{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T13:23:21Z","timestamp":1792243401806,"version":"4.4.0"},"reference-count":25,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T00:00:00Z","timestamp":1770422400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,2,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Telemedicine is a promising tool for integration into primary care, where it can enhance access and continuity of care. In T\u00fcrkiye, telemedicine has not yet been routinely implemented in primary care, although regulatory and infrastructural preparations are underway. The success of such services depends not only on technical and legal frameworks but also on patients' attitudes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to assess patients\u2019 attitudes toward telemedicine and identify associated factors among adult attendees of family health centers (FHCs) in T\u00fcrkiye, to inform the planning and implementation of telemedicine services at the primary care level.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross-sectional study was conducted in five FHCs between January and March 2025. Individuals aged 18 and over with Turkish literacy were included. Data were collected via a face-to-face questionnaire, which included demographic items and the validated 18-item Attitude Scale Toward the Use of Telemedicine Services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four hundred twenty participants (mean age 30.59 \u00b1 12.67) completed the study; 75.5% were female, and 50% had university-level education. The mean scale score was 58.06 \u00b1 14.88. Higher scores were associated with higher education (P &amp;lt; .001) and better economic status (P = .030). Participants who used mobile health applications (P = .043) and owned an internet-enabled device (P = .007) also had higher scores. Lower scores were observed among those with a disabled or dependent person at home (P = .006) and those with more frequent family physician visits (P = .045).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients who were younger, more highly educated, and with greater digital access exhibited more positive attitudes toward telemedicine.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/fampra\/cmaf107","type":"journal-article","created":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T13:00:18Z","timestamp":1765976418000},"source":"Crossref","is-referenced-by-count":1,"title":["Exploring determinants of patient attitudes toward telemedicine in primary care: a cross-sectional study in T\u00fcrkiye"],"prefix":"10.1093","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4279-2184","authenticated-orcid":false,"given":"Rana","family":"Baykan G\u00fcr\u00fcz","sequence":"first","affiliation":[{"name":"Kocasinan District Health Directorate , Kayseri 38020 ,","place":["T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5130-4237","authenticated-orcid":false,"given":"Leyla","family":"Tekdemir","sequence":"additional","affiliation":[{"name":"Kocasinan District Health Directorate , Kayseri 38020 ,","place":["T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0065-9633","authenticated-orcid":false,"given":"Semiha Zeynep","family":"\u00d6zsayd\u0131","sequence":"additional","affiliation":[{"name":"Kocasinan District Health Directorate , Kayseri 38020 ,","place":["T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1133-9256","authenticated-orcid":false,"given":"Rabiye \u00d6zlem","family":"Ulutabanca","sequence":"additional","affiliation":[{"name":"Kocasinan District Health Directorate , Kayseri 38020 ,","place":["T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,2,10]]},"reference":[{"key":"2026030501463091400_cmaf107-B1","author":"World Health Organization"},{"key":"2026030501463091400_cmaf107-B2","doi-asserted-by":"publisher","first-page":"e80","DOI":"10.1017\/S1463423621000633","article-title":"COVID-19 pandemic and the great impulse to telemedicine: the basis of the WONCA Europe statement on telemedicine at the WHO Europe 70th regional meeting September 2020","volume":"22","author":"Petrazzuoli","year":"2021","journal-title":"Prim Health Care Res Dev"},{"key":"2026030501463091400_cmaf107-B3","doi-asserted-by":"publisher","first-page":"376","DOI":"10.1186\/s12913-025-12449-7","article-title":"The use of telemedicine in family medicine: a scoping review","volume":"25","author":"Mahdavi","year":"2025","journal-title":"BMC Health Serv Res"},{"key":"2026030501463091400_cmaf107-B4","doi-asserted-by":"publisher","first-page":"228","DOI":"10.1186\/s12875-023-02176-5","article-title":"The impact of eHealth on relationships and trust in primary care: a review of reviews","volume":"24","author":"Ramachandran","year":"2023","journal-title":"BMC Prim Care"},{"key":"2026030501463091400_cmaf107-B5","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1093\/fampra\/cmae008","article-title":"Telemedicine visits requiring follow-up in-person visits at an urban academic family medicine centre","volume":"41","author":"Arsenault","year":"2024","journal-title":"Fam Pract"},{"key":"2026030501463091400_cmaf107-B6","doi-asserted-by":"publisher","first-page":"295","DOI":"10.20518\/tjph.894701","article-title":"Telemedicine in public health perspective","volume":"19","author":"\u00d6zy\u00fcrek Ucael","year":"2021","journal-title":"Turk J Public Health"},{"key":"2026030501463091400_cmaf107-B7","author":"Republic of Turkey Ministry of Health"},{"key":"2026030501463091400_cmaf107-B8","doi-asserted-by":"publisher","first-page":"691","DOI":"10.1093\/ehjdh\/ztab067","article-title":"Disparities in patient engagement with video telemedicine among high-video-use providers during the COVID-19 pandemic","volume":"2","author":"Grady","year":"2021","journal-title":"Eur Heart J Digit Health"},{"key":"2026030501463091400_cmaf107-B9","doi-asserted-by":"publisher","first-page":"825","DOI":"10.1089\/tmj.2023.0189","article-title":"Development of an attitude scale for the use of telemedicine services","volume":"30","author":"Yucel","year":"2024","journal-title":"Telemed J E Health"},{"key":"2026030501463091400_cmaf107-B10","doi-asserted-by":"publisher","first-page":"e0237585","DOI":"10.1371\/journal.pone.0237585","article-title":"Telemedicine in the OECD: an umbrella review of clinical and cost-effectiveness, patient experience and implementation","volume":"15","author":"Eze","year":"2020","journal-title":"PLoS One"},{"key":"2026030501463091400_cmaf107-B11","doi-asserted-by":"publisher","first-page":"168","DOI":"10.1093\/fampra\/cmab077","article-title":"The effectiveness of teleconsultations in primary care: systematic review","volume":"39","author":"Carrillo de Albornoz","year":"2022","journal-title":"Fam Pract"},{"key":"2026030501463091400_cmaf107-B12","doi-asserted-by":"publisher","first-page":"1180","DOI":"10.1089\/tmj.2020.0381","article-title":"Telemedicine applications in a tertiary pediatric hospital in Turkey during COVID-19 pandemic","volume":"27","author":"Aydemir","year":"2021","journal-title":"Telemed J E Health"},{"key":"2026030501463091400_cmaf107-B13","doi-asserted-by":"publisher","first-page":"e205873","DOI":"10.1001\/jamanetworkopen.2020.5873","article-title":"Patient characteristics associated with choosing a telemedicine visit vs office visit with the same primary care clinicians","volume":"3","author":"Reed","year":"2020","journal-title":"JAMA Netw Open"},{"key":"2026030501463091400_cmaf107-B14","doi-asserted-by":"publisher","first-page":"5527659","DOI":"10.1155\/ijta\/5527659","article-title":"Degree of satisfaction with telemedicine service among health practitioners and patients in Saudi Arabia","volume":"2025","author":"Albagmi","year":"2025","journal-title":"Int J Telemed Appl"},{"key":"2026030501463091400_cmaf107-B15","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1089\/tmj.2020.0282","article-title":"Advancing telemedicine within family medicine's core values","volume":"27","author":"Cheng","year":"2021","journal-title":"Telemed J E Health"},{"key":"2026030501463091400_cmaf107-B16","doi-asserted-by":"publisher","first-page":"100973","DOI":"10.1016\/j.dhjo.2020.100973","article-title":"Telemedicine barriers and challenges for persons with disabilities: COVID-19 and beyond","volume":"13","author":"Annaswamy","year":"2020","journal-title":"Disabil Health J"},{"key":"2026030501463091400_cmaf107-B17","doi-asserted-by":"publisher","first-page":"1414","DOI":"10.1016\/j.acap.2021.07.012","article-title":"Diagnoses and health care utilization for after-hours telemedicine versus primary care visits","volume":"21","author":"Leventer-Roberts","year":"2021","journal-title":"Acad Pediatr"},{"key":"2026030501463091400_cmaf107-B18","doi-asserted-by":"publisher","first-page":"5565652","DOI":"10.1155\/2021\/5565652","article-title":"Knowledge, applicability, and barriers of telemedicine in Egypt: a national survey","volume":"2021","author":"Alboraie","year":"2021","journal-title":"Int J Telemed Appl"},{"key":"2026030501463091400_cmaf107-B19","doi-asserted-by":"publisher","first-page":"1768","DOI":"10.1007\/s11606-018-4621-5","article-title":"Patterns of use and correlates of patient satisfaction with a large nationwide direct to consumer telemedicine service","volume":"33","author":"Martinez","year":"2018","journal-title":"J Gen Intern Med"},{"key":"2026030501463091400_cmaf107-B20","doi-asserted-by":"publisher","first-page":"215","DOI":"10.4274\/balkanmedj.galenos.2023.2023-2-77","article-title":"A digital opportunity for patients to manage their health: turkey national personal health record system (the e-Nab\u0131z)","volume":"40","author":"Birinci","year":"2023","journal-title":"Balkan Med J"},{"key":"2026030501463091400_cmaf107-B21","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1177\/1357633X211043380","article-title":"Economic evaluations of videoconference and telephone consultations in primary care: a systematic review","volume":"30","author":"De Guzman","year":"2024","journal-title":"J Telemed Telecare"},{"key":"2026030501463091400_cmaf107-B22","author":"Republic of Turkey Ministry of Health"},{"key":"2026030501463091400_cmaf107-B23","doi-asserted-by":"publisher","first-page":"e0299005","DOI":"10.1371\/journal.pone.0299005","article-title":"The relationship between patient experience and real-world digital health access in primary care: a population-based cross-sectional study","volume":"19","author":"Pasat","year":"2024","journal-title":"PLoS One"},{"key":"2026030501463091400_cmaf107-B24","author":"Turkish Statistical Institute"},{"key":"2026030501463091400_cmaf107-B25","author":"Turkish Statistical Institute"}],"container-title":["Family Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/fampra\/article-pdf\/43\/2\/cmaf107\/66834087\/cmaf107.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/fampra\/article-pdf\/43\/2\/cmaf107\/66834087\/cmaf107.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T06:46:39Z","timestamp":1772693199000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/fampra\/article\/doi\/10.1093\/fampra\/cmaf107\/8470557"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,7]]},"references-count":25,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2,7]]}},"URL":"https:\/\/doi.org\/10.1093\/fampra\/cmaf107","relation":{},"ISSN":["0263-2136","1460-2229"],"issn-type":[{"value":"0263-2136","type":"print"},{"value":"1460-2229","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,4]]},"published":{"date-parts":[[2026,2,7]]},"article-number":"cmaf107"}}