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Satisfaction and opinions of Czech citizens on the work of VPL and IT issues in primary care – 2023


Authors: S. Býma 1;  C. Mucha 2;  V. Mucha 2;  P. Borský 1
Authors‘ workplace: Univerzita Karlova v Praze, Lékařská fakulta v Hradci Králové, Ústav preventivního lékařství, Přednostka: prof. MUDr. Lenka Borská, Ph. D. 1;  Univerzita Karlova v Praze, 1. lékařská fakulta, Ústav všeobecného lékařství, Přednosta: MUDr. Norbert Král, PhD. 2
Published in: Prakt. Lék. 2024; 104(2): 58-72
Category: Of different specialties

Overview

Background: The research was aimed at identifying the attitudes of Czech citizens towards certain aspects of the activities of general practitioners. The publication builds on previous outputs from 2015–2022 and in 2023 it focused mainly on selected issues from the sphere of IT.

Aim and methods: The aim was to determine how citizens evaluated the time and care provided by their general practitioner and what they thought of the nurse’s work in their GP’s office. The research also investigated questions concerning the use of artificial intelligence elements in the GP’s work, the option of making appointments for patients to be seen at specific times, and, if so, whether an electronic system could do this. It also investigated whether the GP used electronic or paper documentation and what maximum percentage of "remote" practice (telemedicine) should be conducted by the GP, in the citizens’ opinion. Questions

 

 

also focused on whether a GP should be able to access patient results or hospital reports whenever he or she needed to do so via an e-repository, which doctors should automatically have access to the respondent’s health information, and whether citizens believed that their health data were well secured. The survey respondents are a representative sample of the population of the Czech Republic aged 15 and over. The statistical data processing was performed with the SASD 1.5.8 (Statistical Analysis of Social Data) programme. The first classification level and the contingency tables of selected indicators of the second classification level were prepared. The degree of dependence of the selected traits was determined based on the χ2 test of independence and other test criteria, applied according to the nature of the distribution of traits. Based on this analysis, the data were interpreted, and the corresponding tables and graphs were prepared.

Results: Czech citizens are mostly (94%) satisfied with the care and time provided to them during their visit by a general practitioner; only a small proportion (6.0%) of them have a negative opinion. The highest satisfaction with the care and time given by their GP has returned to 2018–2020 levels, i.e. to pre-Covid-19 pandemic levels. The largest proportion of Czech citizens (37.0%) would currently be against their GP using AI elements in their work. Only 29.2% of the respondents expressed a favourable opinion. A total of 70.7% of citizens are already able to make an appointment with their GP for a specific time via an electronic system if necessary. Also, 55.1% of citizens admit to some extent of their GP’s practice being conducted "remotely" (telemedicine). Clearly, approximately 70% of Czech citizens agree that their GP should have access to their health data at any time and 39.8% believe that their health data are well secured, especially by their GP.

Keywords:

general practitioner – citizens’ opinions – IT in primary care


Sources
  1. European Parliamentary Research Service. Artificial intelligence in healthcare. Applications, risks, and ethical and societal impacts [online]. Dostupné z: https://www.europarl.europa.eu/ RegData/etudes/STUD/2022/729512/EPRS_STU(2022)729512_ EN.pdf [cit. 2024-04-09].
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adresa pro korespondenci:
doc. MUDr. Svatopluk Býma, CSc.
Ústav preventivního lékařství LF UK
Šimkova 870, 500 38 Hradec Králové
e-mail:
byma@lfhk.cuni.cz

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