Abegaz Ahmed Ketema, Tamire Abebe Habtamu, Asfaw Hussen
Department of Pediatrics and Child Health, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia.
Department of Nursing, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia.
Pediatric Health Med Ther. 2023 May 29;14:185-196. doi: 10.2147/PHMT.S402924. eCollection 2023.
The COVID-19 pandemic led to a paradigm shift in routine care delivery with the widespread transition to virtual care without demanding preconditions. Caregivers' satisfaction is a critical parameter to ensuring the quality of clinical service in the pediatric population. Despite this fact, such patient-related factors are under-investigated and poorly documented in developing countries such as Ethiopia. The study was aimed to assess caregivers' satisfaction regarding teleconsultations and associated factors during COVID-19 pandemic at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia.
Health institution-based cross-sectional survey was conducted in randomly selected caregivers who were served with phone-based medical consultations during the pandemic. Data were collected by means of a pretested, structured interviewer-administered questionnaire. Data were entered into Excel 2016 and analyzed using SPSS version 26. Logistic regression models were used to predict the association of study variables and adjusted for possible confounders.
Overall, 177 (61.5%) of participants reported satisfaction with the teleconsultation. Female caregivers (AOR=1.78; 95% CI 1.05, 3.01), having family support (AOR=2.6; 95% CI 1.45, 4.65), access to a nearby laboratory (AOR=2.18; 95% CI 1.24, 3.83), having access to nearby pharmacy (AOR=2.82; 95% CI 1.63, 4.86) were found to be predictors of caregivers' satisfaction with teleconsultation in the study area.
A considerable number of caregivers were satisfied with the teleconsultation service during the COVID-19 pandemic. It is important for healthcare providers and policy makers to strengthen the provision of teleconsultation service options for caregivers including women and those with better access to diagnostic centers and pharmacies. They should try to make teleconsultation caregiver-friendly.
新冠疫情导致常规医疗服务模式发生了范式转变,广泛转向无需前置条件的虚拟医疗服务。照顾者的满意度是确保儿科临床服务质量的关键参数。尽管如此,在埃塞俄比亚等发展中国家,此类与患者相关的因素研究不足且记录不完善。本研究旨在评估埃塞俄比亚亚的斯亚贝巴提库尔·安贝萨专科医院在新冠疫情期间照顾者对远程会诊的满意度及相关因素。
在疫情期间接受过电话医疗咨询服务的随机选取的照顾者中开展基于卫生机构的横断面调查。通过预先测试的、由访谈员实施的结构化问卷收集数据。数据录入Excel 2016并使用SPSS 26版进行分析。采用逻辑回归模型预测研究变量之间的关联,并对可能的混杂因素进行调整。
总体而言,177名(61.5%)参与者报告对远程会诊满意。女性照顾者(调整后比值比[AOR]=1.78;95%置信区间[CI]为1.05,3.01)、获得家庭支持(AOR=2.6;95%CI为1.45,4.65)、附近有实验室(AOR=2.18;95%CI为1.24,3.83)、附近有药房(AOR=2.82;95%CI为1.63,4.86)被发现是研究区域内照顾者对远程会诊满意度的预测因素。
在新冠疫情期间,相当数量的照顾者对远程会诊服务感到满意。对于医疗服务提供者和政策制定者来说,加强为包括女性以及更容易获得诊断中心和药房服务的照顾者提供远程会诊服务选项非常重要。他们应努力使远程会诊对照顾者更友好。