Endeshaw Amanuel Sisay, Bayu Habtu Tsehayu, Demilie Atalay Eshetie, Andargie Dereje Gashaw, Seboka Biniyam Tariku, Kumie Fantahun Tarekegn
Department of Anesthesia, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Department of Surgery, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
BMC Health Serv Res. 2025 Jul 1;25(1):860. doi: 10.1186/s12913-025-13003-1.
Telemonitoring is delivering healthcare services from a distance by all healthcare professionals using audio, video, and other information and communication technologies, and it has beneficial outcomes in anesthesia practice. However, in the Ethiopian context, studies on telemonitoring are few and confined to nurses and general auctioneers for follow-up of patients with chronic illness. Therefore, this study aims to assess the awareness and readiness of anesthetists working in Northwest Ethiopia to utilize telemonitoring for perioperative patient care.
This web-based cross-sectional survey was conducted from September 1 to December 30, 2022, in Amhara regional state hospitals in Northwest Ethiopia using a pretested, self-administered electronic-based questionnaire. The primary outcome variable was awareness of telemonitoring, which was assessed by a question to be answered in either ‘yes’ or ‘no’:‘. The secondary outcome variable was readiness to use telemonitoring, which was assessed using a scale labeled as high, moderate, and low readiness. Multilevel binary and ordinal and binary logistic regression were employed in the data analysis to identify the factors associated with awareness and readiness to use telemonitoring in perioperative care.
Of 172 anesthetists included, 83 (48.25%) reported being aware of telemonitoring. Regarding readiness to utilize telemonitoring, 25 (14.53%), 135 (78.49%), and 13 (6.98%), of the participants demonstrated high, moderate, and low-level readiness for telemonitoring, respectively. The study found that anesthetists who had personal computers (adjusted odds ratio (AOR) = 11.56, 95% CI: 2.30, 57.81), an internet access in their work area (AOR = 10.71, 95% CI: 3.11, 36.95), computer-related training (AOR = 3.88, 95% CI: 1.47, 10.73), and academic staff participants (AOR = 2.91, 95%CI: 1.05, 8.01) were significantly associated with the awareness of telemonitoring. The readiness to utilize telemonitoring was favorably correlated with variables of daily computer use (AOR = 1.56), receiving information technology support (AOR = 3.29) and positive attitude toward information communication technology in future healthcare (AOR = 4.30).
Nearly half of the anesthetists in Northwest Ethiopia were aware of telemonitoring; moreover, more than 90% of anesthetists demonstrate moderate to high readiness to this technology. We recommended that improving access to the internet, personal computers, and computer-related training, along with providing information technology support, will be crucial in fostering awareness and readiness for telemonitoring adoption.
The online version contains supplementary material available at 10.1186/s12913-025-13003-1.
远程监测是所有医疗保健专业人员利用音频、视频和其他信息通信技术远程提供医疗服务，并且在麻醉实践中具有有益的效果。然而，在埃塞俄比亚的背景下，关于远程监测的研究很少，并且仅限于护士和普通拍卖商对慢性病患者的随访。因此，本研究旨在评估埃塞俄比亚西北部麻醉师对利用远程监测进行围手术期患者护理的认识和准备情况。
这项基于网络的横断面调查于2022年9月1日至12月30日在埃塞俄比亚西北部阿姆哈拉地区州立医院进行，使用预先测试的、自我管理的电子问卷。主要结果变量是对远程监测的认识，通过一个用“是”或“否”回答的问题进行评估：“……”。次要结果变量是使用远程监测的准备情况，使用标记为高、中、低准备程度的量表进行评估。数据分析采用多水平二元和有序以及二元逻辑回归，以确定与围手术期护理中对远程监测的认识和使用准备情况相关的因素。
在纳入的172名麻醉师中，83名（48.25%）报告了解远程监测。关于使用远程监测的准备情况，分别有25名（14.53%）、135名（78.49%）和13名（6.98%）参与者表现出高、中、低水平的远程监测准备程度。研究发现，拥有个人电脑（调整后的优势比（AOR）=11.56，95%置信区间：2.30，57.81）、工作区域有互联网接入（AOR = 10.71，95%置信区间：3.11，36.95）、接受过计算机相关培训（AOR = 3.88，95%置信区间：1.47，10.73）以及学术人员参与者（AOR = 2.91，95%置信区间：1.05，8.01）与对远程监测的认识显著相关。使用远程监测的准备情况与每日计算机使用变量（AOR = 1.56）、获得信息技术支持（AOR = 3.29）以及对未来医疗保健中信息通信技术的积极态度（AOR = 4.30）呈正相关。
埃塞俄比亚西北部近一半的麻醉师了解远程监测；此外，超过90%的麻醉师对该技术表现出中度至高准备程度。我们建议，改善互联网接入、个人电脑和计算机相关培训的获取，以及提供信息技术支持，对于提高对远程监测采用的认识和准备程度至关重要。
在线版本包含可在10.1186/s12913 - 025 - 13003 - 1获取的补充材料。
