COVID大流行期间医护人员远程医疗的知识、态度和实践:一项横断面研究

Mahalaxmi S. Petimani, N. Bhat, P. Preethishree, Prabhakar Adake
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引用次数: 1

摘要

导读:新冠疫情给医学界带来了困难。许多保健从业人员通过远程医疗完成了工作。为了提供更好的患者护理,特别是在大流行期间,本研究旨在评估我院医护人员远程医疗的知识、态度和实践(KAP)。材料与方法:采用滚雪球技术,通过Google form向卫生保健从业人员发放一份包含13个远程医疗KAP问题的预验证问卷。共收集了96份回复。采用描述性统计方法,结果以百分数表示。结果:96份问卷中,男性61份(63.5%),女性35份(36.5%)。约63.5%的卫生保健从业人员知道远程医疗一词,22.9%知道但不执业,13.5%知道并正在执业远程医疗。在远程医疗的方式上,42.7%的人选择视频通话(Skype/hangout/WhatsApp), 27.1%的人选择个性化网站(HODO/Healzapp), 17.7%的人选择短信(SMS/Email/Fax), 12.5%的人选择语音通话。至于取得同意,59.4%表示必须征得同意,40.6%表示在病人主动致电时已隐含征得同意。对于远程医疗的挑战,83.3%的人表示无法进行临床检查,76%的人担心连接问题,55.2%的人担心患者安全,54.2%的人担心医疗法律问题。53.1%的医疗从业者希望远程医疗收取相同的费用,其次是低收费27.1%,不收费12.5%,7.3%希望收取高于常规的费用。结论:远程医疗对患者护理至关重要,特别是在大流行期间。因此,国家医学委员会应将远程医疗模块纳入本科课程,以改善患者护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Knowledge, attitude, and Practices of telemedicine among the health-care practitioners during COVID pandemic: A cross-sectional study
Introduction: COVID pandemic created a difficult situation for the medical fraternity. Many health-care practitioners achieved their work through telemedicine. For delivering better patient care, especially during the pandemic, the present study was conducted to assess the Knowledge, Attitude, and Practices (KAP) of telemedicine among healthcare practitioners of our institution. Materials and Methods: A prevalidated questionnaire form containing 13 questions on KAP of telemedicine was circulated to health-care practitioners through Google Form by snowball technique. A total of 96 responses were collected. Descriptive statistical method was applied and results are expressed in percentages. Results: Out of 96 responses, 61 (63.5%) were from men and 35 (36.5%) from women. About 63.5% of health-care practitioners were aware of the term telemedicine, 22.9% were aware but not practising, and 13.5% were aware and currently practising telemedicine. Regarding the mode of telemedicine, 42.7% preferred video calling (Skype/hangout/WhatsApp), followed by 27.1% personalized website (HODO/Healzapp), 17.7% by text message (SMS/Email/Fax), and 12.5% for an audio phone call. With respect to taking consent, 59.4% expressed that consent is required and 40.6% expressed that consent is implied when the patient initiates the call. Regarding challenges in telemedicine, 83.3% expressed that clinical examinations cannot be done, 76% for connectivity issues, 55.2% worried about patient safety, and 54.2% for medico-legal issues. 53.1% of health-care practitioners would like to charge the same fees for telemedicine, followed by 27.1% lower fees, 12.5% no fees, and 7.3% would like to charge higher fees than routine. Conclusion: Telemedicine is essential for patient care, especially during a pandemic. Hence, National Medical Commission should incorporate telemedicine modules in the undergraduate curriculum for better patient care.
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