Physician's Perceptions of Telemedicine in HIV Care Provision: A Cross-Sectional Web-Based Survey.
Physician's Perceptions of Telemedicine in HIV Care Provision: A Cross-Sectional Web-Based Survey.
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DOI：
10.2196/publichealth.6896
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发表时间：
2017-05-30
影响因子：
8.5
通讯作者：
Globerman J
中科院分区：
文献类型：
--
作者：
Anderson K;Francis T;Ibanez-Carrasco F;Globerman J
远程医疗或电子交互式医疗保健咨询为患者和初级保健临床医生提供了各种好处。然而，很少有人知道使用这些模式的医生的意见。本研究的目的是检查医生的看法，包括挑战，风险和使用远程医疗在人类免疫缺陷病毒（HIV）患者护理的好处。在加拿大安大略，一项基于网络的、自我管理的、匿名的横断面调查被发送给已知为艾滋病毒感染者提供医疗护理的医生。描述性统计和频率被用来检查医生的看法和参与者的特点。在51名受邀参与者中，48人（94%）完成了调查。62%（29/47）的答复者报告说，他们在实践中使用某种形式的远程医疗来护理艾滋病毒患者。在确定在实践中使用远程医疗的受访者中，电话（86%，25/29），电子邮件（69%，20/29）和远程咨询（24%，7/29）被列为常用的方式。相当多的医生（83%，38/46）认为，采用远程医疗的一个障碍是他们认为这种方式无法全面评估病人的健康状况。此外，65%（28/43）的医生同意，如果他们使用远程医疗，患者可能会觉得与他们作为提供者没有充分的联系。然而，85%（39/46）的受访者认为，远程医疗可以改善访问和及时性护理沿着增加的次数，医生可以与他们的病人互动。从医生的看法来看，远程医疗在护理艾滋病毒感染者方面显示出希望。一半以上的答复者已经在使用远程医疗方式。虽然许多医生担心他们通过远程医疗全面评估患者健康状况的能力，但大多数医生确实认为有必要减少患者的旅行时间，减少耻辱感，提高效率和及时获得护理。必须解决技术差距、保密性和法医学问题等挑战和风险，使医生能够更舒适地使用远程医疗。
Telemedicine, or electronic interactive health care consultation, offers a variety of benefits to both patients and primary care clinicians. However, little is known about the opinions of physicians using these modalities. The aim of this study was to examine physician perceptions, including challenges, risks, and benefits of the use of telemedicine in human immunodeficiency virus (HIV) patient care. A Web-based, self-administered, anonymous, cross-sectional survey was sent to physicians known to be providing medical care to patients living with HIV in Ontario, Canada. Descriptive statistics and frequencies were used to examine physician perceptions and characteristics of participants. Among the 51 invited participants, 48 (94%) completed the survey. Sixty-two percent (29/47) of respondents reported that they used some form of telemedicine to care for HIV patients in their practice. Of the respondents who identified as having used telemedicine in their practice, telephone (86%, 25/29), email (69%, 20/29), and teleconsultation (24%, 7/29) were listed as frequent modalities used. A significant number of physicians (83%, 38/46) agreed that an obstacle to adopting telemedicine is their perception that this modality does not allow for a comprehensive assessment of their patients’ health. In addition, 65% (28/43) of physicians agreed that patients may not feel adequately connected to them as a provider if they used telemedicine. However, 85% (39/46) of respondents believed that telemedicine could improve access and timeliness to care along with increasing the number of times physicians can interact with their patients. From the perceptions of physicians, telemedicine shows promise in the care of patients living with HIV. More than half of the respondents are already using telemedicine modalities. Whereas many physicians are concerned about their ability to fully assess the health of a patient via telemedicine, most physicians do see a need for it—to reduce patient travel times, reduce exposure to stigma, and improve efficiency and timely access to care. Challenges and risks such as technological gaps, confidentiality, and medicolegal concerns must be addressed for physicians to feel more comfortable using telemedicine.