A descriptive cross-sectional study: knowledge, attitude and practice on telemedicine for healthcare among the general public in the western province of Sri Lanka

D. Jayakody
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Abstract

Introduction: In the era of technology, most service fields have digitalized their systems to provide a more convenient, faster and safer service of better quality to their clients. However, Sri Lankans have not adapted to the Telemedicine field as fast. Attitudes and awareness of telemedicine applications in Sri Lanka were not assessed according to previous literature. The Objective of this study was to determine the level of knowledge, experience and attitude of the general public towards telemedicine in Western Province, Sri Lanka, in order to recommend measures to improve the effectiveness of a telehealth consultation. Methods: A descriptive cross-sectional study done in Western Province, Sri Lanka.  The study sample included the general public between the age of 18 years and 64 years, literate in English and IT, and reside in Western Province, Sri Lanka. Participants were selected using random sampling. A self-administered online questionnaire was distributed.  Results: The response rate was 12.1% (N=390). Majority of the population (n=257) had no previous experience with telemedicine. There was no significant relationship between the use of telemedicine and age (p=0.54), gender (p=0.703), and income (p=0.786). Majority of the people have a good knowledge and a positive attitude towards telemedicine. They find telemedicine is effective and efficient. There were statistically significant relationships between knowledge and perceived improvement in efficiency (p=0.001), knowledge and perceived effectiveness (p Conclusions: Age, gender, and income are not barriers to use telemedicine. Better knowledge and positive attitudes improve the perceived effectiveness and efficiency of telemedicine including teleconsultations. Based on the factors that have been tested, spreading and improving the awareness of telemedicine is one of the key measures that can help the growth of telemedicine in Sri Lanka. It is essential for telemedicine service providers to give priority to improve awareness at the same time working on implementations. This study further identifies, taking measures toward greater patient satisfaction is essential for the effective delivery of telemedicine interventions.
一项描述性横断面研究:斯里兰卡西部省份普通公众对远程医疗保健的知识、态度和做法
引言:在科技时代,大多数服务领域都将其系统数字化,为客户提供更方便、更快捷、更安全、更优质的服务。然而,斯里兰卡人并没有很快适应远程医疗领域。没有根据以前的文献评估斯里兰卡对远程医疗应用的态度和认识。本研究的目的是确定斯里兰卡西部省公众对远程医疗的知识、经验和态度水平,以便建议提高远程医疗咨询有效性的措施。方法:在斯里兰卡西部省进行描述性横断面研究。研究样本包括年龄在18岁至64岁之间的普通公众,懂英语和IT,居住在斯里兰卡西部省。参与者采用随机抽样的方式进行选择。发放了一份自我管理的在线问卷。结果:有效率为12.1% (N=390)。大多数人(n=257)以前没有远程医疗的经验。远程医疗的使用与年龄(p=0.54)、性别(p=0.703)、收入(p=0.786)无显著相关。大多数人对远程医疗有很好的了解和积极的态度。他们发现远程医疗是有效和高效的。知识与感知到的效率改善(p=0.001)、知识与感知到的有效性(p)之间存在统计学显著的关系。结论:年龄、性别和收入不是使用远程医疗的障碍。更好的知识和积极的态度提高了远程医疗包括远程会诊的有效性和效率。根据已测试的因素,传播和提高远程医疗的认识是有助于斯里兰卡远程医疗发展的关键措施之一。远程医疗服务提供者在开展实施工作的同时,必须优先提高意识。本研究进一步确定,采取措施提高患者满意度对于有效提供远程医疗干预至关重要。
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