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在新冠疫情时代,尼日利亚医疗系统中医疗服务提供者与患者对远程会诊服务采用情况的看法。

Healthcare provider-to-patient perspectives on the uptake of teleconsultation services in the Nigerian healthcare system during the COVID-19 pandemic era.

作者信息

Ezeonwumelu Ifeanyi Jude, Obijiaku Ifeanyi Jude, Ogbueche Chukwudi Martin, Nwaozuru Ucheoma

机构信息

AIDS Research Institute-IrsiCaixa and Health Research Institute Germans Trias i Pujol (IGTP), Hospital Germans Trias i Pujol, Universitat Autònoma de Barcelona, Badalona, Spain.

Department of Medicine, University of Benin Teaching Hospital, Edo State, Nigeria.

出版信息

PLOS Glob Public Health. 2022 Feb 9;2(2):e0000189. doi: 10.1371/journal.pgph.0000189. eCollection 2022.

Abstract

The urgency to curtail the devastating effects of the ongoing COVID-19 Pandemic has led to the implementation of several measures to limit its spread, including movement restrictions and social distancing. As most developing countries rely solely on hospital visitations for their medical needs, this impediment to assessing healthcare services compounded by low uptake of telehealth services could result in dire consequences. This is a cross-sectional study among Healthcare providers (HCP) and Healthcare consumers (HCC) in Nigeria. We administered a pre-validated self-administered online questionnaire comprising questions to assess the knowledge, use, perceptions, and benefits of telemedicine among study participants. Descriptive statistics were used to examine participants' perceptions on telemedicine use and to summarize participants' characteristics. A total of 158 healthcare providers and 1381 healthcare consumers completed the online survey. Ninety percent of HCP reported that they used some form of telemedicine to deliver health care, and 63% of HCC had received healthcare through telemedicine. A significant proportion of HCP (62%) and HCC (69%) agreed that telemedicine would improve healthcare consultation experience and satisfaction. However, fewer (21%) HCP agreed that they liked that there would be no physical contact with patients using telemedicine. In contrast, 52% of HCC agreed that they liked that there would be no physical contact with healthcare providers while using telemedicine. The majority of the participants believed that benefits of telemedicine would include: being a safe way for healthcare delivery during pandemics (HCP = 62%, HCC = 83%), affordability (HCP = 62%, HCC = 82%), and time-saving (HCP = 54%, HCC = 82%,). Teleconsultation services have been shown to aptly complement face-to-face hospital visits in ensuring effective triaging in hospitals and providing adequate healthcare delivery to patients regardless of geographical and physical barriers. These results support telemedicine use for the provision of healthcare services during the COVID-19 pandemic.

摘要

遏制当前新冠疫情毁灭性影响的紧迫性,促使人们采取了多项措施来限制其传播,包括行动限制和社交距离措施。由于大多数发展中国家完全依赖前往医院就诊来满足医疗需求,这种评估医疗服务的障碍,再加上远程医疗服务利用率较低,可能会导致严重后果。这是一项针对尼日利亚医疗服务提供者(HCP)和医疗服务消费者(HCC)的横断面研究。我们发放了一份预先验证过的在线自填问卷,其中包含一些问题,以评估研究参与者对远程医疗的知识、使用情况、看法和益处。描述性统计用于研究参与者对远程医疗使用的看法,并总结参与者的特征。共有158名医疗服务提供者和1381名医疗服务消费者完成了在线调查。90%的医疗服务提供者报告称他们使用了某种形式的远程医疗来提供医疗服务,63%的医疗服务消费者通过远程医疗接受过医疗服务。很大一部分医疗服务提供者(62%)和医疗服务消费者(69%)一致认为远程医疗将改善医疗咨询体验和满意度。然而,较少比例(21%)的医疗服务提供者同意他们喜欢使用远程医疗时无需与患者进行身体接触。相比之下,52%的医疗服务消费者同意他们喜欢使用远程医疗时无需与医疗服务提供者进行身体接触。大多数参与者认为远程医疗的益处包括:在疫情期间是一种安全的医疗服务提供方式(医疗服务提供者=62%,医疗服务消费者=83%)、可承受性(医疗服务提供者=62%,医疗服务消费者=82%)以及节省时间(医疗服务提供者=54%,医疗服务消费者=82%)。远程会诊服务已被证明能在确保医院有效分诊以及为患者提供充分医疗服务方面,很好地补充面对面的医院就诊,而不受地理和身体障碍的影响。这些结果支持在新冠疫情期间使用远程医疗来提供医疗服务。

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