Service of Obstetrics and Gynecology, Hospital Clínico Universitario - INCLIVA, Av. Blasco Ibáñez 17, 46010, Valencia, Spain.
Bioinformatics and Biostatistics Unit, Biomedical Research Institute (INCLIVA). Valencia, Spain.
Maturitas. 2023 Feb;168:7-12. doi: 10.1016/j.maturitas.2022.10.011. Epub 2022 Nov 4.
Telehealth has emerged as an alternative to conventional, face-to-face visits, and the COVID pandemic has hastened its introduction. Telephone appointments make use of an easy-to-use and accessible technology.
To investigate the usability of telephone-based telehealth in a women's health outpatient clinic and whether this may be affected by the severity of the COVID pandemic.
A telephone survey was prepared to explore two usability domains: interaction quality (4 items) and satisfaction, preference and future use (6 items). Women were selected from two periods during the COVID pandemic when the infection rates were high and low.
The survey was completed by 106 women (60 when the prevalence of COVID was high, mean age 53.58 years, and 46 when it was low, mean age 48.59 years) out of the 153 women who had a telephone appointment. The severity of the COVID pandemic showed an effect on responses. Women were less enthusiastic about using the telephone during the period of low COVID prevalence, as shown by lower scores on 3 of the 4 items of the first domain [I had enough time; I would have understood better in person; I would have expressed myself better in person (p < 0.001 for comparison between groups on each of the 3 items)], and on 4 of the 6 items in the second domain [satisfied with quality of care (p < 0.001), or with the information received (p = 0.018); use of telephone in future (p < 0.001); preference to try other technologies in future (p < 0.001)]. Overall, women expressed a preference for in-person visits regardless of COVID prevalence rates.
Telephone calls were a feasible alternative to face-to-face visits in a women's health outpatient clinic, but the pandemic pressure modified usability parameters. Respondents preferred in-person visits at any pandemic stage.
远程医疗已成为传统面对面就诊的替代方式，而 COVID 大流行加速了其推广。电话预约利用了易于使用和易于访问的技术。
调查妇女健康门诊中基于电话的远程医疗的可用性，以及 COVID 大流行的严重程度是否会对此产生影响。
准备了一项电话调查，以探讨两个可用性领域：互动质量（4 项）和满意度、偏好和未来使用（6 项）。从 COVID 大流行期间感染率高和低的两个时期选择了女性。
在 153 名进行电话预约的女性中，有 106 名女性（感染率高时为 60 名，平均年龄为 53.58 岁，感染率低时为 46 名，平均年龄为 48.59 岁）完成了调查。COVID 大流行的严重程度对反应有影响。在 COVID 低流行期间，女性对使用电话的热情降低，表现在第一个领域的 4 个项目中的 3 个项目的得分较低[我有足够的时间；我会更清楚地理解；我会更好地亲自表达自己（在每组 3 个项目中，与组间比较，p<0.001）]，以及第二个领域的 6 个项目中的 4 个项目[对护理质量满意（p<0.001）或对收到的信息满意（p=0.018）；未来使用电话（p<0.001）；未来尝试其他技术的偏好（p<0.001）]。总体而言，无论 COVID 流行率如何，女性都表示更喜欢亲自就诊。
电话通话是妇女健康门诊中面对面就诊的可行替代方式，但大流行压力改变了可用性参数。受访者在任何大流行阶段都更喜欢亲自就诊。
