Sexual healthcare professionals' views on the rapid provision of remote services at the beginning of COVID-19 pandemic: A mixed-methods study.

Sexual healthcare professionals' views on the rapid provision of remote services at the beginning of COVID-19 pandemic: A mixed-methods study.
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DOI:
10.1177/09564624211023018
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发表时间:
2021-10
影响因子:
1.4
通讯作者:
Nadarzynski T
Nadarzynski T
中科院分区:
医学4区
文献类型:
--
作者:
Lunt A;Llewellyn C;Bayley J;Nadarzynski T

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简介:COVID-19 大流行和社交距离措施迫使性健康服务必须远程与患者接触。我们的目的是了解在大流行的头几个月里提供数字性健康服务的障碍和促进因素。方法:于 2020 年 5 月至 7 月对通过滚雪球抽样方式招募的英国性保健专业人员进行了在线调查和定性访谈。结果:在 177 名受访者中(72% 女性,86% 白人,平均年龄 = 46,SD = 9),大多数人使用电话和电子邮件作为主要沟通渠道;然而,他们感知到的有效性各不相同(分别为 94% 和 66%)。大多数人认为工作人员需要额外培训(89%),现有技术不足(66%),卫生专业人员对提供在线咨询犹豫不决(46%)。他们对数字化、提高服务质量和成本效益持积极态度,但担心健康不平等现象加剧。讨论:该研究确定需要围绕数字工具的使用制定明确的指导方针和培训,以及需要对提供远程服务所需的硬件和软件进行投资。未来的研究需要探索各种数字工具的可接受性、安全性和有效性,以缩小性健康服务用户的健康不平等。
Introduction: The COVID-19 pandemic and social distancing measures forced sexual health services to engage with patients remotely. We aimed to understand perceived barriers and facilitators to the provision of digital sexual health services during the first months of the pandemic. Methods: An online survey and qualitative interviews with UK sexual healthcare professionals recruited online and via snowball sampling were conducted in May–July 2020. Results: Amongst 177 respondents (72% female, 86% White, mean age = 46, SD = 9), most utilised telephone and email as their main communication channels; however, their perceived effectiveness varied (94% and 66%, respectively). Most agreed that staff needed additional training (89%), the available technology was not adequate (66%) and health professionals were hesitant to provide online consultations (46%). They had positive attitudes towards digitalisation, improving service quality and cost-effectiveness but were concerned about exacerbating health inequalities. Discussion: The study identifies a need for clear guidelines and training around the use of digital tools as well as a demand for investment in hardware and software required for the provision of remote services. Future research needs to explore the acceptability, safety and effectiveness of various digital tools to narrow health inequalities in sexual health service users.
DOI: 10.1055/s-0043-121010
发表时间: 2018-11-01
期刊: GESUNDHEITSWESEN
影响因子: 1.1
作者:
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影响因子: 5.1
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发表时间: 2020-07-01
影响因子: 4.2
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通讯作者: Fairley, Christopher K.