Prasetyono Theddeus Octavianus Hari
Division of Plastic Surgery, Department of Surgery, Cipto Mangunkusumo Hospital, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
Arch Craniofac Surg. 2021 Feb;22(1):17-25. doi: 10.7181/acfs.2020.00451. Epub 2021 Feb 20.
This study aims to report how the practice of plastic surgeons and their attitude was during the first measure period of coronavirus disease 2019 (COVID-19) pandemic.
A survey study was held among members of the Indonesian Association of Plastic Reconstructive and Aesthetic Surgeons during week 5 after the first report of COVID-19. A 10 multiple-choice questions (MCQs) and 1 essay covered key questions on the area of surgery and operating room, clinics, internal meeting, and consultation. The only open-ended question relates to the last MCQ addresses a future "flipped" medical practice.
Response rate was 45.6% among 228 members, with 89.4% did no practice or limited their service to emergency and urgent cases only. Only 1.9% kept their official meeting as usual, while the majority modified it. The practice in the operating theatre and clinic were also altered to comply with the measures; with 21.2% from the total respondents only allowed patients with exposure to come for visit after taking 14 days of self-quarantine. Teleconsultation was practiced by 50% of the respondents, while 41.3% agreed and 10.6% disagreed upon the future "flipped" medical practice.
In general plastic surgeons have made supportive actions during the pandemic. Surgery was performed with all precautions at the utmost as a reflection of high alert of viral infection. Teleconsultation has been embraced via existing social media. Agreement upon the future "flipped" medical practice is reasonable. All in all, the actions were considered as most relevant.
本研究旨在报告整形外科医生在2019年冠状病毒病（COVID-19）大流行的首个应对阶段的执业情况及其态度。
在COVID-19首次报告后的第5周，对印度尼西亚整形重建与美容外科医生协会的成员进行了一项调查研究。一份包含10道多项选择题（MCQ）和1篇短文的问卷涵盖了手术和手术室、诊所、内部会议及会诊等领域的关键问题。唯一的开放性问题与最后一道MCQ相关，涉及未来“翻转”的医疗实践。
228名成员的回复率为45.6%，其中89.4%未开展业务或仅将服务限于急诊和紧急病例。只有1.9%的人照常举行官方会议，而大多数人对其进行了调整。手术室和诊所的业务也进行了调整以符合相关措施要求；在所有受访者中，只有21.2%允许有接触史的患者在进行14天自我隔离后来就诊。50%的受访者采用了远程会诊，而对于未来“翻转”的医疗实践，41.3%的人表示同意，10.6%的人表示不同意。
总体而言，整形外科医生在大流行期间采取了支持性行动。手术在采取一切最大程度的预防措施下进行，以体现对病毒感染的高度警惕。通过现有的社交媒体开展了远程会诊。对未来“翻转”医疗实践达成共识是合理的。总而言之，这些行动被认为是最恰当的。
