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巴西 COVID-19 疫情以来的远程医疗调查

Brazilian Medical Survey on Telemedicine since the onset of COVID-19.

机构信息

Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.

出版信息

Einstein (Sao Paulo). 2023 Sep 15;21:eAE0428. doi: 10.31744/einstein_journal/2023AE0428. eCollection 2023.

DOI:10.31744/einstein_journal/2023AE0428
PMID:37729352
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10501763/
Abstract

OBJECTIVE

The primary aim of this study was to understand the difference in the use of Telemedicine by Brazilian physicians before and after the onset of COVID-19 pandemic and their intention to continue using it post the pandemic period. The secondary objective was to analyze the differences of opinion between physicians in the private and public sectors.

METHODS

We conducted an online medical survey through the SurveyMonkey platform in a large hospital in São Paulo, Brazil, from May to July 2022.

RESULTS

Three-hundred-and -two physicians responded to the survey. We found that there was a significant increase in the number of physicians who started using Telemedicine in both the public and private sectors (p<0.0001) since the onset of COVID-19 pandemic and that >50% of them intend to continue using Telemedicine in their daily practice. Most responders consider that Telemedicine is useful in screening, diagnosis and management of patients; that it facilitates the physician's daily practice; that it can maintain or even add financial gains through reducing office expenses; and that is another medium for dispensing medical care. They also believe that Telemedicine should be regulated by the Brazilian Federal Council of Medicine. There were no significant differences between the responses from private and public sector physicians.

CONCLUSION

Telemedicine has played a major role in healthcare since the onset of COVID-19 pandemic and most of the physicians approve its use and intend to continue using Telemedicine in their daily practice.

摘要

目的

本研究的主要目的是了解巴西医生在 COVID-19 大流行前后使用远程医疗的差异,以及他们在大流行后继续使用远程医疗的意愿。次要目的是分析私营和公共部门医生之间的意见差异。

方法

我们于 2022 年 5 月至 7 月在巴西圣保罗的一家大医院通过 SurveyMonkey 平台进行了在线医学调查。

结果

320 名医生对调查做出了回应。我们发现,自 COVID-19 大流行以来,公共和私营部门开始使用远程医疗的医生数量显著增加(p<0.0001),超过 50%的医生打算在日常实践中继续使用远程医疗。大多数受访者认为远程医疗在筛查、诊断和管理患者方面很有用;它方便了医生的日常工作;它可以通过减少办公费用来维持甚至增加收入;并且是提供医疗服务的另一种媒介。他们还认为,远程医疗应该由巴西联邦医学委员会监管。私营和公共部门医生的反应没有显著差异。

结论

自 COVID-19 大流行以来,远程医疗在医疗保健中发挥了重要作用,大多数医生赞成使用远程医疗,并打算在日常实践中继续使用远程医疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e7d/10501763/101457c9907d/2317-6385-eins-21-eAE0428-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e7d/10501763/36eb7615041b/2317-6385-eins-21-eAE0428-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e7d/10501763/101457c9907d/2317-6385-eins-21-eAE0428-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e7d/10501763/36eb7615041b/2317-6385-eins-21-eAE0428-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e7d/10501763/101457c9907d/2317-6385-eins-21-eAE0428-gf02.jpg

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J Surg Res. 2021 Nov;267:274-283. doi: 10.1016/j.jss.2021.05.019. Epub 2021 May 24.
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A Consensus-Based Checklist for Reporting of Survey Studies (CROSS).基于共识的调查研究报告清单(CROSS)
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Teledermatology reduces dermatology referrals and improves access to specialists.
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Patient and clinician experience with a rapidly implemented large-scale video consultation program during COVID-19.新冠疫情期间,一个大规模视频咨询项目的快速实施中患者和临床医生的体验。
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