Evidence map›Paper›PMID 40475297›Full record

ArticleDigital health

The lack of digital equipment as the primary barrier to teleconsultation in a socially deprived French department during the COVID-19 epidemic period.

Jeanne Goupil de Bouillé, Alexia Mubuanga, Claire Tantet, Soline de Monteynard, Lotfi Dahmane, Ségolène Brichler, Frédéric Méchaï, Hugues Cordel, Nicolas Vignier, Olivier Bouchaud

Abstract read
In one paragraph

Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jeanne Goupil de BouilléDepartment of Infectious and Tropical Diseases, Jean Verdier Hospital, Hôpitaux Universitaires Paris Seine-Saint-Denis, AP-HP, Bondy, France.ORCID https://orcid.org/0000-0002-3013-9850
Alexia MubuangaDepartment of Infectious and Tropical Diseases, Avicenne Hospital, Hôpitaux Universitaires Paris Seine-Saint-Denis, AP-HP, UFR SMBH, Université Sorbonne Paris Nord, Bobigny, France.
Claire TantetDepartment of Infectious and Tropical Diseases, Avicenne Hospital, Hôpitaux Universitaires Paris Seine-Saint-Denis, AP-HP, UFR SMBH, Université Sorbonne Paris Nord, Bobigny, France.
Soline de MonteynardDepartment of Infectious and Tropical Diseases, Avicenne Hospital, Hôpitaux Universitaires Paris Seine-Saint-Denis, AP-HP, UFR SMBH, Université Sorbonne Paris Nord, Bobigny, France.
Lotfi DahmaneDepartment of Infectious and Tropical Diseases, Hôpital Raymond-Poincaré, AP-HP, Garches, France.
Ségolène BrichlerVirology Laboratory, Avicenne Hospital, Hôpitaux universitaires Paris Seine-Saint-Denis, AP-HP, Bobigny, France.
Frédéric MéchaïDepartment of Infectious and Tropical Diseases, Avicenne Hospital, Hôpitaux Universitaires Paris Seine-Saint-Denis, AP-HP, UFR SMBH, Université Sorbonne Paris Nord, Bobigny, France.
Hugues CordelDepartment of Infectious and Tropical Diseases, Avicenne Hospital, Hôpitaux Universitaires Paris Seine-Saint-Denis, AP-HP, UFR SMBH, Université Sorbonne Paris Nord, Bobigny, France.
Nicolas VignierDepartment of Infectious and Tropical Diseases, Avicenne Hospital, Hôpitaux Universitaires Paris Seine-Saint-Denis, AP-HP, UFR SMBH, Université Sorbonne Paris Nord, Bobigny, France.ORCID https://orcid.org/0000-0002-9410-9327
Olivier BouchaudDepartment of Infectious and Tropical Diseases, Jean Verdier Hospital, Hôpitaux Universitaires Paris Seine-Saint-Denis, AP-HP, Bondy, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The digital transition is spreading throughout the healthcare field but is also subject to a digital divide. This study aimed to determine the factors associated with patients' inability to carry out teleconsultations during the COVID-19 epidemic in a French hospital located in a disadvantaged area close to Paris. Methodology: This study is a secondary analysis of the SocialCov study, a published monocentric case-control study conducted on patients hospitalized for COVID-19 and control patients hospitalized for another reason. Data regarding teleconsultation, socio-demographic characteristics, and health literacy level were collected using a hetero-administered questionnaire. Factors associated with the inability to conduct a teleconsultation were identified using univariate and multivariate logistic regression. Results: Among 240 patients,142 (59%) were male, and 105 (44%) were aged >65 years. Overall, 163 (68%) reported their inability to carry out a teleconsultation including 125 (52%) due to the absence of suitable digital equipment. In multivariate analysis, lack of adequate digital equipment was associated with the inability to carry out a teleconsultation (adjusted odds ratio [aOR] = 15.5; 95% CI [6.3, 38.3]). A trend was also observed with age >65 years (aOR = 2.1; 95% CI [0.9, 5.0], Conclusion: In a French socially deprived area, access to technological devices is the primary barrier to conducting teleconsultations during the COVID-19 epidemic. To avoid exacerbating the digital divide, specific solutions must be proposed to reach digitally distant populations, addressing both material and digital literacy aspects.

Indexed as

digital equipmentdigital literacyliteracySocial deprivation

Identifiers

PMID40475297
PMCPMC12138217

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.