ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 304
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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The promoting factors for providing telemedicine services
among physicians in the post-COVID-19 era
Dr Chyi-Feng Jan1,2, Shao-Yi Cheng1,2
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Family Medicine, National Taiwan University Hospital, 2College of Medicine, National Taiwan University
Aim
This study aimed to investigate the barriers and facilitators for doctors in delivering telemedicine
services after the COVID-19 pandemic.
Methods
A structured anonymous questionnaire was developed, taking into account the format of the
AMA Physician Questionnaire and the current telemedicine practices in Taiwan. It encompassed
demographic information, practice experiences, obstacles and challenges faced, as well as future
attitudes and practices towards providing telemedicine services. The data were analysed using ordinal
logistic regression with SAS 9.4.
Results
A total of 529 participants responded to the questionnaire. The majority of respondents were family
medicine specialists (40.8%). Prior to the COVID-19 pandemic, only 23% had utilised telemedicine
services to care for their patients, which increased to 84.6% during the pandemic. After adjusting for
age and gender, it was found that a more positive attitude towards telemedicine among physicians
was associated with a 9.2-fold greater willingness to provide telemedicine services in the future (95%
CI: 6.4, 13.3). Regarding the each aspect, physicians who believed that telemedicine enabled them
to provide better quality care to patients were 3.5-fold more likely to have a higher willingness (95%
CI: 2.8, 4.5). Similarly, they were 2.9-fold more likely to have a higher willingness if they perceived
telemedicine to promote more holistic care (95% CI: 2.4, 3.5), 3.3-fold more likely to increase patient
satisfaction (95% CI: 2.6, 4.1), 3.0-fold more likely to enhance professional satisfaction of physicians
(95% CI: 2.5, 3.7), 2.9-fold more likely to reduce the cost of care (95% CI: 2.3, 3.5) and 3.3-fold more
likely to address the shortage of in-person outpatient visits during the COVID-19 pandemic (95% CI:
2.7, 4.1).
Conclusion
To encourage physicians in providing telemedicine services in the post-COVID-19 era, the government
should enhance the perceptions of physicians to provide the patent-centred comprehensive care with
greater physicians’ achievement.
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