Department of Nursing, Physiotherapy and Medicine, University of Almeria, 04120 Almeria, Spain.
Department of Cardiology, Burgos University Hospital, 09006 Burgos, Spain.
Int J Environ Res Public Health. 2020 Jul 15;17(14):5112. doi: 10.3390/ijerph17145112.
In response to the COVID-19 pandemic, health care modalities such as video consultations have been rapidly developed to provide safe health care and to minimize the risk of spread. The purpose of our study is to explore Spanish healthcare professionals' perceptions about the implementation of video consultations. Based on the testimonies of 53 professionals, different categories emerged related to the four identified themes: benefits of video consultations (for professionals, patients, and the health system, and compared to phone calls), negative aspects (inherent to new technologies and the risk of a perceived distancing from the professional), difficulties associated with the implementation of video consultations (technological difficulties, lack of technical skills and refusal to use video consultation among professionals and patients), and the need for training (technological, nontechnical, and social-emotional skills, and adaptation of technical skills). Additionally, the interviewees indicated that this new modality of health care may be extended to a broader variety of patients and clinical settings. Therefore, since video consultations are becoming more widespread, it would be advisable for health policies and systems to support this modality of health care, promoting their implementation and guaranteeing their operability, equal access and quality.
针对 COVID-19 大流行,医疗模式(如视频咨询)得到了迅速发展,以提供安全的医疗服务并将传播风险降至最低。我们的研究旨在探讨西班牙医疗保健专业人员对实施视频咨询的看法。基于 53 名专业人员的证词,出现了与四个已确定主题相关的不同类别:视频咨询的好处(对专业人员、患者和卫生系统而言,与电话相比)、负面方面(与新技术相关且存在专业人员与患者之间感知距离增加的风险)、与视频咨询实施相关的困难(技术困难、缺乏技术技能以及专业人员和患者拒绝使用视频咨询),以及培训需求(技术、非技术和社会情感技能,以及技术技能的调整)。此外,受访者表示,这种新的医疗保健模式可能会扩展到更多种类的患者和临床环境。因此,鉴于视频咨询越来越普及,建议卫生政策和系统支持这种医疗保健模式,促进其实施并确保其可操作性、平等获取和质量。