对 COVID-19 大流行期间菲律宾城市、农村和偏远地区远程医疗的看法。

IF 4.1 Q1 HEALTH CARE SCIENCES & SERVICES BMJ Health & Care Informatics Pub Date : 2024-08-07 DOI:10.1136/bmjhci-2023-100837
Noleen Fabian, Regine Ynez De Mesa, Carol Tan-Lim, Gillian Sandigan, Johanna Lopez, Arianna Maever Loreche, Leonila Dans, Zharie Benzon, Herbert Zabala, Josephine Sanchez, Nanette Sundiang, Mia Rey, Antonio Dans
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引用次数: 0

摘要

研究目的本研究探讨了城市、农村和偏远地区参与者的态度、主观规范和感知行为控制,并考察了在 COVID-19 大流行期间使用远程医疗(本研究将其定义为患者与医生之间的远程会诊)的意愿:这是一项横断面研究。在 3 个研究环境中与 60 名不同的远程医疗用户和非用户参与者进行了 12 次焦点小组讨论。对参与者的回答进行了分析,以了解他们的态度、规范和行为控制感知。这探讨了上述因素与使用意向之间的关系:结果:远程医疗的使用者和非使用者都表示,远程医疗的好处包括避免接触 COVID-19、减少自付费用和更好地平衡工作与生活。两组用户还反映了远程医疗的障碍。城市用户反映,缺乏首选医生阻碍了他们使用远程医疗。农村和偏远地区的用户则对使用远程医疗所需的资源(即兼容的智能手机)表示担忧。所有三个地点的非用户都提到,如果他们在使用远程医疗前感到不知所措,他们就不会尝试:讨论:亲身经历、同侪宣传以及最大限度地利用资源支持,让人们对远程医疗能够帮助人们获得更多的医疗保健抱有希望。然而,如果患者对使用远程医疗所需的行为改变和物质资源感到不知所措,那么使用率仍将很低。在加强基础设施建设的同时,还必须提高人们的信心和信任:结论:要想在大流行病过后持续提供远程医疗服务,就必须了解阻碍使用的因素。如果要利用远程医疗来解决医疗服务不公平的问题,尤其是在农村和偏远地区,就需要对基础设施和其他相关资源进行充足的投资。
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Perspectives on telemedicine across urban, rural and remote areas in the Philippines during the COVID-19 pandemic.

Objectives: This study explored attitudes, subjective norms, and perceived behavioural control of participants across urban, rural and remote settings and examined intention-to-use telemedicine (defined in this study as remote patient-clinician consultations) during the COVID-19 pandemic.

Methods: This is a cross-sectional study. 12 focus group discussions were conducted with 60 diverse telemedicine user and non-user participants across 3 study settings. Analysis of responses was done to understand the attitudes, norms and perceived behavioural control of participants. This explored the relationship between the aforementioned factors and intention to use.

Results: Both users and non-users of telemedicine relayed that the benefits of telemedicine include protection from COVID-19 exposure, decreased out-of-pocket expenses and better work-life balance. Both groups also relayed perceived barriers to telemedicine. Users from the urban site relayed that the lack of preferred physicians discouraged use. Users from the rural and remote sites were concerned about spending on resources (ie, compatible smartphones) to access telemedicine. Non-users from all three sites mentioned that they would not try telemedicine if they felt overwhelmed prior to access.

Discussion: First-hand experiences, peer promotions, and maximising resource support instil hope that telemedicine can help people gain more access to healthcare. However, utilisation will remain low if patients feel overwhelmed by the behavioural modifications and material resources needed to access telemedicine. Boosting infrastructure must come with improving confidence and trust among people.

Conclusion: Sustainable access beyond the pandemic requires an understanding of factors that prevent usage. Sufficient investment in infrastructure and other related resources is needed if telemedicine will be used to address inequities in healthcare access, especially in rural and remote areas.

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来源期刊
CiteScore
6.10
自引率
4.90%
发文量
40
审稿时长
18 weeks
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