Acceptance of Telemedicine: A Perspective from the Doctors Working in the Tertiary Care Hospitals of Quetta
Acceptance of Telemedicine
DOI:
https://doi.org/10.54393/pjhs.v4i06.855Keywords:
Telemedicine; Quetta; Acceptance; Pandemic; COVID-19; SocioeconomicAbstract
The pandemic of COVID-19 forced the world to reduce the social interactions and push the world toward keeping destinations. During the pandemic, the need for online health services was profoundly felt also in Pakistan. Online health services saw a boost all around the country; however, there are still many challenges in the acceptance of the online services in Pakistan yet. Objective: To assess the acceptance and adaption of telemedicine services in three public sector hospitals of district Quetta during the pandemic of COVID-19. Methods: Questionnaire was designed and distributed among 385 physicians from Civil Hospital, Bolan Medical College and Fatima Jinnah Hospital and the results were interpreted with the help of the SPSS. Results: A total of 385 respondents were selected for the given purpose. 231 were male and 154 were female. 250 of the respondents said that only the urban areas were taking advantage of the telemedicine services while due to lack of internet facilities, the people from rural areas were devoid of the online services. The results also showed that 111 doctors had started telemedicine services since the pandemic. 235 of the respondents said that the youth were more inclined toward accepting telemedicine as compared to elderly. Conclusions: Telemedicine has not seen a large-scale acceptance and yet the people are relying on conventional methods of treatment and not switching to telemedicine as largely as they should have so had the doctors.
References
Heinzelmann P, Lugn N, Kvedar C. Telemedicine in the future. Journal of Telemedicine and Telecare 2015 Jun; 11(8): 384–90. doi: 10.1258/135763305775013554. DOI: https://doi.org/10.1258/135763305775013554
Froehlich W, Seitaboth S, Chanpheaktra N, Pugatch D. Case report: an example of international telemedicine success. Journal of Telemedicine and Telecare. 2009 Jun; 15(4): 208-10. doi: 10.1258/jtt.2008.081001. DOI: https://doi.org/10.1258/jtt.2008.081001
Gates B. Responding to Covid-19—a once-in-a-century pandemic? New England Journal of Medicine. 2020 Apr; 382(18): 1677-9. DOI: https://doi.org/10.1056/NEJMp2003762
Wootton R, Youngberry K, Swinfen R, Swinfen P. Referral patterns in a global store-and-forward telemedicine system. Journal of Telemedicine and Telecare. 2005 Dec; 11(2_suppl): 100-3. doi: 10.1258/135763305775124966. DOI: https://doi.org/10.1258/135763305775124966
Swinfen P, Swinfen R, Youngberry K, Wootton R. A review of the first year's experience with an automatic message-routing system for low-cost telemedicine. Journal of telemedicine and telecare. 2003 Dec; 9(2_suppl): 63-5. doi: 10.1258/135763303322596309. DOI: https://doi.org/10.1258/135763303322596309
Ouma S and Herselman ME. E-health in rural areas: case of developing countries. International Journal of Humanities and Social Sciences. 2008 Apr; 2(4): 304-10.
Iqbal M and Aleem MA. Telemedicine as a source of universal health coverage in Pakistan. Scientific Journal of Comsats-Science Vision 2017; 19 (1): 213-9.
Taehoon K and Zuckerman E. Realizing the potential of telemedicine in global health Harvard Medical School. Brigham and Women’s Hospital, Boston, Massachusetts 2019 Dec; 9(2): 371-89.
Pradeep PV, Mishra A, Mohanty BN, Mohapatra KC, Agarwal G, Mishra SK. Reinforcement of endocrine surgery training: impact of telemedicine technology in a developing country context. World journal of surgery. 2007 Aug; 31: 1665-71. doi: 10.1007/s00268-007-9108-1. DOI: https://doi.org/10.1007/s00268-007-9108-1
Reed CM. Medical tourism. Medical Clinics of North America. 2008 Nov; 92(6): 1433-46. doi: 10.1016/j.mcna.2008.08.001. DOI: https://doi.org/10.1016/j.mcna.2008.08.001
Ashfaq A, Memon SF, Zehra A, Barry S, Jawed H, Akhtar M, et al. Knowledge and attitude regarding telemedicine among doctors in Karachi. Cureus. 2020 Feb 9; 12(2): 1. doi: 10.7759/cureus.6927. DOI: https://doi.org/10.7759/cureus.6927
Shaikh B. Private Sector in Health Care Delivery: A Reality and Challenge in Pakistan. Journal of Ayub Medical Colledge Abbottabad 2015 Jun; 27(2): 496–8.
Ullah H, Raziq A, Gul A, Ullah A, Saeed J, Iqbal N, et al. Current pandemic COVID-19 vaccine strategies and development: a comprehensive review. VacciMonitor 2023; 32(1): e06123.
Ullah H, Ullah A, Gul A, Khan MW. Novel coronavirus 2019 (COVID-19) diagnosis and treatment: Recent review updates. Pakistan Pediatric Journal 2021; 45(2): 135-40.
Ullah H, Ullah A, Gul A, Mousavi T, Khan MW. Novel coronavirus 2019 (COVID-19) pandemic outbreak: A comprehensive review of the current literature. Vacunas (English Edition). 2021 May; 22(2): 106-13. doi: 10.1016/j.vacune.2020.09.005. DOI: https://doi.org/10.1016/j.vacune.2020.09.005
Jafree SR. Women, healthcare, and violence in Pakistan. Oxford University Press; 2018: 292.
Hollander JE and Carr BG. Virtually perfect? Telemedicine for COVID-19. New England Journal of Medicine. 2020 Apr; 382(18): 1679-81. doi: 10.1056/NEJMp2003539. DOI: https://doi.org/10.1056/NEJMp2003539
Langabeer JR, Gonzalez M, Alqusairi D, Champagne-Langabeer T, Jackson A, Mikhail J, et al. Telehealth-enabled emergency medical services program reduces ambulance transport to urban emergency departments. Western Journal of Emergency Medicine. 2016 Nov; 17(6): 713. doi: 10.5811/westjem.2016.8.30660. DOI: https://doi.org/10.5811/westjem.2016.8.30660
Kazi AM, Qazi SA, Ahsan N, Khawaja S, Sameen F, Saqib M, et al. Current challenges of digital health interventions in Pakistan: mixed methods analysis. Journal of Medical Internet Research. 2020 Sep; 22(9): e21691. doi: 10.2196/21691. DOI: https://doi.org/10.2196/21691
Bardy P. The Human Challenge of Telemedicine: Toward Time-sensitive and Person-centered Ethics in Home Telecare. 1st Edition. Elsevier; 2018 Nov.
Barnett ML, Ray KN, Souza J, Mehrotra A. Trends in telemedicine use in a large commercially insured population, 2005-2017. Jama. 2018 Nov; 320(20): 2147-9. doi: 10.1001/jama.2018.12354. DOI: https://doi.org/10.1001/jama.2018.12354
Combi C, Pozzani G, Pozzi G. Telemedicine for Developing Countries. A Survey and Some Design Issues. Applied Clinical Informatics. 2016 Nov; 7(4): 1025-50. doi: 10.4338/ACI-2016-06-R-0089. DOI: https://doi.org/10.4338/ACI-2016-06-R-0089
Rouidi M, Elouadi A, Hamdoune A. Acceptance and use of telemedicine technology by health professionals: Development of a conceptual model. Digit Health 2022 Feb; 21(8): 20552076221081693. doi: 10.1177/20552076221081693. DOI: https://doi.org/10.1177/20552076221081693
Cilliers L and Flowerday S. User acceptance of telemedicine by health care workers a case of the eastern cape province, South Africa. The Electronic Journal of Information Systems in Developing Countries. 2014 Sep; 65(1): 1-0. doi: 10.1002/j.1681-4835.2014.tb00467.x. DOI: https://doi.org/10.1002/j.1681-4835.2014.tb00467.x
Dünnebeil S, Sunyaev A, Blohm I, Leimeister JM, Krcmar H. Determinants of physicians’ technology acceptance for e-health in ambulatory care. International Journal of Medical Informatics. 2012 Nov; 81(11): 746-60. doi: 10.1016/j.ijmedinf.2012.02.002. DOI: https://doi.org/10.1016/j.ijmedinf.2012.02.002
Contreras CM, Metzger GA, Beane JD, Dedhia PH, Ejaz A, Pawlik TM. Telemedicine: patient-provider clinical engagement during the COVID-19 pandemic and beyond. Journal of Gastrointestinal Surgery. 2020 Jul; 24: 1692-7. doi: 10.1007/s11605-020-04623-5. DOI: https://doi.org/10.1007/s11605-020-04623-5
Wootton R. Telemedicine support for the developing world. Journal of Telemedicine and Telecare. 2008 Apr; 14(3): 109-14. doi: 10.1258/jtt.2008.003001. DOI: https://doi.org/10.1258/jtt.2008.003001
Brauchli K, Oberli H, Hurwitz N, Kunze KD, Haroske G, Jundt G, et al. Diagnostic telepathology: long-term experience of a single institution. Virchows Archiv. 2004 May; 444: 403-9. doi: 10.1007/s00428-004-0980-x. DOI: https://doi.org/10.1007/s00428-004-0980-x
Wosik J, Fudim M, Cameron B, Gellad ZF, Cho A, Phinney D, et al. Telehealth transformation: COVID-19 and the rise of virtual care. Journal of the American Medical Informatics Association. 2020 Jun; 27(6): 957-62. doi: 10.1093/jamia/ocaa067. DOI: https://doi.org/10.1093/jamia/ocaa067
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