在荷兰的COVID-19大流行期间,全科医生对远程皮肤病治疗的看法:基于问卷的研究
Esmée Tensen1,2,3, Craig Kuziemsky4, Monique W Jaspers1,2
1Department of Medical Informatics, Amsterdam UMC location University of Amsterdam, Amsterdam, Netherlands.
JMIR dermatology
|August 26, 2023
概括
荷兰的全科医生发现,在COVID-19大流行期间,数字皮肤病治疗非常有价值. 然而,像有限的摄影技能和平台问题这样的障碍阻碍了它的全部潜力,需要改进培训和系统增强.
科学领域:
- 数字健康数字健康
- 皮肤病学 皮肤病学
- 主要护理是指初级护理.
背景情况:
- 随着COVID-19的流行,数字医疗解决方案在初级保健中得到了加快的应用.
- 远程存储和转发皮肤病护理是在大流行之前在荷兰的全科医院建立的.
- 流行病对全科医生 (GPs) 现有数字皮肤病护理经验的影响尚不清楚.
研究的目的:
- 在荷兰的COVID-19大流行期间调查全科医生对促进者和存储和转发数字皮肤病治疗障碍的观点.
- 应用社会技术方法来了解影响使用数字皮肤病学服务的复杂因素.
主要方法:
- 2021年12月,一个基于网络的问卷被分发给大约3257名全科医生.
- 调查问卷包括验证的远程医疗满意度问题和新的与流行病相关的查询.
- 以社会技术模型为指导的内容分析被用来分析关于促进者和障碍者的自由文本反应.
主要成果:
- 在66名回应的全科医生中,大多数人都对数字皮肤病学服务感到满意,但发现了重大障碍.
- 主要障碍包括有限的数字摄影技能 (全科医生和患者),设备成本,平台可用性 (人机界面,互操作性) 和程序差异.
- 尽管面临挑战,92%的人会再次使用这个平台,80%的人会推它.
结论:
- 现有的远程皮肤病护理整合可能有助于积极的GP响应.
- 与图像质量,设备和平台功能相关的障碍限制了该服务在疫情期间的全部潜力.
- 建议包括加强全科医生在设备使用和图像质量方面的培训,以及改善平台,以帮助患者拍摄适当的照片.
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