Serra Edmilson, Magalhães Teresa
Sagrada Esperança Clinic, Av. Murtala Mohammed, 298, Luanda, Angola.
NOVA National School of Public Health, NOVA University Lisbon, 1600-560 Lisbon, Portugal.
Int J Environ Res Public Health. 2025 Apr 4;22(4):565. doi: 10.3390/ijerph22040565.
African healthcare professionals face significant mental health challenges; therefore, telemedicine can overcome geographical barriers and improve access to mental healthcare.
The objective of this study was to identify the key factors influencing the adoption of telemedicine as a tool to support healthcare workers' mental health in an Angolan healthcare network and develop a telemedicine model tailored to this context.
This mixed-method study collected quantitative data from a questionnaire applied to healthcare workers (n = 275), which were analyzed using descriptive statistics and logistic regressions. Qualitative data were obtained through structured interviews (n = 5) with psychologists and psychiatrists, and analyzed using thematic analysis in MAXQDA (Version 2022, VERBI Software, Germany), to identify recurring patterns and themes. The data were triangulated to ensure the rigor and consistency of the findings. Participation was anonymous and voluntary, and informed consent was obtained from all participants.
Previous experiences with mental health consultations, perceptions of teleconsultations, and doctor-patient relationship were significant in influencing telemedicine adoption by workers. The thematic analysis revealed four themes: perception and ease of telemedicine use, intention to use, and the perception of mental health in Angola. The key adoption factors for providers included project feasibility, management support, training, payment policies, and adherence to legal, ethical, and deontological standards.
The adoption of telemedicine for occupational mental health requires culturally adapted interventions and compliance with technological and data protection standards. Hospital management must address infrastructure challenges and mental health perceptions, and implement sustainable strategies that promote occupational well-being within the organization.
非洲医疗保健专业人员面临重大的心理健康挑战；因此，远程医疗可以克服地理障碍，改善心理健康服务的可及性。
本研究的目的是确定影响在安哥拉医疗保健网络中采用远程医疗作为支持医护人员心理健康工具的关键因素，并开发适合这种情况的远程医疗模式。
这项混合方法研究从应用于医护人员的问卷（n = 275）中收集定量数据，使用描述性统计和逻辑回归进行分析。定性数据通过对心理学家和精神科医生的结构化访谈（n = 5）获得，并在MAXQDA（2022版，VERBI软件，德国）中使用主题分析进行分析，以识别反复出现的模式和主题。对数据进行三角互证以确保研究结果的严谨性和一致性。参与是匿名和自愿的，并获得了所有参与者的知情同意。
心理健康咨询的既往经历、对远程咨询的看法以及医患关系对工作人员采用远程医疗有显著影响。主题分析揭示了四个主题：对远程医疗使用的认知和易用性、使用意愿以及对安哥拉心理健康的认知。提供者采用远程医疗的关键因素包括项目可行性、管理支持、培训、支付政策以及遵守法律、道德和道义标准。
在职业心理健康中采用远程医疗需要进行文化适应性干预，并遵守技术和数据保护标准。医院管理层必须应对基础设施挑战和心理健康认知问题，并实施促进组织内职业福祉的可持续战略。
