ATTITUDE AND PERCEPTION OF HEALTH CARE PROFESSIONALS INTEACHING HOSPITALS TOWARDS USE OF TELEMEDICINE SERVICES IN OBSTETRICS AND GYNAECOLOGY IN NEPAL

Main Article Content

Dr. Manisha Chhetry
Dr. Pritha Basnet
Dr. Sarita Sitaula
Dr. Tulasa Basnet
Dr. Deepa Shah
Dr. Pappu Rijal

Abstract

Background: Telemedicine use has gained momentum post the COVID-19 pandemic. Acceptance, widespread implementation and success depend on factors like understanding, knowledge and skills of the users and exploring the barriers for use of this technology and addressing them.


Objective: This study aimed to assess the attitude and perception of health care professionals (HCP) towards use of Telemedicine services in Obstetrics and Gynaecology in Nepal.


Materials and methods: A cross-sectional, descriptive study was carried out over six months from October 2020 to March 2021. A self-designed, pre-tested, pre-validated, web-based questionnaire was mailed to 210 healthcare professionals (HCPs) in teaching hospitals providing obstetrics and gynaecology services. Likert score was used to assess the attitude.


Results: A total of 148 completed responses were received (response rate70.47%). Most respondents were females (69.6%), in age group 30-40 years (62.8%), with experience less than five years (68.2%). The most commonly used modality (75%) was telephonic consultations and internet messaging (viber/WhatsApp). Ten percent used multiple methods including specialized telemedicine software. The major reason for use was for primary or follow-up consultations, urgent consultations with colleagues and inter-specialty consultation. Eighty eight respondents (59.5%) had good attitude towards telemedicine (attitude score >=70%). Difficulty in making a diagnosis, need for training, fear of litigation and insufficient profits and reimbursements were perceived as few barriers.


Conclusion: Most HCPs had positive attitude towards the use of telemedicine in obstetrics and gynaecology. Adequate training and clear guidelines for use are need of the hour.

Article Details

Section
ORIGINAL ARTICLE: