背景:2019年冠状病毒病的大流行促使医疗保健系统迅速重组,以阻止大流行的传播。因此,在禁止面对面会议的情况下,为了防止COVID-19大流行,远程医疗更可取,允许远距离提供医疗服务。这项研究旨在评估在埃塞俄比亚西南部工作的医疗保健提供者在COIVID-19期间使用远程医疗的意愿以及决定其意愿程度的因素。
方法:基于机构的横断面研究设计用于评估在埃塞俄比亚西南部公共卫生医院工作的医疗保健提供者使用远程医疗的意愿。使用自我管理问卷。我们已经使用Epi-info进行数据输入和矩结构分析(AMOS)进行分析。进行了结构方程建模,以确定与95%置信区间(CI)使用远程医疗意愿相关的因素。
结果:在这项研究中,不到一半的受访者愿意使用远程医疗。易用性(β=0.79,95%CI:[0.72,0.86],p<0.01),态度(β=0.91,95%CI:[0.87,0.95],p<0.01)和医患关系(β=0.67,95%CI:[0.54,0.70],p<0.01)是与使用远程医疗意愿相关的变量。对技术的焦虑(β=0.74,95%CI:[0.69,0.79],p<0.01)和医患关系(β=0.87,95%CI:[0.81,0.92],p<0.01)是使用远程医疗态度的决定因素。
结论:在这种情况下,在COVID-19期间使用远程医疗的总体意愿为46.5%。解决与易用性相关的问题,态度和医患关系将有助于提高COVID-19期间使用远程医疗的总体意愿。试图改善医患关系,提供易于使用的技术培训和医疗保健提供者的工作态度将有助于提高使用远程医疗的意愿。
BACKGROUND: The coronavirus disease 2019 pandemic has prompted rapid restructuring of the health-care system in an effort to stop the spread of the pandemic. Thus, telemedicine is more preferable in order to prevent the COVID-19 pandemic when face to face meeting is forbidden, allowing provision of health service over a distance. This study aimed to assess willingness to use telemedicine and factors that will determine their extent of willingness during COIVID-19 among healthcare providers working in south west of Ethiopia.
METHODS: Institutional based cross-sectional study design was applied to assess willingness to use telemedicine among healthcare providers working at public health hospitals in south west of Ethiopia. Self-administered questionnaires were used. We have used Epi-info for data entry and Analysis of Moment Structure (AMOS) for analysis. A structural equation modeling was performed to identify factors associated with willingness to use telemedicine at 95% confidence interval (CI).
RESULTS: In this study, less than half of respondents had high willingness to use telemedicine. Ease of use (β = 0.79, 95% CI: [0.72, 0.86], p < 0.01), attitude (β = 0.91, 95% CI: [0.87, 0.95], p < 0.01) and patient-physician relationships (β = 0.67, 95% CI: [0.54, 0.70], p < 0.01) were variables associated with willingness to use telemedicine. Anxiety towards technology (β = 0.74, 95% CI: [0.69, 0.79], p < 0.01) and patient-physician relationships (β = 0.87, 95% CI: [0.81, 0.92], p < 0.01) were determinant factors of attitude to use telemedicine.
CONCLUSIONS: The overall willingness to use telemedicine during COVID-19 in this setting is 46.5%. Addressing the problem related with ease of use, attitude and patient-physician relationships will help to increase the overall willingness to use telemedicine during COVID-19. An attempt to improving patient-physician relationship, provision of technical training for ease of use and working on healthcare providers\' attitude will help to improve the willingness to use telemedicine.