Netherlands Institute for Health Services Research (NIVEL), 3513 CR Utrecht, The Netherlands.
Tranzo, Tilburg University, 5037 DB Tilburg, The Netherlands.
Int J Environ Res Public Health. 2021 Nov 26;18(23):12479. doi: 10.3390/ijerph182312479.
The COVID-19 pandemic has forced general practices to search for possibilities to provide healthcare remotely (e.g., e-health). In this study, the impact of the pandemic on the use of e-health in general practices in the Netherlands was investigated. In addition, the intention of practices to continue using e-health more intensively and differences in the use of e-health between practice types were investigated. For this purpose, web surveys were sent to general practices in April and July 2020. Descriptive data analysis was performed and differences in the use of e-health between practice types were tested using one-way ANOVA. Response rates were 34% ( = 1433) in April and 17% ( = 719) in July. The pandemic invoked an increased use of several (new) e-health applications. A minority of practices indicated the intention to maintain this increased use. In addition, small differences in the use of e-health between the different practice types were found. This study showed that although there was an increased uptake of e-health in Dutch general practice during the COVID-19 pandemic, only a minority of practices intends to maintain this increased use in the future. This may point towards a temporary uptake of digital healthcare delivery rather than accelerated implementation of digital processes.
新冠疫情迫使全科医生寻找远程医疗的可能性(例如,电子健康)。在这项研究中,调查了新冠疫情对荷兰全科医生使用电子健康的影响。此外,还调查了实践的意图,即继续更深入地使用电子健康,并调查了不同类型的实践之间电子健康的使用差异。为此,在 2020 年 4 月和 7 月向全科医生发送了网络调查。进行了描述性数据分析,并使用单向方差分析检验了不同实践类型之间电子健康的使用差异。4 月的回复率为 34%(=1433),7 月的回复率为 17%(=719)。疫情引发了对几种(新)电子健康应用的更多使用。少数实践表明有意维持这种增加的使用。此外,还发现不同实践类型之间在电子健康的使用上存在细微差异。本研究表明,尽管在新冠疫情期间荷兰全科医生中电子健康的使用有所增加,但只有少数实践打算在未来维持这种增加的使用。这可能表明数字医疗服务的采用是暂时的,而不是数字流程的加速实施。