Socioeconomic Factors Associated With the Use of Telehealth in Primary Care Services During the COVID-19 Pandemic

Introduction: The main objective of this study was to assess whether socioeconomic factors were associated with the use of telehealth in primary care services in Portugal during the COVID-19. Methods: A questionnaire was administered to patients in primary healthcare units during the pandemic. The s...

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Bibliographic Details
Main Authors: Carlota Quintal, Aida I. Tavares, Inês Ribeiro, Victor Raposo, Pedro L. Ferreira
Format: Article
Language:English
Published: SAGE Publishing 2025-07-01
Series:Journal of Primary Care & Community Health
Online Access:https://doi.org/10.1177/21501319241312564
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Summary:Introduction: The main objective of this study was to assess whether socioeconomic factors were associated with the use of telehealth in primary care services in Portugal during the COVID-19. Methods: A questionnaire was administered to patients in primary healthcare units during the pandemic. The set of variables used in this study was part of a larger patient satisfaction questionnaire. A descriptive statistical analysis was performed, and a multiple logistic regression analysis was estimated to assess factors associated with using remote consultation. Results The use of a remote consultation was reported by 38.2% of respondents (N = 7008), and the main reason for telehealth use was prescription renewal. Among non-users of telehealth, 40% did not know they could contact their family doctor by email. Factors positively associated with telehealth use were: older age, women, married, filled questionnaire without help, consumption of OTC and prescribed drugs, unmet healthcare needs, and registered with family doctor. The evidence suggests a negative association between education and telehealth use. Conclusions: No clear pattern emerged regarding the digital divide. The evidence shows a relevant lack of awareness regarding the possibility of using telehealth. If more complex forms of telehealth are adopted in primary care services, the digital divide might come to the surface.
ISSN:2150-1327