COVID-19大流行时期远程医疗在艾滋病毒护理中的应用:一项患者满意度调查研究

Q3 Medicine
Przeglad epidemiologiczny Pub Date : 2025-05-30 Epub Date: 2025-02-03 DOI:10.32394/pe/200677
Justyna Dominika Kowalska, Izabela Zdolińska-Malinowska, Ewa Siewaszewicz, Paweł Mierzejewski, Ivana Gmizic, Magdalena Ankiersztejn-Bartczak
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引用次数: 0

摘要

背景:在SARS-CoV-2爆发之前,波兰艾滋病毒护理中的远程医疗服务不包括在公共健康保险范围内。因此,这种形式的医疗保健服务的经验是稀缺的,其接受病人不确定。目的:了解波兰首次应用远程医疗进行艾滋病毒护理的情况。材料和方法:调查包括定性(通过使用计算机辅助网络访谈技术进行的在线访谈)和定量模块(20个问题:5个开放式问题和15个封闭式问题)。支持波兰艾滋病毒感染者的四个非政府组织参与了邀请的分发。结果:156名受访者回答,25%为女性,58%为50岁以上,53%为异性恋。大多数人在公共卫生机构接受艾滋病毒检测(51%)或自愿检测(32%),并在5年前得到诊断。77/156(49.3%)的受访者对远程医疗有意见,其中22/77(28.6%)的受访者认为远程医疗有未来,29/77(19%)的受访者认为有未来,但在某些条件下(占持意见者的66.2%)。26/77(33.8%)表示他们认为远程医疗没有前途。持负面看法的受访者更可能来自农村地区,受教育程度较低。在逻辑回归模型中,我们发现初等教育程度增加了没有意见的几率(OR=5.37[2.44至11.82])。结论:尽管超过60%的有意见的受访者确定了远程医疗在艾滋病毒护理中的潜力,但其中一半指出了引入远程医疗的具体条件。需要对通过远程医疗进行的艾滋病毒管理的评估以及患者和提供者对这种护理形式的接受程度进行监督,并根据患者报告的结果措施进行纠正。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Telemedicine in HIV care in times of COVID-19 pandemic: a patient satisfaction survey study.

Background: Until SARS-CoV-2 outbreak telemedicine services in HIV care in Poland were not covered by public health insurance. Therefore experience in this form of healthcare delivery is scarce and its acceptance by patients uncertain.

Objective: We aimed to investigating the opinion of people living with HIV on the first application of telemedicine in HIV care in Poland.

Material and methods: The survey consisted of the qualitative (carried out through online interviews using the Computer-Assisted Web Interview technique) and quantitative module (20 questions:five open- and 15 closed-type questions). Four nongovernmental organizations supporting people living with HIV in Poland, participated in the distribution of invitations.

Results: 156 respondents answered, 25% women, 58% over 50 years old, 53% heterosexual. Most were tested for HIV in public healthcare (51%) or voluntary testing(32%) and diagnosed over 5 years ago. 77/156(49.3%) had opinion about telemedicine, of those 22/77(28.6%) answered that they thought that telemedicine had a future and 29/77 (19%) that it did, but under certain conditions (this constitutes 66.2% of those with opinion). 26/77(33.8%) indicated that in their opinion telemedicine had no future. Respondents who had negative opinion were more likely to be from rural areas and of lower level of education. In logistic regression models we found that that having a primary education increased the odds of not having an opinion (OR=5.37 [2.44 to 11.82], P<.0001). Factors decreasing the odds of not having an opinion were difficulties in getting a visit (0.35 [0.15 to 0.81], P=0.01) and access to telemedicine only (0.20 [0.06 to 0.72], P=0.01).

Conclusions: Although over 60% of respondents with opinion identified potential for telemedicine in HIV care, half of them indicated specific conditions necessary to introduce it. The evaluation of HIV management via telemedicine, as well as patients' and providers' acceptance to this form of care needs to be supervised and corrected to patients' reported outcome measures.

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Przeglad epidemiologiczny
Przeglad epidemiologiczny Medicine-Medicine (all)
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1.10
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