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马来西亚雪兰莪州政府健康诊所医护人员对虚拟咨询服务的满意度及相关因素

Satisfaction With Virtual Consultation Services and Associated Factors Among Health Care Providers in Government Health Clinics in Selangor, Malaysia.

作者信息

Abdul Razak Ihsan, Kusnin Faridah, Sukeri Surianti

机构信息

Community Medicine Department, Universiti Sains Malaysia School of Medical Sciences, Kubang Kerian, MYS.

Primary Health Care Unit, Selangor State Health Department, Shah Alam, MYS.

出版信息

Cureus. 2024 Oct 1;16(10):e70591. doi: 10.7759/cureus.70591. eCollection 2024 Oct.

Abstract

BACKGROUND

In Malaysia, virtual consultation services (VCSs) have been implemented by the Ministry of Health (MOH) since 2019 to complement current healthcare service delivery in government health clinics. Although the services have been proven to benefit patients, little is known about the satisfaction of healthcare providers (HCPs) who run the services. This study utilizes the extended Technology Acceptance Model to evaluate the satisfaction of HCPs with VCS and identify associated factors to further improve these services.

OBJECTIVES

In this study, we aimed to determine the proportion of HCPs who were satisfied with the VCS and identify factors contributing to this satisfaction.

METHODOLOGY

A cross-sectional study was conducted among 42 government health clinics in Selangor, Malaysia, using an online survey comprising a validated questionnaire of the extended Technology Acceptance Model. A total of 137 HCPs from various categories responded to the online survey. Data were analyzed using descriptive statistics and logistic regression.

RESULT

The majority of the respondents (72.3%) were satisfied with the VCSs, with a mean score of 14.47 ± 3.391. Two factors were found to be significantly associated with HCPs' satisfaction: perceived usefulness (adjusted odds ratio = 9.396; 95% confidence interval = 3.196-27.625) and behavioral intention (adjusted odds ratio = 8.311; 95% confidence interval = 2.494-27.694).

CONCLUSION

Our results indicated a moderately high percentage of HCPs in government health clinics of Selangor who were satisfied with VCS (72.3%). Perceived usefulness and behavioral intention of HCPs were two strong determinants of satisfaction with VCS. Therefore, efforts should be directed toward improving satisfaction with VCS by addressing these factors to ensure the sustainability of these services to best benefit patients.

摘要

背景

在马来西亚,自2019年起卫生部(MOH)已实施虚拟咨询服务(VCSs),以补充政府健康诊所当前的医疗服务提供。尽管这些服务已被证明对患者有益,但对于提供这些服务的医疗服务提供者(HCPs)的满意度却知之甚少。本研究利用扩展技术接受模型来评估HCPs对VCS的满意度,并确定相关因素以进一步改进这些服务。

目的

在本研究中,我们旨在确定对VCS感到满意的HCPs的比例,并确定促成这种满意度的因素。

方法

在马来西亚雪兰莪州的42家政府健康诊所进行了一项横断面研究,使用了一份包含经过验证的扩展技术接受模型问卷的在线调查。共有来自不同类别的137名HCPs回复了在线调查。使用描述性统计和逻辑回归对数据进行分析。

结果

大多数受访者(72.3%)对VCSs感到满意,平均得分为14.47±3.391。发现有两个因素与HCPs的满意度显著相关:感知有用性(调整后的优势比=9.396;95%置信区间=3.196 - 27.625)和行为意向(调整后的优势比=8.311;95%置信区间=2.494 - 27.694)。

结论

我们的结果表明,雪兰莪州政府健康诊所中对VCS感到满意的HCPs比例适中偏高(72.3%)。HCPs的感知有用性和行为意向是对VCS满意度的两个重要决定因素。因此,应通过解决这些因素来努力提高对VCS的满意度,以确保这些服务的可持续性,从而使患者获得最大益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97d0/11527495/3b0b399f7294/cureus-0016-00000070591-i01.jpg

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