Digitization in gynecology and obstetrics in times of COVID-19: Results of a national survey

Introduction: In the COVID-19 pandemic, many consultations had to be cancelled, postponed, or converted to a virtual format. The use of telemedicine in the management of Women's Health Care could support doctors (tele-gynecology). This study analyses the use and perception of telemedicine appli...

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Autores principales:	Stefan Hertling, Doreen Hertling, Franziska Loos, David Martin, Isabel Graul
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Digitization Telemedicine Tele-gynecology Survey COVID-19 Information technology T58.5-58.64 Psychology BF1-990
Acceso en línea:	https://doaj.org/article/36074a9e29d44391b7a0d5dcdfc042d4
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spelling	oai:doaj.org-article:36074a9e29d44391b7a0d5dcdfc042d42021-11-14T04:33:07ZDigitization in gynecology and obstetrics in times of COVID-19: Results of a national survey2214-782910.1016/j.invent.2021.100478https://doaj.org/article/36074a9e29d44391b7a0d5dcdfc042d42021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2214782921001184https://doaj.org/toc/2214-7829Introduction: In the COVID-19 pandemic, many consultations had to be cancelled, postponed, or converted to a virtual format. The use of telemedicine in the management of Women's Health Care could support doctors (tele-gynecology). This study analyses the use and perception of telemedicine applications among gynecologists in Germany. Materials and methods: This prospective cross-sectional study was based on a survey of gynecologists in Germany during the COVID-19 pandemic. Descriptive statistics were calculated, and regression analyses were performed to show correlations. Results: The gynecologists expect telemedicine to be used in gynecology and obstetrics. 76.4% (365/478) of the respondents rated their knowledge of telemedicine as insufficient. The majority of respondents (437/478, 91.6%) said they did not currently use telemedicine, although 67.3% (321/478) would like to do so. Obstacles to the introduction of telemedicine include the purchase of technical equipment (325/478, 68.1%), administration (305/478, 64.0%) and poor reimbursement (233/478, 48.9%). Gynecologists surveyed would prefer telemedicine to communicate directly with other doctors (388/478, 81.2%) rather than to communicate with patients (228/478, 47.8%). In the treatment phases, 73.2% (349/478) of the respondents would use telemedicine during follow-up. Half of the respondents would choose tele counseling as a specific approach to improving care (246/478, 51.5%). Conclusion: Telemedicine in gynecology finds little use but high acceptance. The absence of a structured framework is an obstacle to effective implementation. Training courses should be introduced to improve the limited knowledge in the use of telemedicine. More research in tele-gynecology is needed. These include large-scale randomized controlled trials, economic analyses and the exploration of user preferences.Stefan HertlingDoreen HertlingFranziska LoosDavid MartinIsabel GraulElsevierarticleDigitizationTelemedicineTele-gynecologySurveyCOVID-19Information technologyT58.5-58.64PsychologyBF1-990ENInternet Interventions, Vol 26, Iss , Pp 100478- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Digitization Telemedicine Tele-gynecology Survey COVID-19 Information technology T58.5-58.64 Psychology BF1-990
spellingShingle	Digitization Telemedicine Tele-gynecology Survey COVID-19 Information technology T58.5-58.64 Psychology BF1-990 Stefan Hertling Doreen Hertling Franziska Loos David Martin Isabel Graul Digitization in gynecology and obstetrics in times of COVID-19: Results of a national survey
description	Introduction: In the COVID-19 pandemic, many consultations had to be cancelled, postponed, or converted to a virtual format. The use of telemedicine in the management of Women's Health Care could support doctors (tele-gynecology). This study analyses the use and perception of telemedicine applications among gynecologists in Germany. Materials and methods: This prospective cross-sectional study was based on a survey of gynecologists in Germany during the COVID-19 pandemic. Descriptive statistics were calculated, and regression analyses were performed to show correlations. Results: The gynecologists expect telemedicine to be used in gynecology and obstetrics. 76.4% (365/478) of the respondents rated their knowledge of telemedicine as insufficient. The majority of respondents (437/478, 91.6%) said they did not currently use telemedicine, although 67.3% (321/478) would like to do so. Obstacles to the introduction of telemedicine include the purchase of technical equipment (325/478, 68.1%), administration (305/478, 64.0%) and poor reimbursement (233/478, 48.9%). Gynecologists surveyed would prefer telemedicine to communicate directly with other doctors (388/478, 81.2%) rather than to communicate with patients (228/478, 47.8%). In the treatment phases, 73.2% (349/478) of the respondents would use telemedicine during follow-up. Half of the respondents would choose tele counseling as a specific approach to improving care (246/478, 51.5%). Conclusion: Telemedicine in gynecology finds little use but high acceptance. The absence of a structured framework is an obstacle to effective implementation. Training courses should be introduced to improve the limited knowledge in the use of telemedicine. More research in tele-gynecology is needed. These include large-scale randomized controlled trials, economic analyses and the exploration of user preferences.
format	article
author	Stefan Hertling Doreen Hertling Franziska Loos David Martin Isabel Graul
author_facet	Stefan Hertling Doreen Hertling Franziska Loos David Martin Isabel Graul
author_sort	Stefan Hertling
title	Digitization in gynecology and obstetrics in times of COVID-19: Results of a national survey
title_short	Digitization in gynecology and obstetrics in times of COVID-19: Results of a national survey
title_full	Digitization in gynecology and obstetrics in times of COVID-19: Results of a national survey
title_fullStr	Digitization in gynecology and obstetrics in times of COVID-19: Results of a national survey
title_full_unstemmed	Digitization in gynecology and obstetrics in times of COVID-19: Results of a national survey
title_sort	digitization in gynecology and obstetrics in times of covid-19: results of a national survey
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/36074a9e29d44391b7a0d5dcdfc042d4
work_keys_str_mv	AT stefanhertling digitizationingynecologyandobstetricsintimesofcovid19resultsofanationalsurvey AT doreenhertling digitizationingynecologyandobstetricsintimesofcovid19resultsofanationalsurvey AT franziskaloos digitizationingynecologyandobstetricsintimesofcovid19resultsofanationalsurvey AT davidmartin digitizationingynecologyandobstetricsintimesofcovid19resultsofanationalsurvey AT isabelgraul digitizationingynecologyandobstetricsintimesofcovid19resultsofanationalsurvey
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Digitization in gynecology and obstetrics in times of COVID-19: Results of a national survey

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