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COVID-19大流行期间患者使用远程医疗进行眼科医疗护理的意愿。

Patients' Intentions to Use Telemedicine for Ophthalmic Medical Care During the COVID-19 Pandemic.

作者信息

Tsatsos Michael, Rodafinos Angelos, Athanasiadis Ioannis K, Mavropoulou Dafni

机构信息

Ophthalmology, Aristotle University of Thessaloniki, Thessaloniki, GRC.

Ophthalmology, Modern Ophthalmic Practice, Thessaloniki, GRC.

出版信息

Cureus. 2024 Feb 22;16(2):e54709. doi: 10.7759/cureus.54709. eCollection 2024 Feb.

Abstract

Background This study aimed to examine the factors predicting participants' intention to use telemedicine during the COVID-19 pandemic. Interest in health information technologies (HITs) has increased due to COVID-19. Most studies have focused on the acceptance of HIT by physicians and nurses, while there is a lack of studies on patients' perception and acceptance of such systems in ophthalmology. Methodology In the first year of the COVID-19 pandemic, a survey comprising 19 items was conducted at an ophthalmic center in Greece. The participants included 77 patients diagnosed with various eye diseases. The survey aimed to evaluate variables related to the Technology Acceptance Model (TAM), such as perceived usefulness, perceived ease of use, facilitating conditions, and intention to use telemedicine. The statistical analyses included intercorrelations, internal consistency reliability tests, and multiple linear regression analysis to examine the predictors of intention to use telemedicine. Results The multiple linear regression analysis revealed that perceived usefulness and facilitating conditions emerged as significant predictors of eye patients' intentions to use HIT. Interestingly, while perceived ease of use did not exhibit a significant predictive relationship with use intentions, the influence of perceived usefulness and facilitating conditions within the healthcare context underscores the pivotal role of perceived utility and external support in shaping patients' willingness to engage with HIT for eye care. Conclusions Empirical data on patient acceptance offer a better understanding of the limiting factors and the variables that facilitate intentions to use services that may improve medical diagnoses, patient communication, and treatment adherence processes. Related interventions and communication efforts should highlight the benefits of HIT in ophthalmology and provide the appropriate support and means to facilitate its use during and after the pandemic.

摘要

背景 本研究旨在探讨在新冠疫情期间预测参与者使用远程医疗意愿的因素。由于新冠疫情,人们对健康信息技术(HIT)的兴趣有所增加。大多数研究都集中在医生和护士对HIT的接受程度上,而对于眼科患者对这类系统的认知和接受程度的研究却很缺乏。

方法 在新冠疫情的第一年,希腊的一个眼科中心开展了一项包含19个项目的调查。参与者包括77名被诊断患有各种眼部疾病的患者。该调查旨在评估与技术接受模型(TAM)相关的变量,如感知有用性、感知易用性、促进条件以及使用远程医疗的意愿。统计分析包括相互关联分析、内部一致性可靠性测试以及多元线性回归分析,以检验使用远程医疗意愿的预测因素。

结果 多元线性回归分析显示,感知有用性和促进条件成为眼科患者使用HIT意愿的显著预测因素。有趣的是,虽然感知易用性与使用意愿未呈现出显著的预测关系,但在医疗环境中感知有用性和促进条件的影响凸显了感知效用和外部支持在塑造患者参与眼科HIT意愿方面的关键作用。

结论 关于患者接受程度的实证数据有助于更好地理解限制因素以及那些促进使用可能改善医疗诊断、患者沟通和治疗依从过程的服务意愿的变量。相关干预措施和沟通努力应突出HIT在眼科的益处,并提供适当的支持和手段,以促进在疫情期间及之后对其的使用。

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Telemedicine in ophthalmology in view of the emerging COVID-19 outbreak.眼科的远程医疗在 COVID-19 疫情下的应用。
Graefes Arch Clin Exp Ophthalmol. 2020 Nov;258(11):2341-2352. doi: 10.1007/s00417-020-04879-2. Epub 2020 Aug 19.
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Virtual Ophthalmology: Telemedicine in a COVID-19 Era.虚拟眼科:新冠疫情时代的远程医疗。
Am J Ophthalmol. 2020 Aug;216:237-242. doi: 10.1016/j.ajo.2020.04.029. Epub 2020 Apr 30.

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