PMID- 36632437
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230113
IS  - 2514-1775 (Electronic)
IS  - 2514-1775 (Linking)
VI  - 7
IP  - 1
DP  - 2023
TI  - Digital exclusion as a potential cause of inequalities in access to care: a 
      survey in people with inflammatory rheumatic diseases.
PG  - rkac109
LID - 10.1093/rap/rkac109 [doi]
LID - rkac109
AB  - OBJECTIVES: COVID-19 led to rapid uptake of digital health care. We sought to 
      examine digital access, health and digital literacy, and impact on confidence and 
      satisfaction with remote consultations in people with inflammatory rheumatic 
      diseases (IRDs). METHODS: People with IRDs (n = 2024) were identified from their 
      electronic health record and invited to participate in a cross-sectional survey, 
      using short message service (SMS) and postal approaches. Data were collected on 
      demographics, self-reported diagnosis, access to and use of internet-enabled 
      devices, health and digital literacy, together with confidence and satisfaction 
      with remote consultations. Ethical approval was obtained (Ref 21/PR/0867). 
      RESULTS: Six hundred and thirty-nine (639) people completed the survey [mean 
      (s.d.) age 64.5 (13.1) years, 384 (60.1%) female]. Two hundred and eighty-seven 
      (44.9%) completed it online. One hundred and twenty-six (19.7%) people reported 
      not having access to an internet-enabled device. Ninety-three (14.6%) reported 
      never accessing the internet; this proportion was highest (23%) in people with 
      RA. One hundred and seventeen (18%) reported limited health literacy. Even in 
      those reporting internet use, digital literacy was only moderate. People with 
      limited health or digital literacy or without internet access were less likely to 
      report confidence or satisfaction with remote consultations. CONCLUSION: Limited 
      health and digital literacy, lack of digital access and low reported internet use 
      were common, especially in older people with RA. People with limited health 
      literacy or limited digital access reported lower confidence and satisfaction 
      with remote consultations. Digital implementation roll-out needs to take account 
      of people requiring extra support to enable them to access care digitally or 
      risks exacerbating health inequalities.
CI  - (c) The Author(s) 2023. Published by Oxford University Press on behalf of the 
      British Society for Rheumatology.
FAU - Hider, Samantha
AU  - Hider S
AUID- ORCID: 0000-0002-9958-3909
AD  - Haywood Academic Rheumatology Centre, Midlands Partnership Foundation Trust, 
      Stoke-on-Trent, UK.
AD  - School of Medicine, Keele University, Keele, UK.
FAU - Muller, Sara
AU  - Muller S
AUID- ORCID: 0000-0001-6645-5751
AD  - School of Medicine, Keele University, Keele, UK.
FAU - Gray, Lauren
AU  - Gray L
AD  - Haywood Academic Rheumatology Centre, Midlands Partnership Foundation Trust, 
      Stoke-on-Trent, UK.
FAU - Manning, Fay
AU  - Manning F
AD  - School of Medicine, Keele University, Keele, UK.
AD  - Academic Unit of Population and Lifespan Sciences, University of Nottingham, 
      Nottingham, UK.
FAU - Brooks, Mike
AU  - Brooks M
AD  - Haywood Academic Rheumatology Centre, Midlands Partnership Foundation Trust, 
      Stoke-on-Trent, UK.
FAU - Heining, Dominic
AU  - Heining D
AD  - Haywood Academic Rheumatology Centre, Midlands Partnership Foundation Trust, 
      Stoke-on-Trent, UK.
FAU - Menon, Ajit
AU  - Menon A
AD  - Haywood Academic Rheumatology Centre, Midlands Partnership Foundation Trust, 
      Stoke-on-Trent, UK.
FAU - Packham, Jonathan
AU  - Packham J
AD  - Haywood Academic Rheumatology Centre, Midlands Partnership Foundation Trust, 
      Stoke-on-Trent, UK.
AD  - School of Medicine, University of Exeter, Exeter, UK.
FAU - Raghuvanshi, Subhra
AU  - Raghuvanshi S
AD  - Haywood Academic Rheumatology Centre, Midlands Partnership Foundation Trust, 
      Stoke-on-Trent, UK.
FAU - Roddy, Edward
AU  - Roddy E
AD  - Haywood Academic Rheumatology Centre, Midlands Partnership Foundation Trust, 
      Stoke-on-Trent, UK.
AD  - School of Medicine, Keele University, Keele, UK.
FAU - Ryan, Sarah
AU  - Ryan S
AD  - Haywood Academic Rheumatology Centre, Midlands Partnership Foundation Trust, 
      Stoke-on-Trent, UK.
FAU - Scott, Ian
AU  - Scott I
AD  - Haywood Academic Rheumatology Centre, Midlands Partnership Foundation Trust, 
      Stoke-on-Trent, UK.
AD  - School of Medicine, Keele University, Keele, UK.
FAU - Paskins, Zoe
AU  - Paskins Z
AD  - Haywood Academic Rheumatology Centre, Midlands Partnership Foundation Trust, 
      Stoke-on-Trent, UK.
AD  - School of Medicine, Keele University, Keele, UK.
LA  - eng
PT  - Journal Article
DEP - 20230106
PL  - England
TA  - Rheumatol Adv Pract
JT  - Rheumatology advances in practice
JID - 101736676
PMC - PMC9831060
OTO - NOTNLM
OT  - PsA
OT  - RA
OT  - axial spondyloarthritis
OT  - digital access
OT  - digital exclusion
OT  - digital literacy
OT  - health literacy
OT  - inflammatory rheumatic diseases
EDAT- 2023/01/13 06:00
MHDA- 2023/01/13 06:01
PMCR- 2023/01/06
CRDT- 2023/01/12 02:00
PHST- 2022/05/16 00:00 [received]
PHST- 2022/12/05 00:00 [accepted]
PHST- 2023/01/12 02:00 [entrez]
PHST- 2023/01/13 06:00 [pubmed]
PHST- 2023/01/13 06:01 [medline]
PHST- 2023/01/06 00:00 [pmc-release]
AID - rkac109 [pii]
AID - 10.1093/rap/rkac109 [doi]
PST - epublish
SO  - Rheumatol Adv Pract. 2023 Jan 6;7(1):rkac109. doi: 10.1093/rap/rkac109. 
      eCollection 2023.