Gómez-Molina Nuria, Salinas-Bueno Iosune, Moreno-Mulet Cristina
Department of Nursing and Physiotherapy University of the Balearic Islands Palma Illes Balears Spain.
Health Research Institute of the Balearic Islands (IdISBa) Palma Spain.
Health Sci Rep. 2024 Dec 18;7(12):e70287. doi: 10.1002/hsr2.70287. eCollection 2024 Dec.
The rapid evolution of healthcare technology introduced telerehabilitation (TR) as a novel intervention model. TR employs information and communication technologies for remote healthcare delivery. The COVID-19 pandemic prompted a significant increase in TR usage, notably videoconferencing, among physiotherapists in Spain, offering a safe and viable alternative during mobility restrictions and temporary closure of physiotherapy centers. The aim of this study is to collect data on the use and frequency of outpatient TR and its intended purposes among physiotherapists from the pre-COVID-19 era to the present, as well as to examine the perspectives, facilitators, and barriers related to videoconferencing among physiotherapists, patients, and managers.
A convergent two-phase mixed-methods project was designed. The first phase employs a quantitative methodology to explore how the frequency and purpose of physiotherapist TR usage changed from before the pandemic until the present, where 90% works at private practice and 10% at public services, using a retrospective online survey. Second, we focus on understanding videoconference usage through qualitative methodologies, which include focus groups with patients and physiotherapists and semi-structured interviews with managers.
The expected results will be adoption and cessation of technology/ICT usage, changes in frequency and purpose of use; acceptance, satisfaction, and future expectations of videoconferencing by physiotherapists, patients, and managers.
This project can be used to investigate how different telemedicine technologies have progressed in a region over a period and why healthcare professionals, patients, and managers embrace these technologies. As a result of this research, it will be possible to improve the implementation of these technologies, as well as professional training and educational programs.
医疗保健技术的快速发展引入了远程康复（TR）这一新型干预模式。TR利用信息和通信技术进行远程医疗服务。新冠疫情促使西班牙物理治疗师对TR的使用显著增加，尤其是视频会议，在行动受限和物理治疗中心临时关闭期间提供了一种安全可行的替代方案。本研究的目的是收集从新冠疫情前到现在物理治疗师门诊TR的使用情况、频率及其预期目的的数据，以及研究物理治疗师、患者和管理人员对视频会议的看法、促进因素和障碍。
设计了一个两阶段的混合方法项目。第一阶段采用定量方法，通过回顾性在线调查，探讨疫情前到现在物理治疗师使用TR的频率和目的如何变化，其中90%在私人诊所工作，10%在公共服务机构工作。第二，我们通过定性方法关注视频会议的使用情况，包括与患者和物理治疗师进行焦点小组讨论以及对管理人员进行半结构化访谈。
预期结果将是技术/信息通信技术使用的采用和停止情况、使用频率和目的的变化；物理治疗师、患者和管理人员对视频会议的接受程度、满意度和未来期望。
该项目可用于调查一段时间内不同远程医疗技术在一个地区的发展情况，以及医疗保健专业人员、患者和管理人员采用这些技术的原因。通过这项研究，将有可能改进这些技术的实施，以及专业培训和教育项目。
