Technology Use in Care Delivery: How Are Physicians Doing It and What is the Impact on Their Well-Being?
摘要
Background: Telemedicine, the utilization of electronic communication technology to provide medical services remotely, advances health-sector transformation efforts. As a mode of technology transfer, physicians’ adoption and acceptance of telemedicine would ensure sustained use. Objectives: To assess physicians’ experience with telemedicine, including social media and health applications’ use, and its impact on their well-being and work-life-balance (WLB). Methods: Two large cross-sectional studies were conducted among physicians. Data was collected utilizing self-administered online questionnaires. Results: A total of 2,149 physicians participated in the two cross-sectional surveys. In the first study, 889 interns responded, among whom 684 (76.9%) utilized telemedicine, 446 (50.2%) for medical education, and 363 (40.8%) for communication. Over 1,260 physicians completed the second cross-sectional survey. Only 1/3 of the total sample, comprising 376 (29.3%) physicians, reported using telemedicine in patient care. Of these telemedicine users, most (306, 81.3%) agreed that telemedicine is an effective tool for providing patient care. Another 210 (55.9%) agreed that telemedicine had a positive impact on their job when communicating with colleagues. However, 157 (41.8%) believed telemedicine increased their daily working hours. While only 188 (50%) agreed that they could perform their jobs satisfactorily using telemedicine. Conclusion: Telemedicine, as a technology of digital health transformation, improves communication and care coordination. Nonetheless it challenges physicians’ well-being and WLB, with prolonged working hours and lower job satisfaction. More research is needed to support its sustainable implementation.