Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Department of Health Information Technology, School of Paramedical, Ilam University of Medical Sciences, Ilam, Iran.
BMC Med Inform Decis Mak. 2022 Apr 13;22(1):99. doi: 10.1186/s12911-022-01834-5.
Following the coronavirus disease 2019 (COVID-19) pandemic, the health authorities recommended the implementation of strict social distancing and complete lockdown regulations to reduce disease spread. The pharmacists quickly adopted telemedicine (telepharmacy) as a solution against this crisis, but awareness about this technology is lacking. Therefore, the purpose of this research was to explore the patients' perspectives and preferences regarding telepharmacy instead of traditional in-person visits.
An electronic questionnaire was designed and sent to 313 patients who were eligible for the study (from March to April 2021). The questionnaire used five-point Likert scales to inquire about motivations for adopting telepharmacy and in-person visits, their perceived advantages and disadvantages, and the declining factors of telepharmacy. Finally, the results were descriptively analyzed using SPSS 22.
Of all 313 respondents, a total of 241 (77%) preferred appointments via telepharmacy while 72 (23%) preferred in-person services. There was a significant difference between the selection percentage of telepharmacy and in-person services (chi-square 91.42; p < 0.0001). Preference bout the telepharmacy system versus in-person visits to the pharmacy was associated with factors such as "reducing the incidence of contagious disease" (4.41; ± 0.78), "spending less time receiving pharmaceutical services" (4.24; ± 0.86)), and "traveling a shorter distance for receiving pharmaceutical services" (4.25; ± 0.86). "Reducing costs" (90.87%), "saving time" (89.21%), and "reducing the incidence of contagious disease" (87.13%) were the most important reasons for choosing telepharmacy services. Also, "face-to-face communication with the pharmacist" (25%), "low internet bandwidth" (25%), and "reduction of patients' anxiety and the increase of their peace of mind" (23.61%) were the most important reasons for choosing in-person visits.
Survey data indicate that most participants are likely to prefer the use of telepharmacy, especially during crises such as the current COVID-19 pandemic. Telepharmacy can be applied as an important means and a crucial service to lessen the load on healthcare organizations and expand drug supply shelters in pharmacies. However, there are still substantial hurdles to overcome in order to successfully implement the telemedicine platform as part of mainstream practice.
在 2019 年冠状病毒病(COVID-19)大流行之后,卫生当局建议实施严格的社会距离和全面封锁规定,以减少疾病传播。药剂师迅速将远程医疗(远程配药)作为应对这一危机的一种解决方案,但人们对这项技术的认识还很缺乏。因此,本研究的目的是探讨患者对远程医疗而不是传统的面对面就诊的看法和偏好。
设计了一份电子问卷,并于 2021 年 3 月至 4 月期间发送给 313 名符合研究条件的患者。该问卷使用五点李克特量表来询问采用远程医疗和面对面就诊的动机、他们认为的优点和缺点、以及远程医疗的下降因素。最后,使用 SPSS 22 对结果进行描述性分析。
在所有 313 名受访者中,共有 241 人(77%)更喜欢通过远程医疗预约,而 72 人(23%)更喜欢亲自到药房就诊。远程医疗和面对面服务的选择百分比有显著差异(卡方 91.42;p<0.0001)。与选择远程医疗系统而不是到药房就诊相关的因素包括“降低传染病发病率”(4.41;±0.78)、“减少接受药物服务的时间”(4.24;±0.86)和“减少接受药物服务的旅行距离”(4.25;±0.86)。“降低成本”(90.87%)、“节省时间”(89.21%)和“降低传染病发病率”(87.13%)是选择远程医疗服务的最重要原因。此外,“与药剂师面对面交流”(25%)、“互联网带宽低”(25%)和“降低患者焦虑感并增加其安心感”(23.61%)是选择面对面就诊的最重要原因。
调查数据表明,大多数参与者可能更愿意使用远程医疗,尤其是在当前 COVID-19 大流行等危机期间。远程医疗可以作为减轻医疗机构负担和扩大药房药品供应庇护所的重要手段和关键服务。然而,要成功实施远程医疗平台作为主流实践的一部分,仍然存在许多重大障碍。