Telemedicine awareness, knowledge, attitude and skills of healthcare workers in a low resource country during the COVID-19 pandemic (Preprint)
BACKGROUND Since the beginning of the COVID-19 pandemic, several healthcare service programs intended to provide healthcare telemedicine services have been introduced in Libya. Many physicians have used these services to provide care and advice to their patients remotely, without the need to be present in the clinic. OBJECTIVE Assessments of physicians’ awareness, knowledge, attitude and skills in using telehealth services are needed. We aimed to provide an overview of these assessments. METHODS A cross-sectional study conducted using a web-based survey sought responses from healthcare workers in Libya in May 2020. The questionnaire collected information on physicians’ basic characteristics, ability to use a computer, and telemedicine awareness, knowledge, attitude, and skills. RESULTS The awareness and skill levels of the 673 healthcare respondents were 56% and 36.8%, respectively. Knowledge and attitude levels were high (86.5% and 82.6%, respectively). There were no significant differences in awareness, knowledge, attitude and skill scores among physicians employed in public hospitals, private hospitals or both types of hospitals. Statistically significant differences were evident in the mean awareness, attitude and computer skill (P < .05) scores, where the distribution of the scores in the groups based on the ability to use computers was not similar. There were no significant differences in knowledge scores among the three groups. Respondents with professional computer skills showed significantly higher scores than those with high awareness levels (χ2(3) = 14.468, P ≤ .001). Respondents with higher computer skills showed significantly higher attitude levels (χ2(3) = 13.46, P = .001). Significant differences were evident in the mean computer skill scores of the groups [χ2(3) = 199.62, P ≤ .001]. CONCLUSIONS The consequences of the COVID-19 pandemic are expected to persist for a prolonged time. Hence, policy programs, such as telemedicine services, which aim to address the obstacles to medical treatment created due to physical distancing steps, will likely continue for a long time. Therefore, there is a need to train and support healthcare workers and initiate governmental programs that provide adequate and supportive healthcare services to patients in developing countries. CLINICALTRIAL