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Pakistan's Healthcare System: A Review of Major Challenges and the First Comprehensive Universal Health Coverage Initiative.巴基斯坦的医疗体系:重大挑战回顾与首个全面全民健康覆盖倡议
Cureus. 2023 Sep 4;15(9):e44641. doi: 10.7759/cureus.44641. eCollection 2023 Sep.
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Leverage of mHealth integration in Maternal and child health services and COVID-19 Pandemic.移动医疗在母婴健康服务和 COVID-19 大流行中的应用。
J Pak Med Assoc. 2023 Feb;73(2):370-373. doi: 10.47391/JPMA.5156.
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Lancet Glob Health. 2023 Jan;11(1):e23-e25. doi: 10.1016/S2214-109X(22)00459-4.
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Knowledge and awareness of health professionals towards telemedicine services in Northwest, Ethiopia.埃塞俄比亚西北部卫生专业人员对远程医疗服务的了解与认识
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巴基斯坦医疗服务提供者对远程医疗接受度的促进因素与障碍:一项横断面调查。

Facilitators and barriers in acceptance of telemedicine among healthcare providers in Pakistan: A cross-sectional survey.

作者信息

Wasi Abbas Muhammad, Nawaz Tahir Hasan, Jaffar Nazish, Raza Ghana, Aman Ali Syed, Jabeen Rawshan

机构信息

Department of Medicine, Sindh Medical College, Jinnah Sindh Medical University, Karachi, Pakistan.

Department of Community Health Sciences, The Aga Khan University, Karachi, Pakistan.

出版信息

J Med Access. 2024 Jul 25;8:27550834241266413. doi: 10.1177/27550834241266413. eCollection 2024 Jan-Dec.

DOI:10.1177/27550834241266413
PMID:39071989
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11273570/
Abstract

OBJECTIVES

This study aimed to assess healthcare professionals' awareness and acceptance of telemedicine residing in Pakistan.

MATERIALS AND METHODS

A cross-sectional study was conducted across Pakistan from November 2021 to March 2022. Data entry was done through a self-administered questionnaire. In this survey, the non-probability purposive sampling method was adopted. Medical doctors from all specialties that fall into the age category of 20-60 years were included in this study. Statistical Package for Social Sciences (SPSS) version 22.0 was used for univariate data analysis.

RESULTS

Among the 860 healthcare professionals who received the survey, 198 responded (23.0% response rate). The mean ± SD age of the participants was 31.16 ± 8.56. The results were found to be statistically significant for knowledge about telemedicine among healthcare professionals workplace, that is, healthcare professionals working in the private sector indicated a high level of awareness regarding telemedicine as compared to those in the public sector ( = 0.03). A significant difference (-value ⩽ 0.05) in knowledge was seen among doctors working in the public sector and those working in a private setup. Results indicate significant positive associations between telemedicine utilization and perceived benefits over disadvantages ( = 1.03,  = 0.017), reliance among healthcare professionals (β = 1.22,  = 0.008), and enhancement in healthcare quality ( = 1.42,  = 0.001). Moreover, familiarity with telemedicine correlates strongly with its usage ( = 2.56,  < 0.000).

CONCLUSION

Overall, healthcare professionals exhibited satisfactory knowledge regarding telemedicine and showed an accepting attitude toward telemedicine. Our study recommends enhancing the importance of Telemedicine training at the Healthcare professionals' level to produce quality service delivery in healthcare organizations.

摘要

目的

本研究旨在评估巴基斯坦医疗保健专业人员对远程医疗的认知和接受程度。

材料与方法

2021年11月至2022年3月在巴基斯坦开展了一项横断面研究。数据录入通过自填式问卷进行。本调查采用非概率目的抽样方法。本研究纳入了年龄在20 - 60岁之间的各专科医生。使用社会科学统计软件包(SPSS)22.0版进行单变量数据分析。

结果

在860名接受调查的医疗保健专业人员中,198人做出了回应(回应率为23.0%)。参与者的平均年龄±标准差为31.16±8.56。结果发现,医疗保健专业人员工作场所关于远程医疗的知识具有统计学意义,即与公共部门的人员相比,私营部门的医疗保健专业人员对远程医疗的认知水平较高(P = 0.03)。在公共部门工作的医生和在私营机构工作的医生之间,知识方面存在显著差异(P值≤0.05)。结果表明,远程医疗的使用与感知到的利大于弊(P = 1.03,P = 0.017)、医疗保健专业人员之间的依赖程度(β = 1.22,P = 0.008)以及医疗质量的提高(P = 1.42,P = 0.001)之间存在显著的正相关。此外,对远程医疗的熟悉程度与其使用密切相关(P = 2.56,P < 0.000)。

结论

总体而言,医疗保健专业人员对远程医疗表现出了令人满意的知识水平,并对远程医疗持接受态度。我们的研究建议在医疗保健专业人员层面提高远程医疗培训的重要性,以便在医疗保健组织中提供高质量的服务。