Attitudes Towards Implementation of Store-and-Forward Telemental Health in Humanitarian Settings: Survey of Syrian Healthcare Providers
Attitudes Towards Implementation of Store-and-Forward Telemental Health in Humanitarian Settings: Survey of Syrian Healthcare Providers
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DOI：
10.1089/tmj.2015.0021
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发表时间：
2016-01-01
影响因子：
4.7
通讯作者：
Barkil-Oteo, Andres
中科院分区：
文献类型：
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作者：
Jefee-Bahloul, Hussam;Duchen, Dylan;Barkil-Oteo, Andres
背景：存储转发（S&F）远程医疗被认为最适用于人道主义环境。与其他类型的远程心理健康（TMH）不同，S&F要求医疗保健提供者积极参与，提交文本或视听临床材料供咨询。为了实施这种咨询制度，有必要衡量提供者对这项技术的态度。材料和方法：向管理受战争影响的叙利亚人的人道主义非政府组织附属的叙利亚保健提供者（医生和非医生）发送了一份电子调查。在描述了TMH和S&F是什么之后，参与者被问及他们对这类服务的态度。结果：52家供应商回应了电子调查。仅提供了来自叙利亚境内供应商（n=30）的结果。大多数受访者没有使用TMH的经验。一半的提供者认为心理保健可以通过S&F提供，而且这种服务会带来好处。受访者报告说，这类服务确实存在文化（68%）、财务（84%）和技术（80%）障碍。当被问及这一问题时，医疗服务提供者认为患者会同意为S&F目的而被录音（58%），而不是被录像（15%）（p=0.007）。结论：对人道主义环境下的卫生保健工作者进行电子调查是可行的。叙利亚人道主义环境中的提供者在TMH方面几乎没有经验；然而，他们对使用S&F服务持开放态度，同时承认实现过程中存在文化、财务和技术障碍。
Background:Store-and-forward (S&F) telemedicine is thought to be most applicable in humanitarian settings. Unlike other kinds of telemental health (TMH), S&F requires engagement and active participation from healthcare providers in submitting text or audio-video clinical material for consultations. To implement such consultative systems there is a need to gauge providers' attitudes towards this technology.Materials and Methods:An electronic survey was sent to Syrian healthcare providers (physicians and nonphysicians)who are affiliated with humanitarian nongovernmental organizations managing Syrians affected by war. After a description of what TMH and S&F are, participants were asked about their attitudes towards such services.Results:Fifty-two providers responded to the electronic survey. Only results from providers inside Syria (n=30) are presented. The majority of respondents had no experience with TMH. Half of the providers believed that mental healthcare can be provided through S&F and that there would be a benefit from such services. Respondents reported that cultural (68%), financial (84%), and technical (80%) barriers do exist for such services. When asked, providers believed that patients would agree to be audiotaped (58%) for the purpose of S&F compared with being videotaped (15%) (p=0.007).Conclusions:Electronic surveys of healthcare workers in humanitarian settings are feasible. Providers in the Syrian humanitarian setting have little experience in TMH; however, they are open to using an S&F service while acknowledging cultural, financial, and technical barriers to the implementation.