Acceptability of teleconsultation in a public service specialized in the prevention and care of HIV infection and other sexually transmitted infections.

Simone Queiroz Rocha,Mariza Vono Tancredi,Mylva Fonsi, Denize Lotufo Estevam, Simone de Barros Tenore, Renata Caricol Dell’Agnolo,Rosangela Rodrigues,Rosa de Alencar Souza

Jornal Brasileiro de Doenças Sexualmente Transmissíveis(2023)

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摘要
Introduction: Telemedicine was leveraged for its contribution to mitigate the impact of COVID-19 in Brazil and worldwide. Objective: We aim to evaluate the acceptability of incorporating teleconsultation through synchronized videoconference by users and professionals in a service specialized in the prevention and treatment of the human immunodeficiency virus and other sexually transmitted infections, and to identify associated factors. Methods:This is a cross-sectional study with 410 users and 57 professionals who answered a category-standardized questionnaire. Predictors of acceptability were assessed using logistic regression model. Results: A total of 364 (88.8%) users said they would accept the modality. The factors positively associated with the odds of acceptance were the self-assessment of having favorable conditions to participate in a teleconsultation (aOR 54.8; 95%CI 12.4–242.1; p<0.001), the perception of saving money (aOR 5.2; 95%CI 1.9–14.0; p=0.001), and perceived convenience of the modality (aOR 6.7; 95%CI 2.9–15.9; p<0.001). Factors associated with reduced odds of acceptance were the fear of not being evaluated well (aOR 0.2; 95%CI 0.1–0.4; p<0.001), or remaining long without seeing the professional (aOR 0.2; 95%CI 0.1–0.5; p<0.001). The acceptance of the modality among professionals was 75.4% and the perception of its convenience (aOR 16.8; 95%CI 2.6–108.4; p=0.003) and that the institution has appropriated conditions (aOR 7.7; 95%CI 1.5–40.6; p=0.016) were associated with increased odds of accepting its incorporation in their routine. Conclusion: Governance should invest in infrastructure and support, secure protocols, digital literacy, and training of its users and employees for video teleconsultation.
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关键词
teleconsultation,hiv infection,public service
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