{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:07:07Z","timestamp":1777936027999,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2024,5,20]],"date-time":"2024-05-20T00:00:00Z","timestamp":1716163200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,5,20]],"date-time":"2024-05-20T00:00:00Z","timestamp":1716163200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Imperial NIHR Biomedical Research Centre"},{"name":"NIHR North West London Patient Safety Research Collaboration"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Telemed Telecare"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Since 2021, the world has been facing a cost-of-living crisis which has negatively affected population health. Meanwhile, little is known about its impact on patients\u2019 preferences to access care. We aimed to analyse public preference for the modality of consultation (virtual vs face-to-face) before and after the onset of crisis and factors associated with these preferences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An online cross-sectional survey was administered to the public in the United Kingdom, Germany, Italy and Sweden. McNemar tests were conducted to analyse pre- and post-crisis differences in preferences; logistic regression was used to examine the demographic factors associated with public preferences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Since the onset of crisis, the number of people choosing virtual consultations has increased in the United Kingdom (7.0% vs 9.5%\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001), Germany (6.6% vs 8.6%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.008) and Italy (6.0% vs 9.8%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001). Before the crisis, a stronger preference for virtual consultations was observed in people from urban areas (OR 1.28, 95% CI 1.05\u20131.56), while increasing age was associated with a lower preference for virtual care (OR 0.966, 95% CI 0.961\u20130.972). Younger people were more likely to switch to virtual care, while change to face-to-face was associated with younger age and lower income (OR 1.34, 95% CI 1.12\u20131.62). Older adults were less likely to change preference.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Since the onset of the cost-of-living crisis, public preference for virtual consultations has increased, particularly in younger population. This contrasts with older adults and people with lower-than-average incomes. The rationale behind patients\u2019 preferences should be investigated to ensure patients can access their preferred modality of care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1357633x241255411","type":"journal-article","created":{"date-parts":[[2024,5,20]],"date-time":"2024-05-20T07:18:33Z","timestamp":1716189513000},"page":"1175-1185","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Impact of the cost-of-living crisis on patient preferences towards virtual consultations"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0346-2326","authenticated-orcid":false,"given":"Tetiana","family":"Lunova","sequence":"first","affiliation":[{"name":"NIHR North West London Patient Safety Research Collaboration (PSRC), Institute of Global Health Innovation, Imperial College London, London, UK"},{"name":"NIHR Applied Research Collaboration (ARC) NWL, Imperial College London, London, UK"}]},{"given":"Katherine-Helen","family":"Hurndall","sequence":"additional","affiliation":[{"name":"NIHR North West London Patient Safety Research Collaboration (PSRC), Institute of Global Health Innovation, Imperial College London, London, UK"},{"name":"NIHR Applied Research Collaboration (ARC) NWL, Imperial College London, London, UK"}]},{"given":"Roberto","family":"Crespo","sequence":"additional","affiliation":[{"name":"Center for Health Policy, Institute of Global Health Innovation, Imperial College London, London, UK"}]},{"given":"Peter","family":"Howitt","sequence":"additional","affiliation":[{"name":"Center for Health Policy, Institute of Global Health Innovation, Imperial College London, London, UK"}]},{"given":"Melanie","family":"Leis","sequence":"additional","affiliation":[{"name":"Center for Health Policy, Institute of Global Health Innovation, Imperial College London, London, UK"}]},{"given":"Kate","family":"Grailey","sequence":"additional","affiliation":[{"name":"Center for Health Policy, Institute of Global Health Innovation, Imperial College London, London, UK"}]},{"given":"Ara","family":"Darzi","sequence":"additional","affiliation":[{"name":"NIHR North West London Patient Safety Research Collaboration (PSRC), Institute of Global Health Innovation, Imperial College London, London, UK"},{"name":"NIHR Applied Research Collaboration (ARC) NWL, Imperial College London, London, UK"},{"name":"Center for Health Policy, Institute of Global Health Innovation, Imperial College London, London, UK"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7107-7211","authenticated-orcid":false,"given":"Ana L","family":"Neves","sequence":"additional","affiliation":[{"name":"NIHR North West London Patient Safety Research Collaboration (PSRC), Institute of Global Health Innovation, Imperial College London, London, UK"},{"name":"NIHR Applied Research Collaboration (ARC) NWL, Imperial College London, London, UK"},{"name":"Department of Primary Care and Public Health, Imperial College London, London, UK"}]}],"member":"179","published-online":{"date-parts":[[2024,5,20]]},"reference":[{"key":"e_1_3_3_2_2","article-title":"Cost of living crisis: we cannot ignore the human cost of living in poverty","volume":"377","author":"Patrick R","year":"2022","unstructured":"Patrick R, Pybus K. 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