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[摘要]
目的:了解我国新型冠状病毒肺炎疫情期间眼科就诊意向。
方法:于2020-02-10/20采用方便抽样结合链接跟踪抽样方法进行问卷调查。根据研究目的自行设计问卷,使用“问卷星”设计问卷链接,通过微信直接发送或二次转发到个人或微信群,受检者直接在手机端填写问卷,评估若出现眼科常见症状或发生眼外伤时受检者的就诊时间和就诊意向及其对线上问诊的信任度。
结果:本次调查收取有效问卷893份,其中来自男性458份(51.3%),女性435份(48.7%)。疫情期间,若出现眼部不适,低、中、高风险区受检者选择线上问诊率分别为26.5%、33.3%、40.2%,线下就诊率分别为45.1%、30.3%、24.6%。不同性别、年龄、受教育程度、经济区域、疫情风险等级分区受检者就诊方式均有明显差异(P<0.01),其中男性线下就诊率(60.7%)高于女性(39.3%); 经济发达地区受检者线上问诊率(68.2%)明显高于经济不发达地区(31.8%),而经济不发达地区受检者线下就诊率(65.2%)明显高于经济发达地区(34.8%)。此外,不同疫情风险等级分区受检者对线上问诊信任度明显不同。
结论:新型冠状病毒肺炎疫情期间,选择线上问诊者更多,眼科医务工作者应通过多种渠道加强线上问诊,同时加强眼科常见疾病科普宣传,既满足群众就医、解除病痛需求,又控制交叉感染的风险。
[Key word]
[Abstract]
AIM: To obtain the healthcare-seeking intention of eye patients during COVID-19 outbreak in China.
METHODS: Questionnaire survey was conducted from 2020-02-10 to 2020-02-20, with the combination form of convenience sampling and “Link-tracking related sampling”. We designed the questionnaires, forwarded them to individuals or WeChat group chats, and had the participants fill out the questionnaires on mobile phones, to evaluate their healthcare seeking time and intention, as well as their sense of trust towards online consultation when they had ocular discomforts or trauma.
RESULTS: Totally 458 males(51.3%)and 435 females(48.7%)responded and a total of 893 questionnaires were included. Our data shows that 26.5%, 33.3%, and 40.2% of the respondents respectively from low, medium and high risk area chose online consultation during the COVID-19 outbreak, and the hospital visiting rates were 45.1%, 30.3%, 24.6% in corresponding area. We also demonstrated that gender, age, education level, regional economic development, and the region-level risk classifications have impacts on the consultation methods of the population. Compared to females(39.3%), more males(60.7%)intended to accept online medicine, and the participants from highly developed area preferentially chose virtual medical advisory service(68.2%),while the hospital visiting rates of less developed area(65.2%)was much higher than that in developed area(34.8%). Interestingly, geographic risk level had dramatic influence on the participants' sense of trust towards online consultation.
CONCLUSION: Virtual online consultations were more favorable among Chinese population during COVID-19 outbreak, and were potential to facilitate clinician-patient communication. However, a balance should be achieved between online consultations and face-to-face communication, to avoid human-to-human coronavirus transmission, and to resolve patients' problems.
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