Naghdi Rozhin, Nguyen Gianhu, Vazquez Cecile Maria, Antonio Christian Mark, Cabrera Carlos, Chandra Austin, Chok Jay
Keck Graduate Institute, Claremont, CA, United States.
JMIR Form Res. 2023 Jun 2;7:e44806. doi: 10.2196/44806.
Amidst the COVID-19 pandemic, the traditional health care model has evolved toward a more patient-centric model. In relation to this trend, digital health services have seen an acceleration, which may have significant implications for the health care model. Due to the impact of COVID-19 on health care facilities, it is important to explore health professionals' willingness to adopt a patient-centric digital health delivery model for medicine and health care.
The aim of this study was to pilot a survey that assesses the impact and implementation of telehealth in view of health care providers prior to and post COVID-19.
A total of 26 volunteer health care professionals participated in the pilot study, of which 19/26 (73%) completed the general demographics portion. Among these respondents, 9/26 (35%) completed the entirety of the survey. The questionnaire included questions relating to general demographics, accessibility and benefits, usability, and engagements with telemedicine. Participants were randomly assigned to 1 of the 4 questionnaire designs (A-D) based on their expertise in telehealth. Of the 9 total participants who completed their randomly assigned questionnaire, 1 (11%) was randomly assigned to A, 3 (33%) were randomly assigned to B, 2 (22%) were randomly assigned to C, and 3 (33%) were randomly assigned to D.
Responses and data from the study questionnaire were collected from Qualtrics. Microsoft Excel was used for data organization. Due to limited responses and data, no advanced statistical software was implemented. From the 9 participants who completed the entirety of the survey, responses from those with telehealth experience (n=4) showed that telehealth was preferred for follow-ups, lab results, and consultations, and that with telehealth, there was greater flexibility with appointment times and a decrease in the number of patients seen. Among the 4 health care providers with telehealth experience, all of them believed it improved accessibility and reduced physical barriers; health care professionals believed telehealth reduced translational barriers with patients. Among health care professionals without telehealth experience (n=5), 60% (3/5) reported a decrease in appointments for in-office visits post COVID-19 and strongly agreed or agreed that telehealth could influence the quality of care for patients. All 5 participants also reported no general concerns about telehealth prior to the pandemic and agreed that it would provide accessibility for patients.
Preliminary findings of our pilot study showed initial support of a dynamical shift within the health care model due to the rise in the use of telehealth services between health care providers and patients but no statistically significant results. Further research and investigation with a larger sample size is warranted to better understand the mindset of health care professionals in adopting telemedicine post COVID-19.
在新冠疫情期间,传统医疗模式已朝着更加以患者为中心的模式发展。与此趋势相关的是,数字健康服务加速发展,这可能对医疗模式产生重大影响。由于新冠疫情对医疗机构的影响,探索医疗专业人员采用以患者为中心的数字医疗服务模式用于医学和医疗保健非常重要。
本研究的目的是进行一项试点调查,以评估新冠疫情前后医疗服务提供者对远程医疗的影响和实施情况。
共有26名志愿医疗专业人员参与了试点研究,其中19/26(73%)完成了一般人口统计学部分。在这些受访者中,9/26(35%)完成了全部调查。问卷包括与一般人口统计学、可及性和益处、可用性以及远程医疗参与度相关的问题。参与者根据他们在远程医疗方面所具备的专业知识被随机分配到4种问卷设计(A - D)中的一种。在完成随机分配问卷的9名参与者中,1名(11%)被随机分配到A,3名(33%)被随机分配到B,2名(22%)被随机分配到C,3名(33%)被随机分配到D。
研究问卷的回复和数据是从Qualtrics收集的。使用Microsoft Excel进行数据整理。由于回复和数据有限,未使用高级统计软件。在完成全部调查的9名参与者中,有远程医疗经验者(n = 4)的回复表明,远程医疗更适合用于随访、实验室检查结果和会诊,并且通过远程医疗,预约时间更灵活,就诊患者数量减少。在4名有远程医疗经验的医疗服务提供者中,他们都认为远程医疗提高了可及性并减少了身体障碍;医疗专业人员认为远程医疗减少了与患者之间的沟通障碍。在没有远程医疗经验的医疗专业人员(n = 5)中,60%(3/5)报告称新冠疫情后门诊预约减少,并强烈同意或同意远程医疗会影响患者的护理质量。所有5名参与者还报告在疫情之前对远程医疗没有普遍担忧,并同意远程医疗将为患者提供可及性。
我们试点研究的初步结果表明,由于医疗服务提供者与患者之间远程医疗服务使用的增加,医疗模式出现了动态转变的初步迹象,但没有统计学上的显著结果。有必要进行更大样本量的进一步研究和调查,以更好地了解新冠疫情后医疗专业人员采用远程医疗的心态。