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WhatsApp 远程医疗 - 使用模式和医生对该平台的看法。

WhatsApp Tele-Medicine - usage patterns and physicians views on the platform.

机构信息

Department of Public Health and Health Systems Management Program, Bar Ilan University, 52900, Ramat Gan, Israel.

Israel Defense Forces Medical Corps, Tel Aviv, Israel.

出版信息

Isr J Health Policy Res. 2021 Jun 1;10(1):34. doi: 10.1186/s13584-021-00468-8.

Abstract

BACKGROUND

Telemedicine has become an integral part of health care delivery in recent years. One of the leading applications for this use is WhatsApp - a free smartphone application that allows instant messaging with pictures and videos. This study analyzed the emerging role of WhatsApp on reducing the need for referrals to medical specialists and to compare the views of physicians regarding WhatsApp consultations.

METHODS

A cross-sectional study based on an anonymous web-survey was conducted among PCPs and medical specialists working in the Israel Defense Forces Medical-Corps during September and October, 2019.

RESULTS

Of 201 participants, 153 were PCPs and 48 were medical specialists. 86.9 % of PCPs and 86.5 % of specialists used WhatsApp every day in professional settings. Added workload, potential breaching of patient confidentiality and lack of full documentation of consultations were the main concerns among physicians using the application. 60.7 % of PCPs and 95.7 % of specialists stated that these consultations have reduced the need for in-person appointments at least once a week.

CONCLUSIONS

In times of COVID-19 that require social distancing, WhatsApp provides a simple, readily available platform for consultations between healthcare providers, even to the extent of rendering some in-person appointments unnecessary. Healthcare organizations should address the matters troubling healthcare providers, mainly patient confidentiality and lack of documentation in patients' medical records, while providing adequate compensation for those providing the service during and after work hours.

摘要

背景

近年来,远程医疗已成为医疗保健服务的重要组成部分。这种应用的主要用途之一是 WhatsApp-这是一款免费的智能手机应用程序,可通过图片和视频进行即时消息传递。本研究分析了 WhatsApp 在减少转介给医学专家的需求方面的新兴作用,并比较了医生对 WhatsApp 咨询的看法。

方法

这是一项基于匿名网络调查的横断面研究,于 2019 年 9 月至 10 月在以色列国防军医疗团工作的初级保健医生和医学专家中进行。

结果

在 201 名参与者中,有 153 名是初级保健医生,48 名是医学专家。86.9%的初级保健医生和 86.5%的专家每天在专业环境中使用 WhatsApp。增加的工作量、潜在的侵犯患者隐私和咨询记录不完整是使用该应用程序的医生的主要关注点。60.7%的初级保健医生和 95.7%的专家表示,这些咨询至少每周减少了一次面对面预约的需求。

结论

在需要保持社交距离的 COVID-19 时期,WhatsApp 为医疗保健提供者之间的咨询提供了一个简单、现成的平台,甚至可以使一些面对面预约变得不必要。医疗保健组织应解决困扰医疗保健提供者的问题,主要是患者隐私和患者病历记录不完整的问题,同时为在工作时间和工作时间之外提供服务的人员提供足够的补偿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ece7/8167980/4bb8a9090b16/13584_2021_468_Fig1_HTML.jpg

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