Impact of the COVID-19 pandemic on the National Telehealth Service for triage and referral in Sweden: a national retrospective observational study.

Publication date: Dec 04, 2024

Telehealth, the provision of healthcare through digital communication, has been proposed as a potential solution to meet the increasing demand for healthcare, particularly in the setting of the COVID-19 pandemic. Sweden has an established national telehealth service for triage and referral by phone (1177) since 2013 which has the potential to meet this increasing demand. However, little is known about the development and retention in demand during and after the pandemic in Sweden. The objective of this study was to investigate the utilisation of the national telehealth service in Sweden before, during and after the pandemic in relation to emergency department (ED) visits. This was a retrospective observational study of telephone calls to the national telehealth service in Sweden. We collected the number of calls, number of answered calls and visits to ED in Sweden from 2017 through 2021, aggregated by month. The difference in number of calls and visits was analysed using Student’s t-test for related samples. Data were collected from all 21 healthcare regions in Sweden, serving 10. 5 million citizens. The average number of monthly calls was 48 (SD 10) calls per 1000 citizens. The first month of the pandemic, March 2020, had the highest monthly calls per capita during the whole study period: 62 (diff 14, 95% CI 9 to 19, p

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Concepts Keywords
5million COVID-19
Healthcare COVID-19
Pandemic Emergency Departments
Sweden Emergency Service, Hospital
Humans
Pandemics
PUBLIC HEALTH
Referral and Consultation
Retrospective Studies
SARS-CoV-2
Sweden
Telemedicine
Telemedicine
Triage

Semantics

Type Source Name
disease MESH COVID-19 pandemic
disease MESH emergency

Original Article

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