Khan Khalid L, Kanani Suleman, Nisa Mehr
Family Medicine, Primary Health Care Corporation, Doha, QAT.
Cureus. 2022 Nov 30;14(11):e32084. doi: 10.7759/cureus.32084. eCollection 2022 Nov.
While telemedicine has been extensively researched throughout the globe, the Middle East has seen relatively little research on the topic. The purpose of this study was to investigate the primary care physicians' perceptions of the use of telemedicine, as well as its hurdles and benefits, during the COVID-19 pandemic in the state of Qatar. In this multicenter cross-sectional study, an internally validated questionnaire was distributed among primary care physicians utilizing telemedicine during the pandemic at Primary Health Care Corporation (PHCC), the main primary care provider in Qatar. A convenience sample was taken due to the pandemic restrictions. Out of 254 analyzed questionnaires, about half of the physicians (48%) had used telemedicine in the past primarily in the form of telephone consultations. Nearly three-quarters (74%) of physicians agreed that telemedicine is an easy way to communicate during the pandemic, but only half (52%) felt it improved job performance and effectiveness. Most physicians (90%) agreed that telemedicine is safe during the pandemic, but opinion was split on whether an optimum assessment of COVID-19 disease could be conducted. The majority also considered telemedicine an effective tool for chronic disease reviews (63%) and other consultations such as blood test results and medicine prescriptions (71%). The most significant barrier to telemedicine use was a language barrier followed by a lack of proper training. About 79% of responders felt that telemedicine improves access to healthcare and assists in contacting difficult-to-reach individuals, and 74% also thought it minimizes no-shows in the clinics. Our study has shown that most physicians felt comfortable and safer using telemedicine as an alternative means to conduct consultations during the pandemic. Keeping in view its advantages, the majority suggested that it could be incorporated into daily practice even beyond the pandemic. However, concerns were raised about its use to assess COVID-19 disease, lack of training, and potential barriers such as language differences. Further studies are needed to assess the efficiency and cost-effectiveness of telemedicine as well as the evaluation of alternative media such as video consultation, which could increase the utility of telemedicine and potentially mitigate some of its disadvantages.
虽然远程医疗在全球范围内已得到广泛研究,但中东地区对该主题的研究相对较少。本研究的目的是调查卡塔尔国在新冠疫情期间基层医疗医生对远程医疗使用的看法及其障碍和益处。在这项多中心横断面研究中,一份内部验证过的问卷被分发给卡塔尔主要的基层医疗服务提供商——初级卫生保健公司(PHCC)在疫情期间使用远程医疗的基层医疗医生。由于疫情限制,采用了便利抽样。在254份分析的问卷中,约一半的医生(48%)过去主要以电话咨询的形式使用过远程医疗。近四分之三(74%)的医生同意远程医疗是疫情期间一种便捷的沟通方式,但只有一半(52%)的医生认为它提高了工作绩效和效率。大多数医生(90%)同意远程医疗在疫情期间是安全的,但对于是否能对新冠疾病进行最佳评估,意见存在分歧。大多数人还认为远程医疗是慢性病复诊的有效工具(63%)以及其他咨询(如血液检查结果和药方)的有效工具(71%)。使用远程医疗最主要的障碍是语言障碍,其次是缺乏适当培训。约79%的受访者认为远程医疗改善了医疗服务的可及性,并有助于联系难以接触到的人群,74%的人还认为它减少了诊所的爽约情况。我们的研究表明,大多数医生在疫情期间使用远程医疗作为进行咨询的替代方式时感到舒适和更安全。鉴于其优势,大多数人建议即使在疫情过后,也可将其纳入日常实践。然而,人们对使用它评估新冠疾病、缺乏培训以及语言差异等潜在障碍表示担忧。需要进一步研究来评估远程医疗的效率和成本效益,以及对视频咨询等替代媒介的评估,这可能会提高远程医疗的效用并潜在地减轻其一些缺点。