التفاصيل البيبلوغرافية
| العنوان: |
Telemedicine Service Adoption During the COVID-19 Pandemic: Physicians' Experience from Nigeria. |
| المؤلفون: |
Iliyasu, Zubairu, Garba, Rayyan M., Bashir, Humayra A., Saleh, Nabila S., Jibo, Abubakar M., Amole, Taiwo G., Umar, Amina A., Tsiga-Ahmed, Fatimah I., Abdullahi, Hadiza M., Kwaku, Aminatu A., Salihu, Hamisu M., Aliyu, Muktar H. |
| المصدر: |
Telemedicine & e-Health; Mar2024, Vol. 30 Issue 3, p805-815, 11p |
| مصطلحات موضوعية: |
COVID-19 pandemic, PHYSICIANS, RESOURCE-limited settings, INFORMATION superhighway, TELEMEDICINE, MEDICAL telematics |
| مصطلحات جغرافية: |
NIGERIA, KANO (Nigeria) |
| مستخلص: |
Introduction:Telemedicine practice experiences during the COVID-19 pandemic have not been well documented in resource-constrained settings, such as Nigeria. We set out to assess knowledge, attitude, and factors associated with telemedicine practice during the COVID-19 lockdown, as well as physician experiences in Kano, Nigeria. Methods:We employed a mixed-methods approach, utilizing structured questionnaires administered to 246 physicians, followed by in-depth interviews with a purposive subsample of 20 individuals. The data were analyzed using logistic regression and the framework approach. Results:Overall, 65.0% of the respondents demonstrated moderate to good knowledge of telemedicine. Before COVID, only 47.6% (n = 117) reported practicing telemedicine, compared with 77.2% (n = 190) during the COVID lockdown (p < 0.05). Factors associated with telemedicine practice included having at least 5 years of work experience, working in pediatrics, undergoing senior residency training, receiving formal telemedicine training, possessing good knowledge of telemedicine, and having a positive attitude toward it. The odds of engaging in telemedicine practice were four times higher (adjusted odds ratio = 4.10, 95% confidence interval: 1.79–9.40) for those who practiced it before the pandemic. Challenges identified included knowledge and skill gaps, slow internet connectivity, unstable electricity, and inadequate equipment. Conclusion:To enhance telemedicine practice in resource-limited settings, it is important to focus on strengthening information and communication infrastructure, providing comprehensive clinician training, implementing careful patient selection processes, and improving practice guidelines. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
