Kheir Dalia Y M El, Alshamsi Razan A, Alalwi Sukainah T, Alshammari Razan Z
Department of Family and Community Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Eastern Province, Saudi Arabia.
J Family Community Med. 2022 May-Aug;29(2):145-154. doi: 10.4103/jfcm.jfcm_105_22. Epub 2022 May 13.
Telemedicine involves the use of electronic communication and technology to remotely deliver clinical services to patients. With the increase in the adoption of telemedicine in healthcare delivery, "webside healthcare" is becoming the virtual analog of bedside care. The Ministry of Health in Saudi Arabia has recently established the use of telemedicine, including social media (SM) and medical applications (Apps) to enhance the quality and accessibility of healthcare services to patients and healthcare providers. In the present study, we evaluated medical interns' perception of the use of telemedicine, SM, and medical Apps in patient care, their awareness of related guidelines to find out if targeted training is needed.
A qualitative study recruited and interviewed, through semi-structured key informant (KI) interviews and focus group discussions (FGD), a total of 24 male and female medical interns. The Interns were purposefully sampled from all Saudi Arabia's 5 main geographical regions until data saturation was observed. The transcripts of five KI interviews and 6 FGDs done were thematically analyzed and are presented as themes and subthemes.
Medical interns discussed the advantages and disadvantages related to telemedicine, SM, and medical Apps in healthcare services. Overall, interviewees appreciated the role telemedicine, SM, and medical Apps play in the healthcare and for such particular specialties as family medicine and (tele-) psychiatry. However, the interns believed that training on the technical operational aspects of different telemedicine modalities with an emphasis on targeted education for related ethical and legal regulating guidelines was vital.
Most interviewed medical interns had a positive perception of telemedicine and were willing to use it in their daily clinical practice. However, there were some challenges to its successful implementation such as prompt training on its proper use and clear ethical and legal guidance.
远程医疗涉及利用电子通信和技术向患者远程提供临床服务。随着远程医疗在医疗服务中的应用不断增加,“网络医疗”正成为床边护理的虚拟对应物。沙特阿拉伯卫生部最近已开始使用远程医疗,包括社交媒体(SM)和医疗应用程序(应用),以提高医疗服务对患者和医疗服务提供者的质量和可及性。在本研究中,我们评估了医学实习生对在患者护理中使用远程医疗、社交媒体和医疗应用程序的看法,以及他们对相关指南的知晓情况,以确定是否需要进行针对性培训。
一项定性研究通过半结构化关键 informant(KI)访谈和焦点小组讨论(FGD),招募并采访了总共 24 名男女医学实习生。这些实习生是从沙特阿拉伯所有 5 个主要地理区域有目的地抽取的,直至观察到数据饱和。对 5 次 KI 访谈和 6 次 FGD 的记录进行了主题分析,并以主题和子主题的形式呈现。
医学实习生讨论了远程医疗、社交媒体和医疗应用程序在医疗服务中的优缺点。总体而言,受访者赞赏远程医疗、社交媒体和医疗应用程序在医疗保健以及家庭医学和(远程)精神病学等特定专业中所起的作用。然而,实习生们认为,针对不同远程医疗模式的技术操作方面进行培训,重点是针对相关伦理和法律监管指南的针对性教育至关重要。
大多数接受采访的医学实习生对远程医疗持积极看法,并愿意在日常临床实践中使用它。然而,其成功实施存在一些挑战,例如对其正确使用的及时培训以及明确的伦理和法律指导。