National Engineering Laboratory for Internet Medical Systems and Applications, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
National Telemedicine Center of China, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Int J Med Inform. 2023 Oct;178:105202. doi: 10.1016/j.ijmedinf.2023.105202. Epub 2023 Aug 25.
This study aims to evaluate satisfaction and service effectiveness of primary hospital physicians participating in the National Telemedicine Center of China during the COVID-19 period, and to identify potential improvement suggestions.
An online questionnaire was developed to assess the impact and satisfaction of teleconsultation services. A teleconsultation manager from each of the 98 hospitals randomly invited the medical staff involved in teleconsultation to complete the online questionnaire.
A total of 379 health care professionals responded to the online questionnaire, with a mean age of 36.74 years. Out of these respondents, 95.5% had a positive attitude towards teleconsultation during the epidemic. Only 6.6% believed that teleconsultation systems were not useful in preventing and controlling the COVID-19 pandemic. Those respondents who were very satisfied with teleconsultation participated in it 1.81 times per week averagely. Factors related to satisfaction included weekly participation frequency（P=.003）, patient data quality(P=.023), equipment operation proficiency（P=.006）, audio and video clarity and smoothness（P=.004, P=.020）, environmental satisfaction（P=.032）, and incentive measures of title promotion（P=.003）. The main challenges in teleconsultation were the lack of understanding of medical staff and the public, insufficiently advanced software and hardware equipment, and the lack of optimization of service processes.
Primary hospital doctors demonstrate high satisfaction levels, suggesting that teleconsultation could be an effective tool for patients seeking medical care in areas under lockdown during the COVID-19 pandemic. The primary barriers to teleconsultation include lack of public understanding and unadvanced equipment. These findings should inform future efforts to establish regional telemedicine programs in the post-COVID-19 era.
本研究旨在评估参与中国国家远程医疗中心的基层医院医生在 COVID-19 期间的满意度和服务效果，并确定潜在的改进建议。
开发了在线问卷来评估远程咨询服务的影响和满意度。每个参与远程咨询的医院的远程咨询经理随机邀请参与远程咨询的医务人员填写在线问卷。
共有 379 名医疗保健专业人员对在线问卷做出了回应，平均年龄为 36.74 岁。在这些受访者中，95.5%对大流行期间的远程咨询持积极态度。只有 6.6%的人认为远程咨询系统对 COVID-19 大流行的防控没有用。那些对远程咨询非常满意的受访者平均每周参与 1.81 次。与满意度相关的因素包括每周参与频率（P=.003）、患者数据质量（P=.023）、设备操作熟练度（P=.006）、音频和视频清晰度和流畅度（P=.004，P=.020）、环境满意度（P=.032）和职称晋升激励措施（P=.003）。远程咨询的主要挑战是医护人员和公众对其了解不足、软件和硬件设备不够先进，以及服务流程优化不足。
基层医院医生的满意度较高，这表明在 COVID-19 大流行期间，远程咨询可以成为封锁地区患者寻求医疗服务的有效工具。远程咨询的主要障碍包括公众了解不足和设备不先进。这些发现应该为未来在 COVID-19 后时代建立区域性远程医疗计划提供信息。
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