Medical specialists' use and opinion of video consultation in Denmark: a survey study

• Published in: BMC health services research Vol. 24; no. 1; p. 516
• Main Authors: Møller, Olivia Mandal, Vange, Sif Sofie, Borsch, Anne Sofie, Dam, Tomas Norman, Jensen, Anja Mb, Jervelund, Signe Smith
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 24-04-2024; BioMed Central; BMC
• Subjects: Adult; Agreements; Attitude of Health Personnel; Beliefs, opinions and attitudes; Chronic illnesses; COVID-19; COVID-19 - epidemiology; Denmark; Disease transmission; Evaluation; Female; Humans; Male; Medical care; Medical personnel; Medical specialist; Medical specialty; Middle Aged; Pandemics; Patients; Quality management; Referral and Consultation - statistics & numerical data; Remote consultation; Remote Consultation - statistics & numerical data; SARS-CoV-2; Secondary care; Specialization; Surveys and Questionnaires; Telemedicine; Video consultation; Videoconferencing; Denmark; Telemedicine; Medical specialist; Remote consultation; Attitudes; Denmark; Acceptability of healthcare; Secondary care; Video consultation; Medical specialty; Suitability
• ISSN: 1472-6963; 1472-6963
• DOI: 10.1186/s12913-024-10868-6

The COVID-19 pandemic accelerated the use of telemedicine which is seen as a possibility to reduce the pressure on healthcare systems globally. However, little research has been carried out on video as a consultation medium in medical specialists' practice. This study investigated the use of and opinion on video consultation among specialists in Denmark.
An online survey on use of video consultation, as well as relevance of and opinion on video consultation, was distributed to all 963 medical specialists in private practice in Denmark throughout May and June 2022, resulting in 499 complete answers (response rate: 51.8%). Data were analysed using descriptive and logistic regression analyses, and data from open text fields were analysed using thematic network analysis.
Among the respondents, 62.2% had never used video consultation, while 23.4% were currently using video consultation, most particularly among psychiatrists. A total of 47.3% found video consultation medically irrelevant to their specialty, especially radiologists, plastic surgeons, ophthalmologists and otorhinolaryngologists. According to the specialists, video consultation was most suitable for follow-up consultations and simple medical issues, where the patient had an established diagnosis. In these cases, mutual trust remained present in video consultations. Better access for the patients and fewer cancellations, especially for psychiatrists, were highlighted as benefits. IT problems were reported as obstacles hindering optimal use of video consultation.
The political aspiration to digitization in healthcare systems should be rooted in professionals' and patients' perceptions and experiences with video consultation which emphasize that it is not a standard tool for all consultations.