Knowledge, attitude and perception of health care providers and their patients regarding “Telemedicine” for otorhinolaryngeal care during the COVID-19 pandemic
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20223205Keywords:
COVID 19, Health care providers, Health care services, Otolaryngology, Perception, TelemedicineAbstract
Background: Telemedicine aids health care facilities in implementing response on otorhinolaryngeal care during the pandemic while also maintaining provision for essential health services. This study was taken up to highlight perception of doctors and patients and implementation benefit and drawbacks of telemedicine, despite the continuous effort to help reduce ailments of the patients via reduction in the in-person care during pandemic. Objectives were to assess knowledge, attitude and perception (KAP) among doctors and patients regarding telemedicine during COVID-19 pandemic. To determine the gaps and challenges experienced by the health care providers and the patients by telemedicine consultation.
Methods: Cross sectional study conducted among the 18 doctors and house surgeons in department of otorhinolaryngology, KIMS Bhubaneswar and 486 patients who availed telemedicine for consultation from these health care professionals. A semi structured, mixed questionnaire was used. First phase of study was when patient contacted the doctor over phone, second was when doctor called up the patient for follow up and third was when both the doctors and patients were contacted to take their feedback on the study and assess their KAP on telemedicine. Data was analysed using SPSS-23 and Pearson’s correlation was used to determine any association.
Results: 81%, 78.5% and 65.2% HCPs had good knowledge, attitude and perception score regarding telemedicine while among the patients the scores for good knowledge, attitude and perception were 42%, 21.4%, 15.4%, respectively. 88% HCPs and 84.8% patients were satisfied with e-health and were willing to continue this technology.
Conclusions: The traditional clinic consultation has been modified during the pandemic to prevent and control transmission of the infection though it has both merits and demerits.
References
Garg S, Gangadharan N, Bhatnagar N, Singh MM, Raina SK, Galwankar S. Telemedicine: embracing virtual care during COVID-19 pandemic. J Fam Med Prim Care. 2020;9(9):4516.
Covid-19: Guidelines on Disinfection of Common public places. MoHFW. 2020. Available from: https://www.mohfw.gov.in/pdf/Guidelinesondisinfectionofcommonpublicplacesincludingoffices.pdf. Accessed on 8 July 2021.
Zayapragassarazan Z, Kumar S. Awareness, knowledge, attitude and skills of telemedicine among health professional faculty working in teaching hospitals. J Clin Diagn Res. 2016;10(3):JC01-4.
Salepci E, Turk B, Ozcan SN, Bektas ME, Aybal A, Dokmetas I, et al. Symptomatology of COVID-19 from the otorhinolaryngology perspective: a survey of 223 SARS-CoV-2 RNA-positive patients. Eur Arch Oto-Rhino-Laryngol. 2021;278(2):525-35.
Galle A, Semaan A, Huysmans E, Audet C, Asefa A, Delvaux T, et al. A double-edged sword—telemedicine for maternal care during COVID-19: findings from a global mixed-methods study of healthcare providers. BMJ Glob Health. 2021;6(2):e004575.
Resolution WHA58.28 ehealth. Available at: www.who.int/ observatories/global-observatory-for-ehealth. Accessed on 01 September 2022.
Malhotra P, Ramachandran A, Chauhan R, Soni D, Garg N. Assessment of knowledge, perception, and willingness of using telemedicine among medical and allied healthcare students studying in private institutions. Telehealth Med Today. 2020;5(4).
Ayatollahi H, Sarabi FZ, Langarizadeh M. Clinicians’ knowledge and perception of telemedicine technology. Perspect Health Inform Manage. 2015;12.
Sageena G, Sharma M, Kapur A. Evolution of smart healthcare: telemedicine during COVID-19 pandemic. J Inst Engineers (India): Series B. 2021;102(6):1319-24.
Alfadda AA, Albilali A, Alqurtas E, Alharbi A, Ekhzaimy A, Muayqil T, et al. COVID-19 pandemic preparedness and mitigation plan: Department of internal medicine experience from a clinical perspective. J Nat Sci Med. 2021;4(1):16.
A guide to WHO’s guidance on COVID-19. Available from: https://www.who.int/news-room/feature-stories/detail/a-guide-to-who-s-guidance. Accessed on 8 July 2021.
Doctor-patient ratio in India less than WHO-prescribed norm of 1:1000: Govt. ET Healthworld.com. 2019 Available from: https://health.economictimes.indiatimes.com/news/industry/doctor-patient-ratio-in-india-less-than-who-prescribed-norm-of-11000-govt/72135237. Accessed on 8 July 2021.
Patel SY, Mehrotra A, Huskamp HA, Uscher-Pines L, Ganguli I, Barnett ML. Trends in outpatient care delivery and telemedicine during the COVID-19 pandemic in the US. JAMA Intern Med. 2021;181(3):388-91.
El Gatit AM, Tabet AS, Sherief M, Warieth G, Abougharsa M, Abouzgaia H. Effects of an awareness symposium on the perception of Libyan physicians regarding telemedicine. East Mediter Health J. 2008;14(4):926-30.
El-Mahalli AA, El-Khafif SH, Al-Qahtani MF. Successes and challenges in the implementation and application of telemedicine in the eastern province of Saudi Arabia. Perspect Health Inf Manag. 2012;9.
Dey DTK, Bhattacharya DS. Knowledge and perception of Telemedicine among post graduate students of a tertiary hospital West Bengal. J Dent Med Sci. 2016;6:8-11.
Haque MM, Jahan Y, Khair Z, Moriyama M, Rahman MM, Sarker MH, et al. Perceptions about telemedicine among populations with chronic diseases amid COVID-19: data from a cross-sectional survey. Int J Environ Res Public Health. 2022;19(7):4250.
Quadery SE, Hasan M, Khan MM. Consumer side economic perception of telemedicine during COVID-19 era: A survey on Bangladesh’s perspective. Inform Med Unlocked. 2021;27:100797.
Wozniak AM, Rallis KS, Elkaddoum R. Telemedicine health disparities in oncology care. Fut Oncol. 2021;17(14):1695-8.
Portnoy J, Waller M, Elliott T. Telemedicine in the era of COVID-19. J Allerg Clin Immunol Pract. 2020;8(5):1489-91.
Holtz BE. Patients perceptions of telemedicine visits before and after the coronavirus disease 2019 pandemic. Telemed e-Health. 2021;27(1):107-12.
