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新冠疫情期间医疗保健专业人员对心理健康远程医疗的认知与满意度:远程精神病学的真实体验

Healthcare professionals' perception and satisfaction with mental health tele-medicine during the COVID-19 outbreak: A real-world experience in telepsychiatry.

作者信息

Roncero Carlos, Remon-Gallo Diego, Casado-Espada Nerea, Aguilar Lourdes, Gamonal-Limcaoco Sinta, Gallego María Teresa, Bote Berta, Montejo Angel Luis, Buch-Vicent Barbara

机构信息

Psychiatric Service, University of Salamanca Health Care Complex, Salamanca, Spain.

Salamanca Institute of Biomedicine, University of Salamanca, Salamanca, Spain.

出版信息

Front Psychiatry. 2022 Nov 4;13:981346. doi: 10.3389/fpsyt.2022.981346. eCollection 2022.

DOI:10.3389/fpsyt.2022.981346
PMID:36405902
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9673754/
Abstract

BACKGROUND

The use of telemedicine is increasingly being implemented, showing numerous benefits over other methods. A good example of this is the use of telemedicine following the breakdown caused by the COVID-19 pandemic. Previous experiences with telemedicine (TM) have not been significantly explored in relation to the professionals' own perspectives.

OBJECTIVE

Identify and explore the perceptions and interests of mental health professionals who have performed TM during the period of pandemia.

METHODS

A questionnaire on mental health professionals' perceptions of and satisfaction of TM, the Font Roja Work Satisfaction Questionnaire, was adapted and used. Data collected included 112 Psychiatric Service professionals who conducted TM in March 2020, after the country had been under lockdown for 10 weeks. Over 12.000 medical consultations were carried out by the phone, showing an overwhelming response to this method.

RESULTS

High levels of satisfaction were recorded amongst professionals. TM would function as a complement to the traditional system of face-to-face visits (n-112, f-109, 96.5%). Only 9.7% (f-11) believed that digital or virtual interventions would completely replace face-to-face visits. 60.8% did not consider this monotonous work. The older the health workers were, the more satisfied they felt during their follow-up telephone consultation. The greater the previous experience, the more satisfaction was shown. There were gender differences: female mental health workers reported a greater level of comfort.

CONCLUSION

TM can be implemented with less effort, but it requires time, methods, and resources to be managed. Satisfaction among professionals is high, especially among those with more clinical experience. Patient satisfaction must be contrasted against this.

摘要

背景

远程医疗的应用日益广泛,相较于其他方法展现出诸多优势。新冠疫情导致医疗系统崩溃后远程医疗的应用便是一个很好的例证。以往关于远程医疗(TM)的经验,尚未从专业人员自身的角度进行深入探讨。

目的

识别并探究在疫情期间开展远程医疗的心理健康专业人员的认知和兴趣。

方法

采用并改编了一份关于心理健康专业人员对远程医疗的认知和满意度的问卷,即丰特罗亚工作满意度问卷。收集的数据包括2020年3月在该国实施封锁10周后开展远程医疗的112名精神科服务专业人员。通过电话进行了超过12000次医疗咨询,显示出对这种方式的热烈响应。

结果

专业人员的满意度较高。远程医疗将作为传统面对面就诊系统的补充(n = 112,f = 109,96.5%)。只有9.7%(f = 11)的人认为数字或虚拟干预会完全取代面对面就诊。60.8%的人不认为这是单调的工作。卫生工作者年龄越大,在后续电话咨询中感觉越满意。以往经验越丰富,满意度越高。存在性别差异:女性心理健康工作者表示舒适度更高。

结论

远程医疗的实施难度较小,但需要对时间、方法和资源进行管理。专业人员的满意度较高,尤其是那些临床经验更丰富的人员。必须将患者满意度与之进行对比。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2071/9673754/cc5bb54a04f8/fpsyt-13-981346-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2071/9673754/617f221ad5d4/fpsyt-13-981346-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2071/9673754/cc5bb54a04f8/fpsyt-13-981346-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2071/9673754/617f221ad5d4/fpsyt-13-981346-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2071/9673754/cc5bb54a04f8/fpsyt-13-981346-g0002.jpg

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