Abstract
Background. The Czech Republic is one of the countries with the low rate of digitization of health care processes, and the current legislation provides only isolated elements of electronic health care.
Due to the COVID-19 pandemic, general practitioners (GPs) in the Czech Republic, as in other countries, had to rapidly switch to telemedicine visits. Information on patient perspectives about these visits is lacking.
Our study aims to understand patients' perceptions about telemedicine visits at GPs during COVID-19, and to identify barriers and benefits of telemedicine in primary care. Methods.
A qualitative approach was applied. 40 semi-structured interviews were conducted (25 with patients who had telemedicine visits with a GP, and 15 with representatives of patients' organisations). Data was analysed using a thematic analysis.
Results. It has been shown that telemedicine visits took place mainly throughtelephone and email communication, without using the full potential of telemedicine.The absence of legal regulation and guidelines for telemedicine and the implementation of telemedicine in primary care without prior adaptation generates a number of problems in the patient-physician relationship.
In some cases, the unregulated use of telemedicine leads to inequalities in access to healthcare.Persistent medical paternalism has also been shown to significantly affect telemedicine visits in primary care. Conclusions.
The results of the research will be used for the proposal of legislative changes in the field of distance care. Telemedicine guidelines will be created,considering the specifics of primary care.
An educational program for patients on theimprovement of their digital health literacy and on communication in healthcare using digital technologies will be created.