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新冠疫情期间的远程医疗:医疗保健专业人员认知情况调查

Telemedicine during COVID-19: a survey of Health Care Professionals' perceptions.

作者信息

Elawady Abdula, Khalil Ahmed, Assaf Omar, Toure Samirah, Cassidy Christopher

机构信息

Department of Cardiology, Lancashire Cardiac Centre, Blackpool Teaching Hospitals National Health Service Foundation Trust, Blackpool.

Department of Obstetrics and Gynecology, Dartford and Gravesham National Health Service Trust, Darenth Wood Road, Dartford.

出版信息

Monaldi Arch Chest Dis. 2020 Sep 22;90(4). doi: 10.4081/monaldi.2020.1528.

DOI:10.4081/monaldi.2020.1528
PMID:32959627
Abstract

The National Health Service (NHS) has rapidly adopted telemedicine solutions as an alternative to face-to-face consultations during the COVID-19 pandemic. The majority of HCPs (Healthcare Professionals) were unfamiliar with Telemedicine prior to the current pandemic. Remote consultation is expected to continue for the foreseeable future, thus we designed this survey. A survey designed to evaluate the use of telephone consultation by HCPs, assessing its implementation, challenges and drawbacks. A web link survey conducted through SurveyMonkey was sent to HCPs across six UK Trusts the period of May 2020. The survey received 114 responses (84%) being doctors. 95% of respondents had not received training prior to engaging in telemedicine consultations. 64% were unaware of the updated General Medical Council guidance concerning remote consultations. The most common barrier in remote consultation was the inability to access patient records raised by 37% of respondents. However, 73% of respondents felt that patients understood their medical condition and the instructions given to them over the phone, and 70% agreed that videoconference consultations would add to patients care. Telemedicine can be used for selected groups of patients in the post COVID-19 era, and the HCPs carrying that should have the sufficient experience and knowledge expected to operate these clinics.

摘要

在新冠疫情期间,英国国民医疗服务体系(NHS)迅速采用远程医疗解决方案,以替代面对面咨询。在当前疫情之前,大多数医疗保健专业人员(HCPs)对远程医疗并不熟悉。预计在可预见的未来,远程咨询仍将继续,因此我们设计了这项调查。该调查旨在评估医疗保健专业人员对电话咨询的使用情况,评估其实施情况、挑战和缺点。2020年5月期间,通过SurveyMonkey进行的网络链接调查被发送给英国六个信托机构的医疗保健专业人员。该调查收到了114份回复(84%为医生)。95%的受访者在进行远程医疗咨询之前没有接受过培训。64%的人不知道英国医学总会关于远程咨询的最新指南。远程咨询中最常见的障碍是37%的受访者提出无法获取患者记录。然而,73%的受访者认为患者理解他们的病情以及通过电话给予他们的指示,70%的人同意视频会议咨询将有助于患者护理。在新冠疫情后的时代,远程医疗可用于特定患者群体,进行远程医疗的医疗保健专业人员应具备运营这些诊所所需的足够经验和知识。

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