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Telemedicine in Ecuador: Insights from Healthcare Providers

A study on healthcare providers' views and knowledge of telemedicine in Ecuador.

― 6 min read


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Telemedicine is a way for doctors to care for patients from a distance using technology. Instead of visiting a doctor's office in person, patients can connect with their doctors through video calls, messaging, or other online tools. This method has become more common in treating various health issues, such as lung diseases, diabetes, high blood pressure, skin problems, cancer, and mental health conditions.

Telemedicine offers many benefits, especially for people in remote areas who may not have easy access to healthcare. By using technology, these patients can receive medical care without traveling long distances. However, using telemedicine is not without its challenges. Some people may feel unsure about using this technology, and there can be issues such as costs and the need for better training on how to use the tools.

Study Purpose

To help improve telemedicine practices, it is essential to understand how both patients and Healthcare Providers feel about this approach. Specifically, this study looks at the views and knowledge of healthcare providers in Ecuador regarding telemedicine. By gathering this information, we can learn what works well and what needs to improve.

Study Design and Participants

This study used an online survey to gather information from healthcare providers working in Ecuador. The researchers used a method that allowed participants to refer other healthcare providers to join the study. A total of 382 healthcare providers answered the survey, and their responses were collected anonymously.

The survey contained two main sections. The first section gathered demographic information, such as age, gender, education level, medical specialty, and years of experience. The second section focused on the healthcare providers' knowledge and opinions about telemedicine. The questions were divided into four main topics:

  1. Knowledge about telemedicine technology
  2. Perceived usefulness of telemedicine
  3. Perceived downsides of telemedicine
  4. Knowledge of telemedicine security issues

Each topic had three questions, allowing providers to express their views on a five-point scale, from very low familiarity to very high familiarity.

Participant Demographics

Among the participants surveyed, the average age was 51.3 years, with a majority being male. While many participants held Medical Specialties, only 10% had advanced degrees. Common areas of practice included pediatrics and traumatology, with many providers having over 20 years of experience in healthcare.

Knowledge about Telemedicine

The survey results showed that many participants were not very familiar with telemedicine technology. About half of the healthcare providers reported low familiarity with how telemedicine works, its applications in medical care, and the tools used in telemedicine. In fact, only about 20% of respondents felt highly familiar with these topics.

Perception of the Usefulness of Telemedicine

Despite the low familiarity with telemedicine, many healthcare providers believed it could offer significant advantages. Most participants thought telemedicine could help reduce costs for patients using hospital services. They also believed it could save doctors time and improve the speed and quality of medical care. These positive views were also seen in other studies, where healthcare professionals expressed strong support for telemedicine and its potential benefits for patients.

Perception of the Downsides of Telemedicine

While many providers recognized the advantages of telemedicine, they also acknowledged possible downsides. Some were concerned about Patient Privacy, with around half of the participants feeling that telemedicine might pose risks to patient confidentiality. Additionally, some providers worried that telemedicine could lead to an increase in malpractice cases. Many participants believed that a framework should exist to guide safe practices and help protect sensitive information.

Knowledge of Telemedicine Security Issues

A large majority of healthcare providers agreed that it is crucial to have guidelines in place to protect patient data when using telemedicine. Many believed that legal clarity is needed to help patients understand their rights regarding the use of telemedicine technology. Most participants also felt that a clear framework should be established to manage access to medical information when using these tools.

Comparing Results with Other Studies

The findings from this study highlight a significant lack of familiarity with telemedicine among healthcare providers in Ecuador. This situation is somewhat different from other studies conducted in other countries. For example, research among physicians in Saudi Arabia showed that a notable number had at least average knowledge of telemedicine.

The varying levels of understanding may be influenced by the organizational culture and structure surrounding healthcare in different countries. Some healthcare providers may view telemedicine as an innovative way to improve patient care, while others may see it as a complicated system that adds to their workload.

Addressing Concerns and Barriers

The study identified several challenges that may limit the adoption of telemedicine. These include concerns about security, privacy, and potential legal issues. The use of personal devices and mobile technology increases the risk of sensitive information being shared inappropriately, raising questions about how healthcare providers communicate with patients through technology outside of official medical platforms.

To address these issues, healthcare organizations can work on training providers to foster a better understanding of telemedicine technology, its benefits, and best practices for using it safely.

The Future of Telemedicine

While telemedicine has the potential to improve healthcare access and delivery, it must be implemented thoughtfully. The concerns about privacy and security highlighted in this study must be prioritized to ensure a safe and effective experience for both patients and healthcare providers.

Healthcare professionals need ongoing education and resources to navigate this growing field successfully. This means creating user-friendly tools that make using telemedicine easier and more efficient. As more providers understand telemedicine's advantages, the likelihood of wider adoption increases.

Limitations of the Study

There are some limitations to consider regarding the findings. The majority of respondents were pediatricians and traumatologists, which may not fully represent the views of all medical specialties. Additionally, many participants reported low familiarity with telemedicine, which could influence their responses to the survey questions.

Despite these limitations, this study provides valuable insights into the perceptions of telemedicine among healthcare providers in Ecuador. The results can help inform future initiatives and improve the implementation of telemedicine in the region.

Conclusion

Understanding how healthcare providers feel about telemedicine is essential to developing better tools and practices. While many medical professionals recognize the benefits of telemedicine, they also express concerns about privacy and security. Addressing these worries will be critical to ensuring that telemedicine can serve as an effective and safe way to deliver healthcare in the future. Further research is needed to explore the barriers to adoption and to improve the overall experience for both providers and patients using these technologies.

Original Source

Title: Telemedicine adoption in Ecuador: an assessment of physician perceptions and knowledge towards its benefits and limitation

Abstract: Telemedicine is a growing field with the potential to improve healthcare delivery, however it is important for a proper implementation to understand how physicians perceive the benefits and limitations related to their use. With this study our aim is to assess the perceptions and knowledge of telemedicine among a sample of Ecuadorian healthcare providers. We conducted a cross-sectional online survey-based study where participants answered a 12-item survey assessing their knowledge and perceptions towards telemedicine. Demographic variables were analyzed applying descriptive statistics, and a chi-square goodness of fit test was used to assess the observed frequencies of each of the surveys queries. In total, 382 participants completed the survey with an average age of 51.3 years (SD, 11.4). Around half of participants expressed to be lowly to very lowly familiarized with telemedicine technology ({chi}2(4) = 88.497, p = .000). Most of them considered to a high extent that telemedicine is effective in reducing costs of patient care in hospitals (32.5%; n=124; {chi}2(4) = 78.812, p = .000). Finally, 8 out 10 participants expressed that a framework should be created to prevent breaches of data confidentiality when using telemedicine ({chi}2(4) = 250.749, p = .000). In this study we found a considerable proportion of physicians reporting low familiarization with telemedicine despite being aware of the benefits it can bring to patient care. Breaches of data confidentially and the potential for malpractice were cited as main concerns in need of a framework to prevent them. Future studies are needed to address the perceived barriers of technology to ensure a safe and efficient use of telemedicine in the healthcare setting.

Authors: Ivan Cherrez-Ojeda, E. Vanegas, M. Felix, M. J. F. Bajana, G. Alvarado-Villa, H. Mautong, F. Espinoza, Z. Sarfraz, A. Sarfraz, K. Robles-Velasco, J. Michel, A. Lahmar, L. J. I. Zimmermann, A. W. Gavilanes

Last Update: 2023-07-16 00:00:00

Language: English

Source URL: https://www.medrxiv.org/content/10.1101/2023.07.14.23292687

Source PDF: https://www.medrxiv.org/content/10.1101/2023.07.14.23292687.full.pdf

Licence: https://creativecommons.org/licenses/by/4.0/

Changes: This summary was created with assistance from AI and may have inaccuracies. For accurate information, please refer to the original source documents linked here.

Thank you to medrxiv for use of its open access interoperability.

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