Hertling Stefan, Hertling Doreen, Loos Franziska, Martin David, Graul Isabel
Department of Obstetrics and Gynecology, University Hospital Jena, Jena, Germany.
Orthopaedic Department, Campus Eisenberg, University Hospital Jena, Eisenberg, Germany.
Internet Interv. 2021 Dec;26:100478. doi: 10.1016/j.invent.2021.100478. Epub 2021 Nov 11.
In the COVID-19 pandemic, many consultations had to be cancelled, postponed, or converted to a virtual format. The use of telemedicine in the management of Women's Health Care could support doctors (tele-gynecology). This study analyses the use and perception of telemedicine applications among gynecologists in Germany.
This prospective cross-sectional study was based on a survey of gynecologists in Germany during the COVID-19 pandemic. Descriptive statistics were calculated, and regression analyses were performed to show correlations.
The gynecologists expect telemedicine to be used in gynecology and obstetrics. 76.4% (365/478) of the respondents rated their knowledge of telemedicine as insufficient. The majority of respondents (437/478, 91.6%) said they did not currently use telemedicine, although 67.3% (321/478) would like to do so. Obstacles to the introduction of telemedicine include the purchase of technical equipment (325/478, 68.1%), administration (305/478, 64.0%) and poor reimbursement (233/478, 48.9%). Gynecologists surveyed would prefer telemedicine to communicate directly with other doctors (388/478, 81.2%) rather than to communicate with patients (228/478, 47.8%). In the treatment phases, 73.2% (349/478) of the respondents would use telemedicine during follow-up. Half of the respondents would choose tele counseling as a specific approach to improving care (246/478, 51.5%).
Telemedicine in gynecology finds little use but high acceptance. The absence of a structured framework is an obstacle to effective implementation. Training courses should be introduced to improve the limited knowledge in the use of telemedicine. More research in tele-gynecology is needed. These include large-scale randomized controlled trials, economic analyses and the exploration of user preferences.
在新冠疫情期间，许多会诊不得不取消、推迟或改为虚拟形式。远程医疗在女性医疗保健管理中的应用可为医生提供支持（远程妇科）。本研究分析了德国妇科医生对远程医疗应用的使用情况和看法。
这项前瞻性横断面研究基于对德国新冠疫情期间妇科医生的一项调查。计算了描述性统计数据，并进行回归分析以显示相关性。
妇科医生期望在妇产科使用远程医疗。76.4%（365/478）的受访者认为他们对远程医疗的了解不足。大多数受访者（437/478，91.6%）表示他们目前未使用远程医疗，尽管67.3%（321/478）希望使用。引入远程医疗的障碍包括购买技术设备（325/478，68.1%）、行政管理（305/478，64.0%）和报销不佳（233/478，48.9%）。接受调查的妇科医生更倾向于通过远程医疗直接与其他医生沟通（388/478，81.2%），而非与患者沟通（228/478，47.8%）。在治疗阶段，73.2%（349/478）的受访者会在随访期间使用远程医疗。一半的受访者会选择远程咨询作为改善护理的一种具体方式（246/478，51.5%）。
远程医疗在妇科领域使用较少但接受度较高。缺乏结构化框架是有效实施的障碍。应引入培训课程以改善远程医疗使用方面有限的知识。需要在远程妇科方面开展更多研究。这些研究包括大规模随机对照试验、经济分析以及对用户偏好的探索。
