Telemedicine Use Among Physiatrists During the Early Phase of the COVID-19 Pandemic and Potential for Future Use.
Telemedicine Use Among Physiatrists During the Early Phase of the COVID-19 Pandemic and Potential for Future Use.
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COVID-19 大流行早期阶段物理医生的远程医疗使用情况以及未来使用的潜力。
DOI：
10.1089/tmj.2022.0030
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Lee,Sujin
中科院分区：
文献类型：
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作者：
Siddiqui,Sameer;Farr,Ellen;Dusto,Nathaniel;Chen,Liqi;Kocherginsky,Masha;Skelton,Felicia;Verduzco-Gutierrez,Monica;Lee,Sujin
导言：随着2019年冠状病毒病(新冠肺炎)的大流行导致社会疏远的需要，远程医疗在提供常规医疗服务方面的使用显著增加。作为一个领域，在大流行之前，理疗科已经在实施远程医疗。在这项研究中，我们描述了在新冠肺炎大流行的早期阶段物理医生使用远程医疗的特征，以了解未来在物理领域实施远程医疗的障碍和促进者。方法：在线调查物理医生的横断面样本。结果：171名(n= )受试者完成了调查。疫情爆发前，只有17.5%的受访者使用远程医疗。在Logistic回归分析中，使用医院提供的平台的医生比使用自己的安全平台、进行电话访问和使用非安全平台或其他平台的医生更有可能在未来使用远程医疗。发现的三个最受欢迎的障碍是“无法完成体检”、“患者无法获得技术”和“患者不熟悉技术”。讨论：侧重于针对患者和提供者的远程医疗功能检查策略和技术策略的教育(包括解决数字鸿沟和医院提供的安全平台)是未来理疗师更多地采用远程医疗的实施战略的潜在目标。
Introduction:With the coronavirus disease 2019 (COVID-19) pandemic causing the need for social distancing, telemedicine saw a significant increase in use to provide routine medical care. As a field, physiatry had already been implementing telemedicine prior to the pandemic. In this study, we characterized the use of telemedicine among physiatrists during the early phase of the COVID-19 pandemic to understand the barriers and facilitators to implementing telemedicine use in the field of physiatry in the future.Methods:Online survey of a cross-sectional sample of physiatrists. Analysis was conducted using logistic regression.Results:One hundred seventy one (n= 171) participants completed the survey. Before the pandemic, only 17.5% of respondents used telemedicine. In the logistic regression, physicians who used a hospital-provided platform were more likely to use telemedicine in the future compared with those who used their own secure platform, conducted a phone visit, and used a non-secure platform or other platforms. The three most popular barriers identified were “inability to complete the physical examination,” “patients lack of access to technology,” and “patients lack of familiarity with the technology.”Discussion:Focus on education on telemedicine functional examination strategies and technology strategies for patients and providers (including addressing the digital divide and hospital-provided secure platforms) are potential targets of implementation strategies for greater telemedicine uptake for physiatrists in the future.