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沙特阿拉伯利雅得地区医生对远程医疗的知识、看法和意愿评估。

Assessment of physician's knowledge, perception and willingness of telemedicine in Riyadh region, Saudi Arabia.

机构信息

Medical Education Dep., Research Chair For Health Informatics and Promotion, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

Department of Health Informatics, College of Health Sciences, Saudi Electronic University, Riyadh, Saudi Arabia.

出版信息

J Infect Public Health. 2021 Jan;14(1):97-102. doi: 10.1016/j.jiph.2019.04.006. Epub 2019 May 3.

Abstract

INTRODUCTION

Telemedicine is the utilization of computer applications and telecommunication technologies to deliver clinical services remotely. The Ministry of Health in Saudi Arabia, recently established an e-Health strategy that includes the use of telemedicine in order to improve the accessibility and quality of care among patients and healthcare providers.

OBJECTIVES

The present study aimed to assess the knowledge and perception of telemedicine and its applications among physicians. Secondly, to evaluate their willingness towards adopting telemedicine in clinical practice.

METHODS

The study is a cross sectional conducted in four hospitals; King Abdulaziz Medical City, King Faisal Specialist Hospital and Research Center, King Saud Medical City and King Saud University Medical City in Riyadh, Saudi Arabia. The survey questionnaire was a self-administered, which was adopted from previous studies. The questionnaire consists of; access to a computer and its literacy, knowledge, perceptions and willingness of telemedicine.

RESULTS

A total of 391 physicians of which male (301; 77.0%) and female (90; 23.0%) completed the questionnaire. Half of the participants never used personal computers or laptops at home. Interestingly, 89.2% of them have two or more smart devices. Participants have average knowledge about telemedicine technology (46.1%). Nearly, 77% of the professionals believed that continuous training is necessary for the use of telemedicine (P = 0.01). The highest level of perception was (90%) for telemedicine as a viable approach for providing medical care services to patients. More than 90% of specialties professional agreed that telemedicine can save time, money and further believed information and communication technology (ICT) has a potential role in healthcare. Overall, 70% of physicians reported a very low number of conferences, speeches or meetings held regarding telemedicine technology in their working places. Main issues reported in adopting telemedicine are patient privacy, the high cost of equipment, lack of suitable training, and lack of consultation between information technology expert and clinicians.

CONCLUSIONS

Despite the fact that the majority of professionals have two or more smart devices and are communicating with patients via email or social media. However, the majority of medical professionals still have low knowledge of telemedicine technology. In addition, most of the participants showed positive perceptions of telemedicine and are willing to adopt it in clinical practice. The major reported barriers for the adoption of telemedicine were privacy issues, lack of training, cost and issues related to information and communication technology.

摘要

简介

远程医疗是利用计算机应用和远程通信技术远程提供临床服务。沙特阿拉伯卫生部最近制定了一项电子健康战略,其中包括使用远程医疗,以提高患者和医疗服务提供者的可及性和护理质量。

目的

本研究旨在评估医生对远程医疗及其应用的知识和看法。其次,评估他们在临床实践中采用远程医疗的意愿。

方法

该研究是在沙特阿拉伯利雅得的四家医院进行的横断面研究,包括阿卜杜勒阿齐兹国王医疗城、法伊萨尔专科医生和研究中心、沙特国王医疗城和沙特国王大学医疗城。调查问卷是自我管理的,是从以前的研究中采用的。问卷包括:使用计算机及其读写能力、对远程医疗的知识、看法和意愿。

结果

共有 391 名医生完成了问卷调查,其中男性(301 名;77.0%)和女性(90 名;23.0%)。一半的参与者在家中从未使用过个人电脑或笔记本电脑。有趣的是,他们中有 89.2%的人拥有两个或更多的智能设备。参与者对远程医疗技术有平均的了解(46.1%)。近 77%的专业人员认为,使用远程医疗需要持续培训(P=0.01)。最高水平的看法是(90%),认为远程医疗是向患者提供医疗服务的可行方法。超过 90%的专业人员认为远程医疗可以节省时间、金钱,并进一步认为信息和通信技术(ICT)在医疗保健中具有潜在作用。总的来说,70%的医生报告说,他们所在工作场所很少举办关于远程医疗技术的会议、演讲或会议。采用远程医疗的主要问题是患者隐私、设备成本高、缺乏合适的培训,以及信息技术专家和临床医生之间缺乏咨询。

结论

尽管大多数专业人员拥有两个或更多的智能设备,并通过电子邮件或社交媒体与患者进行沟通,但大多数医疗专业人员对远程医疗技术的了解仍然较少。此外,大多数参与者对远程医疗持积极看法,并愿意在临床实践中采用远程医疗。采用远程医疗的主要障碍是隐私问题、缺乏培训、成本和与信息和通信技术相关的问题。

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