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      Self-reported perceptions and knowledge of telemedicine in medical students and professionals who enrolled in an online course in Peru

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          Abstract

          Background

          Telemedicine has become more relevant during the COVID-19 pandemic. However, medical students and professionals do not acquire competences in telemedicine during their training. Our objective was to describe the self-reported perception and baseline knowledge of telemedicine among medical students and professionals enrolled in a virtual course.

          Methods

          Cross-sectional study that included physicians or medical students aged 18 years or older who were interested in a free virtual telemedicine course and who completed the data collection questionnaire. We used a Likert scale to assess the self-reported perceptions of four domains related to telemedicine. The participants were grouped into three levels for each domain: low, medium and high. We also objectively assessed telemedicine knowledge by means of 10 questions, with a cut-off point of 50% of correct answers. The Fisher's exact test, the Chi-square test, and the Mann–Whitney U test were used for the comparison of categorical data. A p-value < 0.05 was considered statistically significant.

          Results

          We included 161 participants: 118 medical students and 43 physicians. We observed no significant differences between medical students and physicians in self-reported perceptions of knowledge, security, or utility of telemedicine. However, students had a high self-reported perception of the disadvantages of telemedicine especially related to patient security ( p = 0.018), efficiency of care ( p = 0.040), and the possibility of medical malpractice ( p = 0.010) compared to physicians. Nearly half of the students ( n = 53,44.9%) and physicians ( n = 22,51.7%) answered 50% or more of the questions related to telemedicine knowledge correctly.

          Conclusion

          Among the physicians and medical students enrolled in the course, the students perceived the disadvantages of telemedicine more frequently. Although physicians and students have limited knowledge of telemedicine, there appears to be no influence of experience and prior training in telemedicine.

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          Most cited references31

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          Telehealth for global emergencies: Implications for coronavirus disease 2019 (COVID-19)

          The current coronavirus (COVID-19) pandemic is again reminding us of the importance of using telehealth to deliver care, especially as means of reducing the risk of cross-contamination caused by close contact. For telehealth to be effective as part of an emergency response it first needs to become a routinely used part of our health system. Hence, it is time to step back and ask why telehealth is not mainstreamed. In this article, we highlight key requirements for this to occur. Strategies to ensure that telehealth is used regularly in acute, post-acute and emergency situations, alongside conventional service delivery methods, include flexible funding arrangements, training and accrediting our health workforce. Telehealth uptake also requires a significant change in management effort and the redesign of existing models of care. Implementing telehealth proactively rather than reactively is more likely to generate greater benefits in the long-term, and help with the everyday (and emergency) challenges in healthcare.
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            Patients' Satisfaction with and Preference for Telehealth Visits.

            One-quarter of U.S. patients do not have a primary care provider or do not have complete access to one. Work and personal responsibilities also compete with finding convenient, accessible care. Telehealth services facilitate patients' access to care, but whether patients are satisfied with telehealth is unclear.
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              Building on the momentum: Sustaining telehealth beyond COVID-19

              The current coronavirus pandemic (COVID-19) has resulted in tremendous growth in telehealth services in Australia and around the world. The rapid uptake of telehealth has mainly been due to necessity – following social distancing requirements and the need to reduce the risk of transmission. Although telehealth has been available for many decades, the COVID-19 experience has resulted in heightened awareness of telehealth amongst health service providers, patients and society overall. With increased telehealth uptake in many jurisdictions during the pandemic, it is timely and important to consider what role telehealth will have post-pandemic. In this article, we highlight five key requirements for the long-term sustainability of telehealth. These include: (a) developing a skilled workforce; (b) empowering consumers; (c) reforming funding; (d) improving the digital ecosystems; and (e) integrating telehealth into routine care.
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                Author and article information

                Contributors
                ohuapaya@cientifica.edu.pe
                Journal
                BMC Med Educ
                BMC Med Educ
                BMC Medical Education
                BioMed Central (London )
                1472-6920
                3 February 2023
                3 February 2023
                2023
                : 23
                : 88
                Affiliations
                [1 ]GRID grid.12525.31, ISNI 0000 0001 2223 9184, Sociedad Científica de Estudiantes de Medicina de La Universidad Nacional de Trujillo, ; Trujillo, Perú
                [2 ]Comité Permanente Académico, Sociedad Científica Médico Estudiantil Peruana, Lima, Perú
                [3 ]Hospital La Caleta, Ministerio de Salud (MINSA), Chimbote, Perú
                [4 ]GRID grid.430666.1, ISNI 0000 0000 9972 9272, Universidad Científica del Sur, ; Lima, Perú
                [5 ]GRID grid.441917.e, ISNI 0000 0001 2196 144X, Sociedad Científica de Estudiantes de Medicina, Universidad Peruana de Ciencias Aplicadas (UPC), ; Lima, 15067 Perú
                [6 ]GRID grid.441893.3, ISNI 0000 0004 0542 1648, Escuela de Medicina, , Universidad Peruana Unión, ; Lima, Perú
                [7 ]GRID grid.441908.0, ISNI 0000 0001 1969 0652, Unidad de Investigación Para La Generación Y Síntesis de Evidencia en Salud, Universidad San Ignacio de Loyola, ; Lima, Perú
                Author information
                http://orcid.org/0000-0001-9210-7638
                http://orcid.org/0000-0003-1474-197X
                http://orcid.org/0000-0003-1629-1706
                http://orcid.org/0000-0001-6547-4811
                http://orcid.org/0000-0002-9532-837X
                http://orcid.org/0000-0001-9909-4497
                http://orcid.org/0000-0001-8168-4691
                http://orcid.org/0000-0003-3907-2784
                http://orcid.org/0000-0002-5435-7246
                Article
                4058
                10.1186/s12909-023-04058-x
                9896674
                36737732
                ff1c1c48-2295-4db5-8dac-5eeaf0e994c6
                © The Author(s) 2023

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 18 July 2022
                : 24 January 2023
                Categories
                Research
                Custom metadata
                © The Author(s) 2023

                Education
                telemedicine,knowledge,self-perception,physicians,students,medical (mesh—nlm)
                Education
                telemedicine, knowledge, self-perception, physicians, students, medical (mesh—nlm)

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