{"title":"公共卫生部门新冠肺炎紧急情况下远程医疗的回顾:挑战和机遇","authors":"Ntibaneng Hunadi Maleka, W. Matli","doi":"10.1108/jstpm-08-2021-0126","DOIUrl":null,"url":null,"abstract":"\nPurpose\nThe purpose of this study is to provide current state of knowledge on how the COVID-19 emergency situation necessitated the behaviour influencing use and acceptance of telehealth. This study interlinks the health belief model (HBM) and the unified theory of acceptance and use of technology (UTAUT) to highlight the challenges and opportunities as a result of the COVID-19 pandemic in the public health sector.\n\n\nDesign/methodology/approach\nThis study used three online databases (Emerald publishing, Science Direct and Taylor and Francis) that enabled the authors to access electronic journal articles. Search strategy was used to extract articles based on the relevance of this study.\n\n\nFindings\nThe key findings from this study suggested that the COVID-19 emergency forced health-care workers and their patients to rapidly use and rely on telehealth to reduce the rate of COVID-19 transmissions. The key benefits of telehealth use highlighted an expansive cost effective and convenient access to health-care services irrespective of geographical local and levels of physical impairment. Moreover, telehealth inhibited in person human interaction, which was perceived as impersonal and not ideal for new patient consultations. The barriers outweighed the benefits; as a result, it is unlikely that there will be a wide use of telehealth beyond the COVID-19 emergency situation.\n\n\nPractical implications\nThe research findings are limited to discussions drawn from available secondary data. The criteria within telehealth for policymakers to note the technology acceptance and use for both health-care and outpatient stakeholders and their health seeking behaviour. Health-care sectors (private and public) and government need to understand enablers of effective telehealth in policymaking to ease the barriers during an emergency situation like a pandemic.\n\n\nOriginality/value\nThis study contributes to the emerging literature on how COVID-19 pandemic has disrupted and accelerated telehealth by extending both the UTAUT and HBM theories. This study is expected to contribute and expand literature on telehealth during emergency situations, given the novice nature of COVID-19 and limited literature surrounding it.\n","PeriodicalId":45751,"journal":{"name":"Journal of Science and Technology Policy Management","volume":" ","pages":""},"PeriodicalIF":2.9000,"publicationDate":"2022-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"7","resultStr":"{\"title\":\"A review of telehealth during the COVID-19 emergency situation in the public health sector: challenges and opportunities\",\"authors\":\"Ntibaneng Hunadi Maleka, W. Matli\",\"doi\":\"10.1108/jstpm-08-2021-0126\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"\\nPurpose\\nThe purpose of this study is to provide current state of knowledge on how the COVID-19 emergency situation necessitated the behaviour influencing use and acceptance of telehealth. This study interlinks the health belief model (HBM) and the unified theory of acceptance and use of technology (UTAUT) to highlight the challenges and opportunities as a result of the COVID-19 pandemic in the public health sector.\\n\\n\\nDesign/methodology/approach\\nThis study used three online databases (Emerald publishing, Science Direct and Taylor and Francis) that enabled the authors to access electronic journal articles. Search strategy was used to extract articles based on the relevance of this study.\\n\\n\\nFindings\\nThe key findings from this study suggested that the COVID-19 emergency forced health-care workers and their patients to rapidly use and rely on telehealth to reduce the rate of COVID-19 transmissions. The key benefits of telehealth use highlighted an expansive cost effective and convenient access to health-care services irrespective of geographical local and levels of physical impairment. Moreover, telehealth inhibited in person human interaction, which was perceived as impersonal and not ideal for new patient consultations. The barriers outweighed the benefits; as a result, it is unlikely that there will be a wide use of telehealth beyond the COVID-19 emergency situation.\\n\\n\\nPractical implications\\nThe research findings are limited to discussions drawn from available secondary data. The criteria within telehealth for policymakers to note the technology acceptance and use for both health-care and outpatient stakeholders and their health seeking behaviour. Health-care sectors (private and public) and government need to understand enablers of effective telehealth in policymaking to ease the barriers during an emergency situation like a pandemic.\\n\\n\\nOriginality/value\\nThis study contributes to the emerging literature on how COVID-19 pandemic has disrupted and accelerated telehealth by extending both the UTAUT and HBM theories. 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引用次数: 7
摘要
目的本研究的目的是提供关于新冠肺炎紧急情况如何需要影响远程医疗的使用和接受的行为的最新知识。本研究将健康信念模型(HBM)和接受和使用技术的统一理论(UTAUT)联系起来,以强调新冠肺炎大流行在公共卫生部门带来的挑战和机遇。设计/方法论/方法这项研究使用了三个在线数据库(Emerald出版社、Science Direct和Taylor and Francis),使作者能够访问电子期刊文章。根据本研究的相关性,采用搜索策略提取文章。研究结果这项研究的关键发现表明,新冠肺炎紧急情况迫使医护人员及其患者迅速使用并依赖远程医疗来降低新冠肺炎的传播率。远程医疗的主要好处突出表明,无论当地地理位置和身体损伤程度如何,都可以广泛、经济高效、方便地获得医疗服务。此外,远程医疗抑制了人与人之间的互动,这被认为是非个人的,不适合新患者咨询。障碍大于好处;因此,在新冠肺炎紧急情况之外,远程医疗不太可能得到广泛使用。实际含义研究结果仅限于从现有的二次数据中进行的讨论。远程医疗中的标准是让决策者注意到医疗保健和门诊利益相关者对技术的接受和使用以及他们寻求健康的行为。医疗保健部门(私营和公共部门)和政府需要了解政策制定中有效远程医疗的推动者,以缓解疫情等紧急情况下的障碍。原创性/价值本研究通过扩展UTAUT和HBM理论,为新冠肺炎大流行如何扰乱和加速远程医疗的新兴文献做出了贡献。鉴于新冠肺炎的新手性质及其相关文献的有限性,这项研究有望对紧急情况下远程医疗的文献做出贡献和扩展。
A review of telehealth during the COVID-19 emergency situation in the public health sector: challenges and opportunities
Purpose
The purpose of this study is to provide current state of knowledge on how the COVID-19 emergency situation necessitated the behaviour influencing use and acceptance of telehealth. This study interlinks the health belief model (HBM) and the unified theory of acceptance and use of technology (UTAUT) to highlight the challenges and opportunities as a result of the COVID-19 pandemic in the public health sector.
Design/methodology/approach
This study used three online databases (Emerald publishing, Science Direct and Taylor and Francis) that enabled the authors to access electronic journal articles. Search strategy was used to extract articles based on the relevance of this study.
Findings
The key findings from this study suggested that the COVID-19 emergency forced health-care workers and their patients to rapidly use and rely on telehealth to reduce the rate of COVID-19 transmissions. The key benefits of telehealth use highlighted an expansive cost effective and convenient access to health-care services irrespective of geographical local and levels of physical impairment. Moreover, telehealth inhibited in person human interaction, which was perceived as impersonal and not ideal for new patient consultations. The barriers outweighed the benefits; as a result, it is unlikely that there will be a wide use of telehealth beyond the COVID-19 emergency situation.
Practical implications
The research findings are limited to discussions drawn from available secondary data. The criteria within telehealth for policymakers to note the technology acceptance and use for both health-care and outpatient stakeholders and their health seeking behaviour. Health-care sectors (private and public) and government need to understand enablers of effective telehealth in policymaking to ease the barriers during an emergency situation like a pandemic.
Originality/value
This study contributes to the emerging literature on how COVID-19 pandemic has disrupted and accelerated telehealth by extending both the UTAUT and HBM theories. This study is expected to contribute and expand literature on telehealth during emergency situations, given the novice nature of COVID-19 and limited literature surrounding it.