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Evaluation of the use and effectiveness of telemedicine among the health professionals during the COVID 19 lockdown period: A cross sectional study

机译:Covid在Covid 19锁定期间卫生专业人员中远程医疗的使用和有效性评估:横截面研究

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Background: Telemedicine has been documented as a viable option in attending to patient's need where distance is a critical factor. The Federal Government of Nigeria on March 27, 2020, imposed a total lockdown in Lagos state in order to curb the spread of the coronavirus disease 2019 (COVID-19) pandemic. The restriction in movement prevented many patients from attending their regular clinics and physical consultations. The aim of this study was to evaluate the use and effectiveness of telemedicine among the hospital health professionals during the lockdown period. Methods: This was an online cross-sectional study among doctors at a tertiary health facility in Lagos. Ethical approval was obtained from the institutional ethical committee. A list of the telephone and WhatsApp contacts of doctors were obtained from the hospital directory; the SurveyMonkey tool was used as an online web-based structured questionnaire for data collection. The information obtained was analyzed to find means and averages. Results: A total of 104 doctors completed the survey. The proportion of participants who used telemedicine was 93.3%, with the most commonly used telemedicine option being phone call (27.1%) and WhatsApp video call (27.1%). The main management provided during this period was counseling (56.6%). Seventy-nine percent of the participants were satisfied with the result of the management provided through telemedicine options, but the major concern was that of ethical issues (36.2%). Majority (44.2%) of the respondents agree that telemedicine was effective during the COVID-19 lockdown period. There was no association found between gender, age, designation, and perceived effectiveness of telemedicine by respondents in this study (P = 0.88, 0.4, and 0.07, respectively). Conclusion: Telemedicine was found to be a useful tool for effective patient's management during the lockdown period although there exist ethical concerns. The formulation of policies guiding its use will ensure the security of information and patient's confidentiality.
机译:背景:远程医疗被记录为参加患者需要的可行选择,距离是一个关键因素。尼日利亚联邦政府于2020年3月27日,在拉各斯州的总锁定,以遏制2019年冠状病毒疾病的传播(Covid-19)大流行。运动的限制阻止了许多患者参加他们的常规诊所和物理咨询。本研究的目的是在锁定期间评估医院卫生专业人员之间远程医疗的使用和有效性。方法:这是拉各斯高等卫生设施的医生在线横断面研究。从制度伦理委员会获得道德批准。从医院目录获得了电话和医生的WhatsApp联系人的列表; Surveymonkey工具用作基于在线的网络结构化问卷,用于数据收集。分析所获得的信息以查找手段和平均值。结果:共有104名医生完成了调查。使用远程医疗的参与者的比例为93.3%,具有最常用的远程医疗选择电话(27.1%)和WhatsApp视频通话(27.1%)。在此期间提供的主要管理层是咨询(56.6%)。百分之九九九九的参与者对通过远程医疗选择提供的管理层的结果感到满意,但主要关注的是道德问题(36.2%)。大多数(44.2%)的受访者认为远程医疗在Covid-19锁定期间有效。在本研究中受访者的性别,年龄,名称和远程医疗的有效性之间没有关联(分别分别为P = 0.88,0.4和0.07)。结论:在锁定期间被发现远程医疗是有效患者管理的有用工具,尽管存在道德问题。指导其使用的政策的制定将确保信息和患者的机密性的安全性。

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