Perception of Telemedicine in Health Care Workers of a Tertiary Care Hospital
DOI:
https://doi.org/10.51985/JBUMDC2022104Keywords:
challenges, digital health, healthcare, telemedicine.Abstract
Objective: This investigation aimed to determine the feasibility of using telemedicine for screening and to observe healthcare
provider’s opinion about telemedicine. In addition to that, explore the barriers in use of telemedicine
Study Design and setting: A cross-sectional study was carried out at Central Park Medical College and Teaching Hospital.
Methodology: The study was conducted between November, 2020 to April,2021 from 176 doctors and nurses working
at Central Park Teaching Hospital using a convenience sampling technique. Convenience sampling was used because there
is always a high probability of non-response or unavailability of clinical doctors and nurses. The minimum sample size
was calculated as 88 for the group of doctors. The minimum sample size was doubled to collect the data from two cadres.
The questionnaire was based on demographic information, general opinion about telemedicine such as reliability, comparison
with standard examination procedure, nature, popularity, knowledge requirement, cost-effectiveness, designed frame and
barriers for telemedicine.
Results: Nearly, 80.1% of the participants were doctors with clinical experience while the remaining were nurses.
Approximately 72.5% of the doctors and 58.5% of the sampled participants said that telemedicine does not fulfill the need
for standard examination procedures.
Conclusion: The findings of our study showed that the general opinion of healthcare professionals about telemedicine was
unfavorable. Doctors had negative views but the nursing staff was optimistic. There was a mixed response about convenience.
The main barrier to telemedicine was the poor communication skills of patients and availability and knowledge for using
infrastructure
References
Álvarez MM, Chanda R, Smith RD. How is Telemedicine
perceived? A qualitative study of perspectives from the
UK and India. Globalization and health. 2011 Dec;7(1):1-
DOI: doi: 10.1186/1744-8603-7-17.
Ferguson EW, Doarn CR, Scott JC. Survey of global
telemedicine. Journal of medical systems. 1995
Feb;19(1):35-46. DOI: doi: 10.1007/BF02257189.
World Health Organization. Telemedicine: opportunities
and developments in member states. Report on the second
global survey on eHealth. World Health Organization;
Kamal SA, Hussain S, Shafiq M, Jahanzaib M.
Investigating the adoption of telemedicine services: an
empirical study of factors influencing physicians’
perspective in Pakistan. The Nucleus. 2018 Nov
;55(3):153-63. DOI: doi: 10.12669/pjms.37.2.3592.
Asad M, Sabzwari S. Telemedicine: A new frontier in
clinical practice. Pakistan Journal of Medical Sciences.
;37(2):588. DOI: doi: 10.12669/pjms.37.2.3592.
Malik AZ. Telemedicine country report-Pakistan. In2007
th International Conference on e-Health Networking,
Application and Services 2007 Jun 19 (pp. 90-94). IEEE.
Ahmed A, Ahmed M. The Telemedicine Landscape in
Pakistan-Why are we falling behind. J Pak Med Assoc.
Dec 1;68(12):1820-2
Scott RE, Mars M. Telehealth in the developing world: current
status and future prospects. Smart Homecare Technology and
TeleHealth. 2015 Feb 2;3:25-37.
Prilukov MD. Problemy pravovogo regulirovaniya
telemeditsiny. Rossiiskii i mezhdunarodnyi opyt. Vestnik
Nizhegorodskogo universiteta im. NI Lobachevskogo.
(3):21-9.
Garibyan B, Kohlert V. Obtaining of Tungsten Oxide
Nanoparticles in Ultrasonically Assisted Electric Discharge.
Revista Inclusiones. 2020 Aug 6:386-92
Ashfaq A, Memon SF, Zehra A, Barry S, Jawed H, Akhtar
M, Kirmani W, Malik F, Khawaja AW, Barry H, Saiyid H.
Knowledge and attitude regarding telemedicine among doctors
in Karachi. Cureus. 2020;12(2). DOI: doi: 10.7759/ cureus.
Wang H, Chow SC. Sample size calculation for comparing
proportions. Wiley Encyclopedia of Clinical Trials. 2007 Dec
;10:9781118445112. https://doi.org/10.1002/9780471462422
.eoct005
Park HY, Kwon YM, Jun HR, Jung SE, Kwon SY. Satisfaction
survey of patients and medical staff for telephone-based
telemedicine during hospital closing due to COVID-19
transmission. Telemedicine and e-Health. 2021;27(7):724.
DOI: doi: 10.1089/tmj.2020.0369.
Iqbal S, Khan N. Effectiveness and future prospects of
telemedicine/remote health care management applications in
Pakistan. Mehran University Research Journal of Engineering
& Technology. 2017;36 (4):807-18. DOI: https://doi.org/
22581 /muet1982.1704.06
Meher SK, Tyagi RS, Chaudhry T. Awareness and attitudes
to telemedicine among doctors and patients in India. Journal
of telemedicine and telecare. 2009 Apr;15(3):139-41. DOI:
doi: 10.1258/jtt.2009.003011.
Rezaei P, Maserrat E, Torab-Miandoab A. Specialist physicians’
perspectives about telemedicine and barriers to using it in
Tabriz teaching hospitals. ISMJ. 2018 Jan 10;20(6):562-72.
DOI: http://ismj.bpums.ac.ir/article-1-907-en.html
Combi C, Pozzani G, Pozzi G. Telemedicine for developing
countries. Applied clinical informatics. 2016;7(04):1025-50.
DOI: doi: 10.4338/ACI-2016-06-R-0089.
Richards H, King G, Reid M, Selvaraj S, McNicol I, Brebner
E, Godden D. Remote working: survey of attitudes to eHealth
of doctors and nurses in rural general practices in the United
Kingdom. Family practice. 2005 Feb 1;22(1):2-7. DOI: doi:
1093/fampra/cmh716.
Acharya RV, Rai JJ. Evaluation of patient and doctor perception
toward the use of telemedicine in Apollo Tele Health Services,
India. Journal of family medicine and primary care. 2016
Oct;5(4):798. DOI: doi: 10.4103/2249-4863.201174.
Rogove HJ, McArthur D, Demaerschalk BM, Vespa PM.
Barriers to telemedicine: survey of current users in acute care
units. Telemedicine and e-Health. 2012 Jan 1;18(1):48-53.
DOI: doi: 10.1089/tmj.2011.0071.
Iftikhar S, Saqib A, Sarwar MR, Sarfraz M, Arafat M, Shoaib
QU. Capacity and willingness to use information technology
for managing chronic diseases among patients: A crosssectional study in Lahore, Pakistan. PloS one. 2019 Jan
;14(1):e0209654. DOI: doi: 10.1371/journal.pone.0209654.
Kazi AM, Qazi SA, Ahsan N, Khawaja S, Sameen F, Saqib
M, Mughal MA, Wajidali Z, Ali S, Ahmed RM, Kalimuddin
H. Current challenges of digital health interventions in Pakistan:
mixed methods analysis. Journal of medical Internet research.
Sep 3;22(9):e21691.
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Copyright (c) 2023 Shehnaz Khan, Tahseen Haider Kazmi, Noor Shahid , Shamaila Hassnain
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