Department of Nursing, Ariel University, Ariel, Israel.
Department of Nursing, Ono Academic College, Kiriat-Ono, Israel.
Front Public Health. 2021 May 17;9:653553. doi: 10.3389/fpubh.2021.653553. eCollection 2021.
The COVID-19 pandemic has affected health care services worldwide due to lockdowns, prevention measures, and social distancing. During this period, patients, including older adults and those with chronic conditions, need ways to obtain medical attention other than going physically to the clinic, such as telemedicine services. The purpose of the present study was to evaluate attitudes toward telemedicine during the COVID-19 lockdown in Israel, assess willingness to use such services in the future, and evaluate the extent to which consumers have changed their minds regarding these services. A cross-sectional, descriptive, correlational study was conducted among adults (age 20-90) using social media networks ( = 693). Data were collected using an online questionnaire explicitly designed to measure attitudes toward telemedicine. Most of the participants had to use telemedicine during the lockdown and were satisfied therewith. The majority also stated that they would continue using telemedicine in the future. However, only a third stated that they had changed their minds regarding telemedicine. The main predictors of willingness to use telemedicine in the future were the necessity of using such services during lockdown, preference for going to a clinic, and satisfaction with telemedicine, alongside gender and having a chronic illness. Importantly, we found that a preference for visiting the clinic was negatively correlated with willingness to use telemedicine in the future. Education and being single were predictors of the change of mind regarding telemedicine. Participants with chronic conditions are more likely to use these services, and specific attention should be directed to their needs. A small portion of the study sample prefers live appointments with a physician. Telemedicine use is rapidly changing. It is vital for health care providers to identify non-telemedicine users and their common characteristics. Monitoring patients' attitudes regarding telemedicine is essential in the future after the pandemic ends. Targeted outreach plans should be formulated. These plans should be directed at identifying barriers to using telemedicine, and they should generate specific, focused plans.
由于封锁、预防措施和社交距离的影响,COVID-19 大流行对全球医疗保健服务产生了影响。在此期间,包括老年人和慢性病患者在内的患者需要其他途径来获得医疗服务,而不是亲自去诊所,例如远程医疗服务。本研究的目的是评估在以色列 COVID-19 封锁期间对远程医疗的态度,评估未来使用此类服务的意愿,并评估消费者对这些服务的看法变化程度。 采用横断面、描述性、相关性研究方法,使用社交媒体网络(n=693)对 20-90 岁的成年人进行研究。使用专门设计的在线问卷收集数据,以衡量对远程医疗的态度。 大多数参与者在封锁期间不得不使用远程医疗,并且对此感到满意。大多数人还表示,他们将来还会继续使用远程医疗。然而,只有三分之一的人表示他们对远程医疗的看法发生了变化。未来愿意使用远程医疗的主要预测因素包括在封锁期间使用此类服务的必要性、对去诊所的偏好以及对远程医疗的满意度,以及性别和患有慢性病。重要的是,我们发现对去诊所的偏好与未来使用远程医疗的意愿呈负相关。教育程度和单身是改变对远程医疗看法的预测因素。患有慢性病的参与者更有可能使用这些服务,应特别关注他们的需求。研究样本的一小部分人更喜欢与医生进行现场预约。 远程医疗的使用正在迅速变化。医疗保健提供者识别非远程医疗用户及其共同特征至关重要。在大流行结束后,未来监测患者对远程医疗的态度至关重要。应制定有针对性的外展计划。这些计划应针对使用远程医疗的障碍,并制定具体、有针对性的计划。