ISSN 1671-5411 CN 11-5329/R
Turn off MathJax
Article Contents
Please cite this article as: Boriani G, Maisano A, Bonini N, Albini A, Imberti JF, Venturelli A, Menozzi M, Ziveri V, Morgante V, Camaioni G, Passiatore M, De Mitri G, Nanni G, Girolami D, Fontanesi R, Siena V, Sgreccia D, Malavasi VL, Valenti AC, Vitolo M. Digital literacy as a potential barrier to implementation of cardiology tele-visits after COVID-19 pandemic: the INFO-COVID survey. J Geriatr Cardiol 2021; 18(9): E1−E9. DOI: 10.11909/j.issn.1671-5411.2021.09.003
Citation: Please cite this article as: Boriani G, Maisano A, Bonini N, Albini A, Imberti JF, Venturelli A, Menozzi M, Ziveri V, Morgante V, Camaioni G, Passiatore M, De Mitri G, Nanni G, Girolami D, Fontanesi R, Siena V, Sgreccia D, Malavasi VL, Valenti AC, Vitolo M. Digital literacy as a potential barrier to implementation of cardiology tele-visits after COVID-19 pandemic: the INFO-COVID survey. J Geriatr Cardiol 2021; 18(9): E1−E9. DOI: 10.11909/j.issn.1671-5411.2021.09.003

Digital literacy as a potential barrier to implementation of cardiology tele-visits after COVID-19 pandemic: the INFO-COVID survey

doi: 10.11909/j.issn.1671-5411.2021.09.003
More Information
  •  Background  During the COVID-19 pandemic, the implementation of telemedicine has represented a new potential option for outpatient care. The aim of our study was to evaluate digital literacy among cardiology outpatients.  Methods  From March to June 2020, a survey on telehealth among cardiology outpatients was performed. Digital literacy was investigated through six main domains: age; sex; educational level; Internet access; availability of Internet sources; knowledge and use of teleconference software programs.  Results  The study included 1067 patients, median age 70 years, 41.3% females. The majority of the patients (58.0%) had a secondary school degree, but among patients aged ≥ 75 years old the most represented educational level was primary school or none. Overall, for internet access, there was a splitting between “never” (42.1%) and “every day” (41.0%), while only 2.7% answered “at least 1/month” and 14.2% “at least 1/week”. In the total population, the most used devices for Internet access were smartphones (59.0%), and WhatsApp represented the most used app (57.3%). Internet users were younger compared to non-Internet users (63 vs. 78 years old, respectively) and with a higher educational level. Age and educational level were associated with non-use of Internet (age-per 10-year increase odds ratio (OR) = 3.07, 95% CI: 2.54−3.71, secondary school OR = 0.18, 95% CI: 0.12−0.26, university OR = 0.05, 95% CI: 0.02−0.10).  Conclusions  Telemedicine represents an appealing option to implement medical practice, and for its development it is important to address the gaps in patients’ digital skills, with age and educational level being key factors in this setting.
  • loading
  • [1]
    Organization: WHO WH. Coronavirus disease (COVID-19) pandemic. Available at: https://www.who.int/emergencies/diseases/novel-coronavirus-2019 (accessed on January 03 2021).
    [2]
    Keesara S, Jonas A, Schulman K. Covid-19 and health care's digital revolution. N Engl J Med 2020; 382: e82. doi: 10.1056/NEJMp2005835
    [3]
    Bhaskar S, Rastogi A, Chattu VK, et al. Key Strategies for clinical management and improvement of healthcare services for cardiovascular disease and diabetes patients in the Coronavirus (COVID-19) Settings: recommendations from the REPROGRAM consortium. Front Cardiovasc Med 2020; 7: 112. doi: 10.3389/fcvm.2020.00112
    [4]
    Pertile D, Gallo G, Barra F, et al. The impact of COVID-19 pandemic on surgical residency programmes in Italy: a nationwide analysis on behalf of the Italian Polyspecialistic Young Surgeons Society (SPIGC). Updates Surg 2020; 72: 269−280. doi: 10.1007/s13304-020-00811-9
    [5]
    Boriani G, Palmisano P, Guerra F, et al. Impact of COVID-19 pandemic on the clinical activities related to arrhythmias and electrophysiology in Italy: results of a survey promoted by AIAC (Italian Association of Arrhythmology and Cardiac Pacing). Intern Emerg Med 2020; 15: 1445−1456. doi: 10.1007/s11739-020-02487-w
    [6]
    Boriani G, Vitolo M. COVID-19 pandemic: complex interactions with the arrhythmic profile and the clinical course of patients with cardiovascular disease. Eur Heart J 2021; 42: 529−532. doi: 10.1093/eurheartj/ehaa958
    [7]
    Vitolo M, Lane DA, Boriani G, Lip GYH. The importance of adherence and persistence with oral anticoagulation treatment in patients with atrial fibrillation. Eur Heart J Cardiovasc Pharmacother 2021; 7(FI1): f81−f83. doi: 10.1093/ehjcvp/pvaa020
    [8]
    Boriani G, Proietti M. Screening for atrial fibrillation: need for an integrated, structured approach. Eur J Intern Med 2019; 67: 33−35. doi: 10.1016/j.ejim.2019.07.017
    [9]
    Baldi E, Sechi GM, Mare C, et al. Out-of-hospital cardiac arrest during the Covid-19 outbreak in Italy. N Engl J Med 2020; 383: 496−498. doi: 10.1056/NEJMc2010418
    [10]
    De Filippo O, D’Ascenzo F, Angelini F, et al. Reduced rate of hospital admissions for ACS during COVID-19 outbreak in northern Italy. N Engl J Med 2020; 383: 88−89. doi: 10.1056/NEJMc2009166
    [11]
    Metzler B, Siostrzonek P, Binder RK, et al. Decline of acute coronary syndrome admissions in Austria since the outbreak of COVID-19: the pandemic response causes cardiac collateral damage. Eur Heart J 2020; 41: 1852−1853. doi: 10.1093/eurheartj/ehaa314
    [12]
    Molinari G, Brunetti ND, Nodari S, et al. Impact of 2020 SARS-CoV-2 outbreak on telemedicine management of cardiovascular disease in Italy. Intern Emerg Med 2021; 16: 1191−1196. doi: 10.1007/s11739-020-02564-0
    [13]
    Holt A, Gislason GH, Schou M, et al. New-onset atrial fibrillation: incidence, characteristics, and related events following a national COVID-19 lockdown of 5. 6 million people. Eur Heart J 2020; 41: 3072−3079. doi: 10.1093/eurheartj/ehaa494
    [14]
    Varma N, Marrouche NF, Aguinaga L, et al. HRS/EHRA/APHRS/LAHRS/ACC/AHA Worldwide Practice Update for Telehealth and Arrhythmia Monitoring During and After a Pandemic. J Am Coll Cardiol 2020; 76: 1363−1374. doi: 10.1016/j.jacc.2020.06.019
    [15]
    ESC ESoC. https://www.escardio.org/Education/COVID-19-and-Cardiology (accessed on January 03, 2021).
    [16]
    Hollander JE, Carr BG. Virtually perfect? Telemedicine for Covid-19. N Engl J Med 2020; 382: 1679−1681. doi: 10.1056/NEJMp2003539
    [17]
    Mattioli AV, Cossarizza A, Boriani G. COVID-19 pandemic: usefulness of telemedicine in management of arrhythmias in elderly people. J Geriatr Cardiol 2020; 17: 593−596.
    [18]
    De Marchi F, Cantello R, Ambrosini S, et al. Telemedicine and technological devices for amyotrophic lateral sclerosis in the era of COVID-19. Neurol Sci 2020; 41: 1365−1367. doi: 10.1007/s10072-020-04457-8
    [19]
    Barcellona D, Marongiu F. Thrombosis centres and AVKs monitoring in COVID-19 pandemic. Intern Emerg Med 2020; 5: 365−1368.
    [20]
    Fagherazzi G, Goetzinger C, Rashid MA, et al. Digital health strategies to fight COVID-19 worldwide: challenges, recommendations, and a call for papers. J Med Internet Res 2020; 2: 19284.
    [21]
    Bhaskar S, Bradley S, Chattu VK, et al. Telemedicine as the New Outpatient Clinic Gone Digital: Position Paper From the Pandemic Health System REsilience PROGRAM (REPROGRAM) International Consortium (Part 2). Front Public Health 2020; 8: 410. doi: 10.3389/fpubh.2020.00410
    [22]
    Brunetti ND, Molinari G, Acquistapace F, et al. 2019 Italian Society of Cardiology Census on telemedicine in cardiovascular disease: a report from the working group on telecardiology and informatics. Open Heart 2020; 7: e001157. doi: 10.1136/openhrt-2019-001157
    [23]
    Inglis SC, Clark RA, Dierckx R, et al. Structured telephone support or non-invasive telemonitoring for patients with heart failure. Cochrane Database Syst Rev 2015; 10: CD007228.
    [24]
    Lurie N, Carr BG. The Role of Telehealth in the Medical Response to Disasters. JAMA Intern Med 2018; 178: 745−746. doi: 10.1001/jamainternmed.2018.1314
    [25]
    Cross RK, Langenberg P, Regueiro M, et al. A randomized controlled trial of TELEmedicine for Patients with Inflammatory Bowel Disease (TELE-IBD). Am J Gastroenterol 2019; 114: 472−482. doi: 10.1038/s41395-018-0272-8
    [26]
    Padula MS, D'Ambrosio GG, Tocci M, et al. Home care for heart failure: can caregiver education prevent hospital admissions? A randomized trial in primary care. J Cardiovasc Med (Hagerstown) 2019; 20: 30−38. doi: 10.2459/JCM.0000000000000722
    [27]
    Di Domenico SL, Coen D, Bergamaschi M, et al. Clinical characteristics and respiratory support of 310 COVID-19 patients, diagnosed at the emergency room: a single-center retrospective study. Intern Emerg Med 2021; 16: 1051−1060. doi: 10.1007/s11739-020-02548-0
    [28]
    Sgura FA, Arrotti S, Cappello CG, et al. Complicated myocardial infarction in a 99-year-old lady in the era of COVID-19 pandemic: from the need to rule out coronavirus infection to emergency percutaneous coronary angioplasty. Intern Emerg Med 2020; 15: 835−839. doi: 10.1007/s11739-020-02362-8
    [29]
    Garattini L, Badinella Martini M, Mannucci PM. Improving primary care in Europe beyond COVID-19: from telemedicine to organizational reforms. Intern Emerg Med 2021; 16: 255−258. doi: 10.1007/s11739-020-02559-x
    [30]
    Campennì P, Marra AA, Ferri L, et al. Impact of COVID-19 quarantine on advanced hemorrhoidal disease and the role of telemedicine in patient management. J Clin Med 2020; 9: 3416. doi: 10.3390/jcm9113416
    [31]
    de Moraes ERFL, Cirenza C, Lopes RD, et al. Prevalence of atrial fibrillation and stroke risk assessment based on telemedicine screening tools in a primary healthcare setting. Eur J Intern Med 2019; 67: 36−41. doi: 10.1016/j.ejim.2019.04.024
    [32]
    Valerio L, Trinchero A, Barco S. Telemedicine and decentralized models of care: from anticoagulant monitoring to an expanded concept of vascular medicine. Intern Emerg Med 2019; 14: 1213−1215. doi: 10.1007/s11739-019-02174-5
    [33]
    Boriani G, Schnabel RB, Healey JS, et al. Consumer-led screening for atrial fibrillation using consumer-facing wearables, devices and apps: A survey of health care professionals by AF-SCREEN international collaboration. Eur J Intern Med 2020; 82: 97−104. doi: 10.1016/j.ejim.2020.09.005
    [34]
    Wegner FK, Kochhä user S, Ellermann C, et al. Prospective blinded evaluation of the smartphone-based AliveCor Kardia ECG monitor for atrial fibrillation detection: The PEAK-AF study. Eur J Intern Med 2020; 73: 72−75. doi: 10.1016/j.ejim.2019.11.018
    [35]
    Salzano A, D’Assante R, Stagnaro FM, et al. Heart failure management during the COVID-19 outbreak in Italy: a telemedicine experience from a heart failure university tertiary referral centre. Eur J Heart Fail 2020; 22: 1048−1050. doi: 10.1002/ejhf.1911
    [36]
    Tini G, Vianello PF, Rizzola G, et al. Telehealth monitoring for hypertrophic cardiomyopathy and amyloid cardiomyopathy patients: lessons from the coronavirus disease 2019 lockdown in Italy. J Cardiovasc Med (Hagerstown) 2020; 21: 622−623. doi: 10.2459/JCM.0000000000001024
    [37]
    Sossai P, Uguccioni S, Casagrande S. Telemedicine and the 2019 coronavirus (SARS-CoV-2). Int J Clin Pract 2020; 74: e13592.
    [38]
    Paskudzka D, Koł odzińska A, Cacko A, et al. Telephone follow-up of patients with cardiovascular implantable electronic devices during the coronavirus disease 2019 pandemic: early results. Kardiol Pol 2020; 78: 725−731. doi: 10.33963/KP.15392
    [39]
    Boriani G, Vitolo M. Atrial fibrillation in patients with cardiac implantable electronic devices: new perspectives with important clinical implications. Kardiol Pol 2019; 77: 1119−1120. doi: 10.33963/KP.15110
    [40]
    Zanotto G, Melissano D, Baccillieri S, et al. Intrahospital organizational model of remote monitoring data sharing, for a global management of patients with cardiac implantable electronic devices: a document of the Italian Association of Arrhythmology and Cardiac Pacing. J Cardiovasc Med (Hagerstown) 2020; 21: 171−181. doi: 10.2459/JCM.0000000000000912
    [41]
    Brø rs G, Norman CD, Norekvå l TM. Accelerated importance of eHealth literacy in the COVID-19 outbreak and beyond. Eur J Cardiovasc Nurs 2020; 19: 458−461. doi: 10.1177/1474515120941307
    [42]
    Temesgen ZM, DeSimone DC, Mahmood M, et al. Health care after the COVID-19 pandemic and the influence of telemedicine. Mayo Clin Proc 2020; 95(9S): S66−S68.
    [43]
    Bokolo AJ. Exploring the adoption of telemedicine and virtual software for care of outpatients during and after COVID-19 pandemic. Ir J Med Sci 2021; 190: 1−10.
    [44]
    Eberly LA, Kallan MJ, Julien HM, et al. Patient characteristics associated with telemedicine access for primary and specialty ambulatory care during the COVID-19 pandemic. JAMA Netw Open 2020; 3: e2031640. doi: 10.1001/jamanetworkopen.2020.31640
    [45]
    Neter E, Brainin E. eHealth literacy: a marker for “digital divide” in health information. Reviews in Health Care 2012; 3: 145−151. doi: 10.7175/rhc.v3i3.281
    [46]
    Hong YR, Lawrence J, Williams D, et al. Population-level interest and telehealth capacity of US Hospitals in response to COVID-19: cross-sectional analysis of google search and national hospital survey data. JMIR Public Health Surveill 2020; 6: e18961. doi: 10.2196/18961
    [47]
    Peden CJ, Mohan S, Pagán V. Telemedicine and COVID-19: an Observational study of rapid scale up in a US academic medical system. J Gen Intern Med 2020; 35: 2823−2825. doi: 10.1007/s11606-020-05917-9
    [48]
    Perakslis E, Ginsburg GS. Digital health-the need to assess benefits, risks, and value. JAMA 2021; 325: 127−128.
    [49]
    Boriani G, Maniadakis N, Auricchio A, et al. Health technology assessment in interventional electrophysiology and device therapy: a position paper of the European Heart Rhythm Association. Eur Heart J 2013; 34: 1869−1874. doi: 10.1093/eurheartj/eht031
    [50]
    Julien HM, Eberly LA, Adusumalli S. Telemedicine and the forgotten America. Circulation 2020; 142: 312−314. doi: 10.1161/CIRCULATIONAHA.120.048535
    [51]
    Psacharopoulos G, Patrinos HA. Returns to investment in education: a decennial review of the global literature. Education Economics 2018; 26: 445−458. doi: 10.1080/09645292.2018.1484426
    [52]
    Blaug M. The correlation between education and earnings: what does it signify? Higher Education Quarterly 1947; 1: 53−76. doi: 10.1111/j.1468-2273.1947.tb02069.x
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(3)  / Tables(3)

    Article Metrics

    Article views (67) PDF downloads(12) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return