFull: Population health
        Type: general
      – SubjectFull: Sex distribution
        Type: general
      – SubjectFull: Quantitative research
        Type: general
      – SubjectFull: Help-seeking behavior
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Telemedicine
        Type: general
      – SubjectFull: Medical appointments
        Type: general
      – SubjectFull: Content mining
        Type: general
      – SubjectFull: Comparative studies
        Type: general
      – SubjectFull: Integrated health care delivery
        Type: general
      – SubjectFull: Social classes
        Type: general
      – SubjectFull: Sweden
        Type: general
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      – TitleFull: Differences in use of telemedicine integrated into traditional primary health care – a comparative observational study.
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            NameFull: Thulesius, Hans
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            – D: 01
              M: 06
              Text: Jun2025
              Type: published
              Y: 2025
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