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通过在线问卷对巴西耳鼻喉科医生使用远程医疗的情况进行评估。

Assessment of the Use of Telemedicine by Brazilian Otolaryngologists through an Online Questionnaire.

作者信息

Felippu Alexandre Wady Debes, Morsch Thiago Picolli, Brandão Neto Deusdedit, Moretti Eduarda Montenegro, Felippu André Wady Debes, Cascio Filippo, Voegels Richard Louis

机构信息

Department of Otorhinolaryngology, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.

Department of Otorhinolaryngology, Instituto Felippu, São Paulo, SP, Brazil.

出版信息

Int Arch Otorhinolaryngol. 2024 May 25;28(4):e592-e596. doi: 10.1055/s-0044-1786385. eCollection 2024 Oct.

Abstract

The coronavirus disease 2019 (COVID-19) pandemic has prompted a transformation in medical practice, including the adoption of telemedicine in Brazil and globally. Otorhinolaryngology, a field at high risk of viral transmission, has witnessed an increasing use of telemedicine tools. However, the extent and challenges of telemedicine in this field in Brazil are not well understood. In the present study, we applied a questionnaire to Brazilian otorhinolaryngologists during the pandemic to assess telemedicine's advantages and challenges, shedding light on its integration and persistent issues in the field.  To assess the usage profile of telemedicine in the clinical practice of otolaryngology in Brazil.  The present was a cross-sectional observational study with convenience sampling. It was conducted as a web-based questionnaire distributed and advertised to Brazilian otorhinolaryngologists through social media posts on WhatsApp (Meta Platforms, Inc., Menlo Park, CA, USA), Instagram (Meta Platforms, Inc.), Facebook (Meta Platforms, Inc.), as well as direct messaging and email.  The sample size was 186 participants. A total of 69% of them had already provided or were currently providing telemedicine services, and 34% considered it a frequent or very frequent form of work at the time of data collection. In total, 90% of the respondents considered the lack of physical examination a problem in otolaryngological teleconsultations, while 64% reported frequently or very frequently resolving patient problems through teleconsultations.  Telemedicine emerged in the context of the COVID-19 pandemic as a promising tool for remote patient care. More studies are needed to elucidate its role in the context of limited physical examination.

摘要

2019年冠状病毒病(COVID-19)大流行促使医疗实践发生了变革,包括在巴西和全球范围内采用远程医疗。耳鼻喉科是病毒传播风险较高的领域,远程医疗工具的使用日益增加。然而,巴西该领域远程医疗的程度和挑战尚未得到充分了解。在本研究中,我们在大流行期间向巴西耳鼻喉科医生发放了一份问卷,以评估远程医疗的优势和挑战,阐明其在该领域的整合情况和持续存在的问题。

评估巴西耳鼻喉科临床实践中远程医疗的使用情况。

本研究为横断面观察性研究,采用便利抽样。通过在WhatsApp(美国加利福尼亚州门洛帕克的Meta平台公司)、Instagram(Meta平台公司)、Facebook(Meta平台公司)上发布社交媒体帖子,以及直接发送信息和电子邮件,以基于网络的问卷形式向巴西耳鼻喉科医生进行分发和宣传。

样本量为186名参与者。其中共有69%的人已经提供或正在提供远程医疗服务,34%的人在数据收集时认为这是一种频繁或非常频繁的工作形式。总体而言,90%的受访者认为在耳鼻喉科远程会诊中缺乏体格检查是一个问题,而64%的人报告经常或非常频繁地通过远程会诊解决患者问题。

远程医疗在COVID-19大流行的背景下出现,是一种用于远程患者护理的有前景的工具。需要更多研究来阐明其在体格检查受限情况下的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef51/11511432/483d3af5ac00/10-1055-s-0044-1786385-i2023091617or-1.jpg

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