Barriers in primary health care telemedicine in times of COVID-19, Huánuco-Peru
Abstract
To identify barriers in primary health care telemedicine in times of COVID-19. The approach was exclusively quantitative, cross-sectional and a descriptive design was used, carried out in the year 2021 with the health personnel of the Health Service Provider Institutions of the Huánuco Health Network, Peru. We worked with a sample of 216 health personnel and used stratified random sampling for their selection. A scale of barriers in telemedicine was applied. Data analysis consisted of univariate contrast with Student's t-test for a sample. In general, the perception of barriers in telemedicine averaged 3.2 (from 1 to 5) and according to dimensions, in order of importance, were economic (3.4), organizational (3.3), technological (3.2) and human (3.1). However, the barriers of internet (3.8), sustainability (3.5) and promotion (3.5) predominated; in addition, the barriers of training, cost, multisystems, integration, patient-staff relationship, infrastructure, knowledge, turnover, workload, interest, expertise, safety, distrust, resistance and complexity were also perceived, all with p = 0.000. There is a perception of numerous barriers to the use of telemedicine, among which technological (Internet), economic (sustainability) and organizational (promotion) aspects stand out
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