Knowledge and Attitude Regarding Telemedicine Among Doctors in Karachi
Knowledge and Attitude Regarding Telemedicine Among Doctors in Karachi
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DOI：
10.7759/cureus.6927
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发表时间：
2020-02-09
影响因子：
1.2
通讯作者：
Siddiqi, Rabbia
中科院分区：
文献类型：
--
作者：
Ashfaq, Ahsan;Memon, Shehzeen Fatima;Siddiqi, Rabbia
背景远程医疗是一种经济实惠的信息和通信技术 (ICT) 使用方式，可实现远程患者护理和医疗保健服务。尽管发达国家继续利用这项技术，但其概念对巴基斯坦来说仍然是新的。本研究旨在评估巴基斯坦卡拉奇卫生保健专业人员对远程医疗的知识和看法。方法这项横断面研究是在2018年6月至2018年8月在卡拉奇公共卫生部门工作的医生中进行的。数据是使用自行设计的结构良好的问卷收集的，该问卷采用五点李克特量表，该问卷是在广泛的文献回顾后建立的。使用SPSS 22版进行统计分析。分类数据以频率和百分比报告。结果共有224名医生参与了本研究，他们来自内科（27.6%）、儿科（9.8%）、心脏病科（6.6%）、妇科（5.35%）、神经内科（5.8%）和其他专科（44.6%）。共有80.7%的医生了解远程医疗的定义。其中 28.1% 的人认为远程医疗能够有效提供更快的医疗服务，而 23.2% 的人认为远程医疗是减少白大衣综合症的一种手段。共有42.9%的人认为远程医疗扰乱了医患关系，侵犯了患者隐私。共有34.8%的医生赞成制定远程医疗执业国家标准，而33.5%的医生也认为向患者提供远程医疗的法律解释至关重要。贫困和缺乏教育（90.6%）被认为是发展中国家实施远程医疗的最大障碍。 结论 卡拉奇医生对远程医疗的了解程度一般。然而，大多数参与者对引入和实施这项新技术的看法和态度表示欢迎，重点是提高认识。需要召开会议和研讨会来增加巴基斯坦对远程医疗的了解。
BackgroundTelemedicine is an affordable use of information and communication technology (ICT) to enable long-distance patient care and health care services. While the developed world continues to take advantage of this technology, its concept remains new to Pakistan. This study aims to assess the knowledge and perceptions regarding telemedicine among health care professionals in Karachi, Pakistan.MethodsThis cross-sectional study was carried out among doctors employed in the public health sector in Karachi from June 2018 to August 2018. Data were collected using a self-designed well-structured questionnaire using a five-point Likert scale, built after an extensive literature review. Statistical analysis was carried out using SPSS version 22. Categorical data were reported as frequencies and percentages.ResultsA total of 224 doctors, working in the Department of Internal Medicine (27.6%), Pediatrics (9.8%), Cardiology (6.6%), Gynecology (5.35%), Neurology (5.8%), and other specialties (44.6%), participated in the study. A total of 80.7 % of the doctors were aware of the definition of telemedicine. A total of 28.1% of them believed telemedicine to be effective in providing faster medical care while 23.2% thought of it as a means of reducing the white coat syndrome. A total of 42.9% believed that telemedicine disrupts the doctor-patient relationship and causes a breach of patient privacy. A total of 34.8% of the doctors favored the idea of introducing national standards for practicing telemedicine while 33.5% of doctors also agreed that providing a legal explanation of telemedicine to patients was of paramount importance. Poverty and lack of education (90.6%) was thought to be the biggest barrier to the practice of telemedicine in the developing world.Conclusions The knowledge regarding telemedicine among doctors in Karachi was found to be average. However, the perceptions about and attitude towards the introduction and implementation of this new technology were welcomed by the majority of participants with an emphasis on increasing awareness. Conferences and workshops are needed to increase knowledge about telemedicine in Pakistan.