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巴西 COVID-19 大流行时期医疗保健提供者和用户对远程咨询的看法:探索性访谈研究。

Perception of Health Care Providers and Users on Teleconsultation in Times of COVID-19 in Brazil: An Exploratory Interview Study.

机构信息

Sergio Arouca National School of Public Health, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.

出版信息

Telemed J E Health. 2023 May;29(5):717-725. doi: 10.1089/tmj.2022.0132. Epub 2022 Oct 25.

Abstract

In the context of the COVID-19 pandemic in Brazil, teleconsultation was considered an important instrument in the fight against the health crisis, with temporary mandates changing the current legislation to expand its use. This study examined the perceptions of health care providers and users regarding teleconsultation. The study consisted of a national survey of 1,089 participants, of which 480 were health care providers and 609 were users, carried out through two semistructured questionnaires administered between June and August 2020, using six categories of analysis for teleconsultation-quality, remuneration, duties and responsibilities, experience and positioning regarding use, and technology-and an additional question about the benefits and harms of telemedicine. The research indicated that, although face-to-face care is favored, there is an important movement toward accepting virtual care, even though there are relative differences in perception regarding the six categories analyzed. Regarding the benefits of telemedicine, issues such as access, practicality, agility, convenience, easiness, and speed stood out as well as concerns such as contact, quality, impersonality, distance, errors, and falsehood, among others. Although there is evidence of benefits and limitations, bringing to light that contributions from the perception of health care providers and users can help promote debates to establish teleconsultation on a permanent basis in Brazil.

摘要

在巴西的 COVID-19 大流行背景下,远程咨询被认为是应对卫生危机的重要手段,临时授权修改了现行法规以扩大其使用范围。本研究调查了医疗保健提供者和用户对远程咨询的看法。该研究是一项全国性调查,共有 1089 名参与者,其中 480 名为医疗保健提供者,609 名为用户。调查于 2020 年 6 月至 8 月期间通过两份半结构化问卷进行,使用了六个类别进行分析,包括远程咨询质量、报酬、职责和责任、使用经验和定位以及技术,还有一个关于远程医疗的益处和危害的附加问题。研究表明,尽管面对面护理受到青睐,但人们越来越接受虚拟护理,尽管对于所分析的六个类别存在相对差异的看法。关于远程医疗的益处,突出的问题有可及性、实用性、灵活性、便利性、易用性和速度,以及关注的问题有接触、质量、非人格化、距离、错误和虚假等。尽管有证据表明存在益处和限制,但需要注意的是,医疗保健提供者和用户的看法可以帮助促进辩论,以便在巴西永久建立远程咨询。

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