Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, Yale University School of Medicine, New Haven, Connecticut, USA.
Center for Advanced Facial Plastic Surgery, Beverly Hills, California, USA.
Facial Plast Surg Aesthet Med. 2020 Nov/Dec;22(6):464-470. doi: 10.1089/fpsam.2020.0409. Epub 2020 Oct 14.
The objectives of this study among facial plastic and reconstructive surgeons (FPRS), include (1) quantifying the use of telemedicine, (2) examining the impact of novel coronavirus-19 (COVID-19) on telemedicine practices, (3) highlighting the types of telemedicine employed, (4) anticipating how telemedicine will be utilized in the future, and (5) describing FPRS' attitudes and understanding of telemedicine technologies. Cross-sectional survey. A 6-13 question survey was sent to the American Academy of Facial Plastic and Reconstructive Surgery membership. Descriptive analyses were performed, along with a Fisher's exact test. We received 100 responses from a diverse group of surgeons across the United States. Overall, 91% of responders utilize telemedicine, of which 76.9% began during the COVID-19 pandemic. 33.3% of responders thought that their platforms were not Health Insurance Portability and Accountability Act compliant or were unsure. Of those that utilize telemedicine, the two biggest concerns were difficulties with physical examination (69.2%) and lack of human connection (44%). 75.8% of telemedicine utilizers plan to incorporate telemedicine into their practice moving forward. Of all responders, 71% believed that telemedicine will have a positive effect on the field of FPRS, although on univariate analysis those in practice >20 years were more likely to believe that there will be no effect or a negative effect ( = 0.014). The COVID-19 pandemic has accelerated the adoption of telemedicine among FPRS in the United States. The great majority of responders plan to incorporate telemedicine into their practice even after the pandemic subsides and believe that telemedicine will have a net positive effect on the field of FPRS.
本研究旨在调查面部整形和重建外科医生（FPRS）的以下情况：（1）量化远程医疗的使用情况；（2）研究新型冠状病毒-19（COVID-19）对远程医疗实践的影响；（3）突出介绍所采用的远程医疗类型；（4）预测未来远程医疗的应用情况；（5）描述 FPRS 对远程医疗技术的态度和理解。本研究采用横断面调查方法。我们向美国面部整形和重建外科学会的会员发送了一份包含 6-13 个问题的调查问卷。同时进行了描述性分析，并进行了 Fisher 确切检验。我们从全美不同地区的外科医生中收到了 100 份回复。总体而言，91%的回复者使用远程医疗，其中 76.9%是在 COVID-19 大流行期间开始使用的。33.3%的回复者认为他们的平台不符合《健康保险携带和责任法案》的规定，或者不确定是否符合规定。在使用远程医疗的回复者中，两个最大的顾虑是体格检查困难（69.2%）和缺乏人际联系（44%）。75.8%的远程医疗使用者计划在未来将远程医疗纳入其实践。在所有回复者中，71%的人认为远程医疗将对 FPRS 领域产生积极影响，但在单变量分析中，从业时间超过 20 年的人更有可能认为不会产生影响或产生负面影响（=0.014）。COVID-19 大流行加速了美国 FPRS 对远程医疗的采用。绝大多数回复者计划在大流行结束后将远程医疗纳入其实践，并认为远程医疗将对 FPRS 领域产生净积极影响。
