Acceptance, Use and Barriers of Telemedicine in times of SARS-CoV-2 in Transgender Health Care: Results of a nationwide cross-sectional survey (Preprint)

2021 ◽  
Author(s):  
Stefan Hertling ◽  
Doreen Hertling
Keyword(s):  
Health Care ◽  
Large Scale ◽  
Cross Sectional Study ◽  
User Preferences ◽  
Technical Equipment ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Transgender Health ◽  
Virtual Visits ◽  
Economic Analyses

BACKGROUND The global incidence in the treatment of transident people is increasing. In the COVID-19 pandemic, many consultations had to be cancelled, postponed or converted to a virtual format. Telemedicine in Transgender Health Care management could support physicians. OBJECTIVE This study analyses the Acceptance, Use and Barriers of Telemedicine in times of SARS-CoV-2 in Transgender Health Care in Germany. METHODS This prospective cross-sectional study was based on a survey of gynecological endocrinologists and transident patients in Germany during the COVID-19 pandemic. Descriptive statistics were calculated and regression analyses were performed to show correlations. RESULTS We analyzed the responses of 269 transident patients and 202 gynaecological endocrinologists treating transident patients. Most believed that telemedicine was useful. Physicians as well as patients rated their knowledge of telemedicine as unsatisfactory. The majority of respondents said they do not currently use telemedicine, although would like to do so. Patients and physicians reported that their attitude had changed positively towards telemedicine and that their usage had increased due to COVID-19. The majority in both groups agreed on implementing virtual visits in stable disease conditions. In the treatment phases, 74.4% (150/202) of the respondents would use telemedicine during follow-up. Half of the respondents would choose telecounseling as a specific approach to improving care (128/202, 63.2%). Obstacles to the introduction of telemedicine include the purchase of technical equipment (132/202, 65.3%), administration (124/202, 61.2%) and poor reimbursement (106/202, 52.4%). CONCLUSIONS Telemedicine in Transgender Health Care finds limited use but high acceptance among doctors and patients alike. The absence of a structured framework is an obstacle to effective implementation. Training courses should be introduced to improve the limited knowledge in the use of telemedicine. More research in teleendogynaecology is needed. These include large-scale randomized controlled trials, economic analyses and the exploration of user preferences.

Implementation of telemedicine in times of SARS-CoV-2 in gynecology and obstetrics: Results of a nationwide cross-sectional study (Preprint)

2021 ◽  
Author(s):  
Stefan Hertling ◽  
Franziska Loos ◽  
Isabel Graul
Keyword(s):  
Large Scale ◽  
Cross Sectional Study ◽  
User Preferences ◽  
Technical Equipment ◽  
Sectional Study ◽  
Cross Sectional ◽  
Gynecology And Obstetrics ◽  
Training Courses ◽  
Economic Analyses

BACKGROUND In the COVID-19 pandemic, many consultations had to be cancelled, postponed or converted to a virtual format. Telemedicine in gynaecology (telegynaecology) could support gynaecologists and obstetricians. OBJECTIVE This study analyses the use and perception of telemedicine applications among gynaecologists in Germany. METHODS This prospective cross-sectional study was based on a survey of gynaecologists in Germany during the COVID-19 pandemic. Descriptive statistics were calculated and regression analyses were performed to show correlations. RESULTS The physicians expect telemedicine to be used in gynecology and obstetrics. 76. 4% (365/478) of the respondents rated their knowledge of telemedicine as insufficient. The majority of respondents (437/478, 91. 6%) said they did not currently use telemedicine, although 67. 3% (321/478) would like to do so. Obstacles to the introduction of telemedicine include the purchase of technical equipment (325/478, 68. 1%), administration (305/478, 64. 0%) and poor reimbursement (233/478, 48. 9%). Doctors surveyed would prefer telemedicine to communicate directly with other doctors (388/478, 81. 2%) rather than to communicate with patients (228/478, 47. 8%). In the treatment phases, 73. 2% (349/478) of the respondents would use telemedicine during follow-up. Half of the respondents would choose tele-culting as a specific approach to improving care (246/478, 51. 5%). CONCLUSIONS Telemedicine in gynecology finds little use but high acceptance among doctors. The absence of a structured framework is an obstacle to effective implementation. Training courses should be introduced to improve the limited knowledge in the use of telemedicine. More research in telegynecology is needed. These include large-scale randomized controlled trials, economic analyses and the exploration of user preferences.

Telemedicine as a therapeutic option in sports medicine: Results of a nationwide cross-sectional study among physicians and patients (Preprint)

2021 ◽  
Author(s):  
Stefan Hertling
Keyword(s):  
Sports Medicine ◽  
Large Scale ◽  
Therapeutic Option ◽  
Cross Sectional Study ◽  
User Preferences ◽  
Sectional Study ◽  
Cross Sectional ◽  
Virtual Visits ◽  
Training Courses ◽  
Economic Analyses

BACKGROUND Background: The global incidence of treating people in the field of sports medicine is increasing. The COVID-19 pandemic has changed everyday life. Many consultations had to be cancelled, postponed or converted to a virtual format. Telemedicine in sports medicine could support physicians. OBJECTIVE The study analyses the use and perception of telemedicine applications among physicians and patients in the field of sports medicine in Germany. METHODS This prospective cross-sectional study was based on a survey of sports medicine physicians and patients in Germany during the COVID-19 pandemic. Descriptive statistics were calculated. Regression analyses were performed to show correlations. RESULTS We analyzed the responses of 729 patients and 702 sports medicine physicians. Most believed that telemedicine is useful. Physicians as well as patients rated their knowledge of telemedicine as unsatisfactory. The majority of respondents said they do not currently use telemedicine, although would like to do so. Patients and physicians reported that their attitude had changed positively towards telemedicine and that their usage had increased due to COVID-19. The majority in both groups agreed on implementing virtual visits in stable disease conditions. Telemedicine is considered to be helpful for follow-up monitoring and prevention by both groups. CONCLUSIONS Telemedicine in Sports medicine finds limited use but high acceptance among physicians and patients alike. The absence of a structured framework is an obstacle to effective implementation. Training courses should be introduced to improve the limited knowledge in the use of telemedicine. More research in tele-sportsmed is needed. These include large-scale randomized controlled trials, economic analyses and the exploration of user preferences.

scholarly journals Acceptance of Telerheumatology by Rheumatologists and General Practitioners in Germany: Nationwide Cross-sectional Survey Study

10.2196/23742 ◽  
2021 ◽  
Vol 23 (3) ◽  
pp. e23742
Author(s):  
Felix Muehlensiepen ◽  
Johannes Knitza ◽  
Wenke Marquardt ◽  
Jennifer Engler ◽  
Axel Hueber ◽  
...  
Keyword(s):  
General Practitioners ◽  
Large Scale ◽  
Musculoskeletal Diseases ◽  
User Preferences ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Structural Framework ◽  
Full Capacity ◽  
Economic Analyses

Background The worldwide burden of musculoskeletal diseases is increasing. The number of newly registered rheumatologists has stagnated. Primary care, which takes up a key role in early detection of rheumatic disease, is working at full capacity. COVID-19 and its containment impede rheumatological treatment. Telemedicine in rheumatology (telerheumatology) could support rheumatologists and general practitioners. Objective The goal of this study was to investigate acceptance and preferences related to the use of telerheumatology care among German rheumatologists and general practitioners. Methods A nationwide, cross-sectional, self-completed, paper-based survey on telerheumatology care was conducted among outpatient rheumatologists and general practitioners during the pre-COVID-19 period. Results A total of 73.3% (349/476) of survey participants rated their knowledge of telemedicine as unsatisfactory, poor, or very poor. The majority of survey participants (358/480, 74.6%) answered that they do not currently use telemedicine, although 62.3% (291/467) would like to. Barriers to the implementation of telemedicine include the purchase of technology equipment (182/292, 62.3%), administration (181/292, 62.0%), and poor reimbursement (156/292, 53.4%). A total of 69.6% (117/168) of the surveyed physicians reckoned that telemedicine could be used in rheumatology. Surveyed physicians would prefer to use telemedicine to communicate directly with other physicians (370/455, 81.3%) than to communicate with patients (213/455, 46.8%). Among treatment phases, 64.4% (291/452) of participants would choose to use telemedicine during follow-up. Half of the participants would choose telecounseling as a specific approach to improve rheumatology care (91/170, 53.5%). Conclusions Before COVID-19 appeared, our results indicated generally low use but high acceptance of the implementation of telerheumatology among physicians. Participants indicated that the lack of a structural framework was a barrier to the effective implementation of telerheumatology. Training courses should be introduced to address the limited knowledge on the part of physicians in the use of telemedicine. More research into telerheumatology is required. This includes large-scale randomized controlled trials, economic analyses, and the exploration of user preferences.

scholarly journals Strategies for Re-opening Physiotherapy OPDs Post COVID-19 Lockdown – A Cross-sectional Study

2021 ◽  
Author(s):  
Amarjot Singh Gill ◽  
Nistara Singh Chawla ◽  
Sandeep Singh Saini
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Practice Pattern ◽  
Evidence Based ◽  
Sectional Study ◽  
Cross Sectional Survey ◽  
Exclusion Criteria ◽  
Cross Sectional

Background: The practices of various health-care professionals have been improvised to accommodate the on-going covid-19 pandemic situation. Different guidelines have been set in place to ease the process of re-opening of non-elective healthcare services like out-patient physiotherapy clinics. Although the measures taken should be guided by evidence based information, major consensus amongst practicing therapists needs to guide the India physiotherapy clinics. Objective: To identify and present the opinions of different physiotherapists about the various strategies for re-opening the out-patient physiotherapy clinics. Methods: An online cross-sectional survey was conducted. Over 169 participants were selected to participate in the survey according to the pre-decided inclusion and exclusion criteria. The data was collected and saved via google forms. Result and conclusion: A majority of respondents had a consensus over different strategies for re-opening the physiotherapy OPDs. These were regarding different measures to be adapted including modifications in the clinic infrastructure and the practice pattern. This would help in smoothly re-instating the physiotherapy services post the covid-19 lockdown.

scholarly journals CROSS SECTIONAL STUDY OF ATTITUDE, PRACTICE AND KNOWLEDGE OF ORAL HYGIENE PRACTICES AND DENTAL TREATMENT IN HEALTH CARE PROFESSIONALS IN SOUTH CANARA DISTRICT.( KARNATAKA)

2014 ◽  
Vol 04 (04) ◽  
pp. 028-032
Author(s):  
K.S Sharath ◽  
Manavi Prabhu ◽  
Biju Thomas ◽  
Shamila Shetty
Keyword(s):  
Health Care ◽  
Oral Hygiene ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Information Needs ◽  
Dental Treatment ◽  
Cross Sectional Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Hygiene Practices

Abstract Objective: The purpose of the study is to estimate the knowledge, attitude and practise of the oral hygiene,and dental treatment, and its correlation with everyday oral hygiene practices among the health care professionals of south canara district ( Karnataka) Methods: A cross sectional survey was conducted on 200 health care professionals between Jan 20th to Feb 20th 2013.Two hundred health professionals were asked to answer a questionnaire containing 15 questions.Data once collected was analysed using SPSS software. Results: 56.3% health professionals visited the dentist once in six months. 26% health professionals felt that unavailability of time is the main factor influencing dental visits. Main cause of taking a dental appointment in 33% subjects was found to be dental caries. 54.6% obtained information on oral hygiene practices through mass media followed by 22.3 % who obtained it directly from the dentist.59.2% brushed their teeth twice daily.50% used medium bristle tooth brush.48.5 % had a brushing time of 3-5 min. 41.5% did not use any other oral hygiene aid.28.64% got scaling done in the last 3-6 months. 56% did not have an habit of using a tooth pick. 43.3% used combination of circular, vertical and horizontal method of brushing.45.5% felt that scaling caused loss of enamel. Conclusion: It appears that knowledge, attitude, and behaviour attitude, practice and knowledge of oral hygiene practices and dental treatment in health care professionals in South Canara district is gud.Though more information needs to be provided about other oral hygiene aids.

scholarly journals Does Therapy Always Need Touch? - A cross-sectional study among Switzerland-based occupational therapists and midwives regarding their experience with health care at a distance during the COVID-19 pandemic in Spring 2020

2020 ◽  
Author(s):  
Verena Klamroth ◽  
Michael Gemperle ◽  
Thomas Ballmer ◽  
Susanne Grylka-Baeschlin ◽  
Jessica Pehlke-Milde ◽  
...  
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Significant Influence ◽  
Occupational Therapists ◽  
Cross Sectional Study ◽  
Cross Sectional Survey ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Log Odds ◽  
Facilitators And Barriers

Abstract Background: The COVID-19 pandemic impedes therapy and care activities. Health care at a distance (HCD) is a promising way to fill the supply gap. However, facilitators and barriers influence the use and experience of HCD in occupational therapists (OTs) and midwives.We identified use of services and appraisal of experiences of Switzerland-based OTs and midwives regarding the provision of HCD during the lockdown as it pertains to the COVID-19 pandemic in spring 2020. 1. Hypothesis: Profession, age in years, and area of work have a significant and meaningful influence over whether HCD is provided. 2. Hypothesis: Profession, age in years, area of work, possibility of reimbursement by health insurance, and application used have a significant and meaningful influence on the experience of HCD.Methods: In a cross-sectional survey, 5755 OTs and midwives were contacted to fill out an online questionnaire with 13 questions regarding demographic information, use of HCD and experiences while providing the service. Eleven potential facilitators and barriers and areas where there was desire for support were identified.Results: The questionnaire was completed by 1269 health professionals (response rate 22.5%). 73.4% of responding OTs (n=431) and midwives (n=501) provided HCD during the COVID-19 pandemic lockdown. Profession and area of work had a significant influence on whether HCD was provided. Age had only a significant influence on the use of videotelephony, SMS and chat services.OTs experienced HCD significantly more positively than midwives (log odds=1.3; p≤.01). Video-telephony (log odds=1.1; p≤.01) and use of phone (log odds=1.1; p=.01) were positive predictors for positive experience, while use of SMS (log odds=-0.33; p=.02) was a negative predictor. Among OTs, 75.7% experienced HCD as positive or mostly positive, while 13.9% experienced it as negative or mostly negative. Among midwives, 53.7% experienced it as positive or mostly positive, while 36.1% experienced it as negative or mostly negative. Most respondents desired support concerning reimbursement by health insurance (70.8%), followed by law and data protection (60.4%).Conclusions: HCD during the early COVID-19 pandemic was generally perceived as positive by OTs and midwives. There is need for training opportunities in connection with HCD during the COVID-19 pandemic.

scholarly journals Patient safety in primary health care and polypharmacy: cross-sectional survey among patients with chronic diseases

2019 ◽  
Vol 27 ◽  
Author(s):  
Lorena Ulhôa Araújo ◽  
Delba Fonseca Santos ◽  
Emerson Cotta Bodevan ◽  
Hellen Lilliane da Cruz ◽  
Jacqueline de Souza ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Primary Health Care ◽  
Chronic Diseases ◽  
Inappropriate Medication ◽  
Prevalence Ratio ◽  
Cross Sectional Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Primary Health

Objective: to characterize and determine the polypharmacy prevalence in patients with chronic diseases and to identify the factors associated, in order to improvement of pharmaceutical care focused on patient safety. Methods: cross-sectional study included 558 patients, covered by primary health care, using a household and structured questionnaire. We analyzed the data on polypharmacy and its clinical and socioeconomic factors. Poisson regression analysis with robust variance was applied, with results expressed in prevalence ratio. Results: the results showed that polypharmacy (consumption of four or more drugs) was of 37.6%. The prevalence ratio analyses identified independent variables associated with polypharmacy: age (3.05), economic strata (0.33), way of medication acquisition through a combination of out-of-pocket and Brazilian public health system (1.44), diabetes and hypertension (2.11), comorbidities (coronary artery disease 2.26) and hospital admission (1.73). In the analyses, inappropriate medication use of the 278 patients (≥ 65 years) was associated with polypharmacy (prevalence ratio 4.04). Conclusion: polypharmacy study becomes an opportunity to guide the strategies for the patient safety to promote the medication without harm in chronic diseases.

scholarly journals Does therapy always need touch? A cross-sectional study among Switzerland-based occupational therapists and midwives regarding their experience with health care at a distance during the COVID-19 pandemic in spring 2020

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Verena Klamroth-Marganska ◽  
Michael Gemperle ◽  
Thomas Ballmer ◽  
Susanne Grylka-Baeschlin ◽  
Jessica Pehlke-Milde ◽  
...  
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Significant Influence ◽  
Occupational Therapists ◽  
Cross Sectional Study ◽  
Cross Sectional Survey ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Log Odds ◽  
Facilitators And Barriers

Abstract Background The COVID-19 pandemic impedes therapy and care activities. Tele-health, i.e., the provision of health care at a distance (HCD), is a promising way to fill the supply gap. However, facilitators and barriers influence the use and experience of HCD for occupational therapists (OTs) and midwives. We identified use of services and appraisal of experiences of Switzerland-based OTs and midwives regarding the provision of HCD during the lockdown as it pertains to the COVID-19 pandemic in spring 2020. 1. Hypothesis: Profession, age in years, and area of work have a significant and meaningful influence over whether HCD is provided. 2. Hypothesis: Profession, age in years, area of work, possibility of reimbursement by health insurance, and application used have a significant and meaningful influence on the experience of HCD. Methods In a cross-sectional survey, 5755 OTs and midwives were contacted to fill out an online questionnaire with 13 questions regarding demographic information, use of HCD, and experiences while providing the service. Eleven potential facilitators and barriers and areas where there was desire for support were identified. Results The questionnaire was completed by 1269 health professionals (response rate 22.5%). 73.4% of responding OTs (n = 431) and midwives (n = 501) provided HCD during the COVID-19 pandemic lockdown. Profession and area of work had a significant influence on whether HCD was provided. Age only had a significant influence on the use of videotelephony, SMS, and chat services. OTs experienced HCD significantly more positively than midwives (log odds = 1.3; p ≤ .01). Video-telephony (log odds = 1.1; p ≤ .01) and use of phone (log odds = 0.8; p = .01) were positive predictors for positive experience, while use of SMS (log odds = − 0.33; p = .02) was a negative predictor. Among OTs, 67.5% experienced HCD as positive or mostly positive, while 27.0% experienced it as negative or mostly negative. Among midwives, 39.5% experienced it as positive or mostly positive, while 57.5% experienced it as negative or mostly negative. Most respondents desired support concerning reimbursement by health insurance (70.8%), followed by law and data protection (60.4%). Conclusions HCD during the early COVID-19 pandemic was generally perceived as positive by OTs and midwives. There is need for training opportunities in connection with HCD during the COVID-19 pandemic.

scholarly journals Current state of knowledge of basic life support in health professionals of the largest city in Pakistan: a cross-sectional study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Babar Irfan ◽  
Ibrahim Zahid ◽  
Muhammad Sharjeel Khan ◽  
Omar Abdul Aziz Khan ◽  
Shayan Zaidi ◽  
...  
Keyword(s):  
Health Care ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Basic Life Support ◽  
Life Support ◽  
Sudden Cardiac Arrest ◽  
Cross Sectional Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Adequate Knowledge

Abstract Background Basic Life Support (BLS) is the recognition of sudden cardiac arrest and activation of the emergency response system, followed by resuscitation, and rapid defibrillation. According to WHO, Pakistan has one of the highest mortality rates from accidental deaths therefore assessment and comparison of BLS knowledge in health professionals is crucial. We thereby aim to assess and compare the knowledge of BLS in doctors, dentists and nurses. Methods A multi-centric cross-sectional survey was conducted in Karachi at different institutions belonging to the private as well as government sector from January to March 2018. We used a structured questionnaire which was adapted from pretested questionnaires that have been used previously in similar studies. Descriptive statistics were analyzed using SPSS v22.0, where adequate knowledge was taken as a score of at least 50%. P < 0.05 was considered as significant. Logistic regression was used to identify the factors affecting the knowledge regarding BLS in health care professionals. Results The responders consisted of 140 doctors, nurses and dentists each. Only one individual (dentist) received a full score of 100%. In total, 58.3% of the population had inadequate knowledge. Average scores of doctors, dentists and nurses were 53.5, 43.3 and 38.4% respectively. Doctors, participants with prior training in BLS and those with 6 to 10 years after graduation were found to be a significant predictor of adequate knowledge, on multivariate analysis. Conclusion Even though knowledge of BLS in doctors is better than that of dentists and nurses, overall knowledge of health care professionals is extremely poor. Present study highlights the need for a structured training of BLS for health care workers.

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