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在 2019 年冠状病毒病大流行中担任医师和选择替代医疗保健服务:远程医疗:前瞻性调查研究。

Being a Physician in Coronavirus Disease 2019 Pandemic and Alternative Health Care Service: Telemedicine: Prospective Survey Study.

机构信息

Department of Anesthesiology and Reanimation and University of Health Sciences, Istanbul Bagcilar Training and Research Hospital, Istanbul, Turkey.

Department of General Surgery, University of Health Sciences, Istanbul Bagcilar Training and Research Hospital, Istanbul, Turkey.

出版信息

Telemed J E Health. 2021 Dec;27(12):1355-1362. doi: 10.1089/tmj.2020.0546. Epub 2021 Mar 19.

DOI:10.1089/tmj.2020.0546
PMID:33739877
Abstract

In this study, we aimed to detect anxiety levels of the physicians during the Coronavirus Disease 2019 (COVID-19) pandemic and to assess the knowledge, perspective, and willingness of the physicians about telemedicine. This was a survey study of physicians from different specialties who provided patient care during the pandemic in Turkey. A total of 824 physicians responded to questionnaire, which consisted of 5 sections: (1) demographic characteristics; (2) anxiety level; (3) knowledge; (4) perspective; and (5) willingness to use telemedicine. Fifty-six percent of the participants were found to experience mild-to-severe anxiety during the pandemic. It was found that the early career physicians most likely report anxiety about COVID-19 ( = 0.012). Physicians working in training and research hospital settings had higher Beck Anxiety Inventory scores compared to their colleagues working in private health care institutions ( = 0.011). Anxiety levels of physicians were not affected by working experience, existence of comorbidities, or living conditions of the participants ( = 0.138,  = 0.317, and  = 0.123, respectively). The results showed that the participants had a low level of knowledge about telemedicine. Only 61.1% of the physicians stated that they had heard of telemedicine before. The physicians who experienced telemedicine before ( = 76, 9.2% of all the participants) were more likely to find telemedicine beneficial both in pandemic ( < 0.001) and postpandemic period ( = 0.002). About half of our physicians had different levels of anxiety during the pandemic, and this anxiety seemed to be more related to infecting their relatives. Participants thought that providing health care services with telemedicine during the pandemic period would be beneficial and reduce the spread of hospital-acquired COVID-19. However, there was no consensus among the participants regarding the use of telemedicine in the postpandemic period.

摘要

在这项研究中,我们旨在检测 COVID-19 大流行期间医生的焦虑水平,并评估医生对远程医疗的知识、观点和意愿。这是一项针对在土耳其大流行期间提供患者护理的不同专业医生的调查研究。共有 824 名医生回答了问卷,问卷分为 5 个部分:(1)人口统计学特征;(2)焦虑水平;(3)知识;(4)观点;(5)使用远程医疗的意愿。研究发现,56%的参与者在大流行期间经历了轻度至重度焦虑。研究发现,早期职业医生最有可能对 COVID-19 感到焦虑(=0.012)。与在私立医疗机构工作的同事相比,在培训和研究医院工作的医生的贝克焦虑量表评分更高(=0.011)。医生的焦虑水平不受工作经验、合并症的存在或参与者的生活条件的影响(=0.138、=0.317 和=0.123)。结果表明,参与者对远程医疗的了解程度较低。只有 61.1%的医生表示之前听说过远程医疗。之前体验过远程医疗的医生(=76,占所有参与者的 9.2%)更有可能认为远程医疗在大流行期间(<0.001)和大流行后期间(=0.002)都有益。我们的医生中有近一半在大流行期间有不同程度的焦虑,这种焦虑似乎与感染他们的亲属更相关。参与者认为在大流行期间使用远程医疗提供医疗服务将是有益的,并减少医院获得性 COVID-19 的传播。然而,参与者对于在大流行后期间使用远程医疗没有达成共识。

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