Clinician Preferences for Current and Planned Future Use of Telemedicine.

Ayane Rossano, Tom Crijns, David Ring, Jason Reichenberg
{"title":"Clinician Preferences for Current and Planned Future Use of Telemedicine.","authors":"Ayane Rossano,&nbsp;Tom Crijns,&nbsp;David Ring,&nbsp;Jason Reichenberg","doi":"10.1089/tmj.2021.0486","DOIUrl":null,"url":null,"abstract":"<p><p><b><i>Introduction:</i></b> Many clinicians and patients tried telemedicine for the first time during the COVID-19 pandemic. In a prior survey, we found that clinicians who were adaptable and willing to incorporate technology into their clinical practice are more likely to utilize telemedicine. Seeking factors associated with current and future use of telemedicine, and identifying its relative advantages and drawbacks, may help determine the role of telemedicine after the pandemic. <b><i>Questions/Purposes:</i></b> We asked (1) which demographic factors and personal preferences are associated with current and planned future use of telemedicine, (2) what factors are associated with telemedicine utilization, and (3) what are clinician-reported advantages and disadvantages of telemedicine? <b><i>Materials and Methods:</i></b> Approximately 750 clinicians within a national multispecialty hospital group were invited to complete an online survey assessing telemedicine use and preferences, self-reported technology proficiency, and personal characteristics. A total of 284 clinicians started the survey, and 259 complete responses were analyzed using bivariate analysis and multivariable regression. <b><i>Results:</i></b> More frequent current telemedicine use was associated with being a nonsurgeon clinician, not primarily practicing in an inpatient setting, preferring either telemedicine or having no preference for discussing sensitive topics, and greater self-reported technological proficiency. Planned future telemedicine use was associated with greater self-reported troubleshoot ability and less desire for a hands-on physical examination. Clinicians reported that the top benefits of telemedicine are decreased barriers for patients and convenience for clinicians, and disadvantages are technical difficulties for both patients and clinicians. <b><i>Conclusions:</i></b> Telemedicine continues to be widely utilized by clinicians, particularly those who are confident in their ability to examine patients over video, and who can troubleshoot issues that arise on the platform. With continued reimbursement, telemedicine is likely to remain a convenient and effective method of caring for patients.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"1293-1299"},"PeriodicalIF":0.0000,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"7","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1089/tmj.2021.0486","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/1/10 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 7

Abstract

Introduction: Many clinicians and patients tried telemedicine for the first time during the COVID-19 pandemic. In a prior survey, we found that clinicians who were adaptable and willing to incorporate technology into their clinical practice are more likely to utilize telemedicine. Seeking factors associated with current and future use of telemedicine, and identifying its relative advantages and drawbacks, may help determine the role of telemedicine after the pandemic. Questions/Purposes: We asked (1) which demographic factors and personal preferences are associated with current and planned future use of telemedicine, (2) what factors are associated with telemedicine utilization, and (3) what are clinician-reported advantages and disadvantages of telemedicine? Materials and Methods: Approximately 750 clinicians within a national multispecialty hospital group were invited to complete an online survey assessing telemedicine use and preferences, self-reported technology proficiency, and personal characteristics. A total of 284 clinicians started the survey, and 259 complete responses were analyzed using bivariate analysis and multivariable regression. Results: More frequent current telemedicine use was associated with being a nonsurgeon clinician, not primarily practicing in an inpatient setting, preferring either telemedicine or having no preference for discussing sensitive topics, and greater self-reported technological proficiency. Planned future telemedicine use was associated with greater self-reported troubleshoot ability and less desire for a hands-on physical examination. Clinicians reported that the top benefits of telemedicine are decreased barriers for patients and convenience for clinicians, and disadvantages are technical difficulties for both patients and clinicians. Conclusions: Telemedicine continues to be widely utilized by clinicians, particularly those who are confident in their ability to examine patients over video, and who can troubleshoot issues that arise on the platform. With continued reimbursement, telemedicine is likely to remain a convenient and effective method of caring for patients.

临床医生对当前和未来计划使用远程医疗的偏好。
新冠肺炎疫情期间,许多临床医生和患者首次尝试远程医疗。在之前的一项调查中,我们发现适应能力强且愿意将技术纳入临床实践的临床医生更有可能利用远程医疗。寻找与当前和未来使用远程医疗相关的因素,并确定其相对优势和劣势,可能有助于确定大流行后远程医疗的作用。问题/目的:我们询问(1)哪些人口因素和个人偏好与当前和计划的未来远程医疗使用相关,(2)哪些因素与远程医疗利用相关,以及(3)临床医生报告的远程医疗优势和劣势是什么?材料和方法:邀请一家全国性多专科医院集团的约750名临床医生完成一项在线调查,评估远程医疗的使用和偏好、自我报告的技术熟练程度和个人特征。共有284名临床医生开始调查,259份完整回复采用双变量分析和多变量回归分析。结果:当前更频繁的远程医疗使用与非外科医生临床医生相关,不是主要在住院患者环境中执业,更喜欢远程医疗或不喜欢讨论敏感话题,并且自我报告的技术熟练程度更高。计划中的未来远程医疗使用与更高的自我报告故障排除能力和更少的动手身体检查的愿望相关。临床医生报告说,远程医疗的最大好处是减少了患者的障碍,为临床医生提供了方便,缺点是患者和临床医生都面临技术困难。结论:远程医疗继续被临床医生广泛使用,特别是那些对自己通过视频检查病人的能力有信心的人,以及那些能够解决平台上出现的问题的人。随着持续的报销,远程医疗可能仍然是照顾病人的一种方便和有效的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信