| Title | COVID Pandemic Impact on Healthcare Provision and Patient Psychosocial Distress: A Multi-National Cross-Sectional Survey among Asia-Pacific Countries |
| Authors | Chung, Eric Jiann, Bang-Ping Nagao, Koichi Hakim, Lukman Huang, William Lee, Joe Lin, Haocheng Dung Ba Tien Mai Quang Nguyen Park, Hyun Jun Sato, Yoshikazu Tantiwongse, Kavirach Yuan, Yiming Park, Kwangsung |
| Affiliation | Univ Queensland, AndroUrol Ctr, Brisbane, Qld, Australia Kaohsiung Vet Gen Hosp, Dept Urol, Kaohsiung, Taiwan Toho Univ, Dept Urol, Tokyo, Japan Airlangga Univ, Dr Soetomo Hosp, Dept Urol, Surabaya, Indonesia Taipei Vet Gen Hosp, Dept Urol, Taipei, Taiwan Natl Univ Singapore Hosp, Dept Urol, Singapore, Singapore Peking Univ, Dept Urol & Androl, Hosp 3, Beijing, Peoples R China Binh Dan Hosp, Dept Urol, Ho Chi Minh City, Vietnam Viet Duc Univ Hosp, Ctr Androl, Dept Urol, Hanoi, Vietnam Pusan Natl Univ, Sch Med, Dept Urol, Pusan Natl Univ Hosp, Busan, South Korea Sanjukai Hosp, Dept Urol, Sapporo, Hokkaido, Japan Chulalongkorn Univ Hosp, Dept Urol, Bangkok, Thailand Peking Univ, Hosp 1, Androl Ctr, Beijing, Peoples R China Chonnam Natl Univ, Dept Urol, Med Sch, Gwangju, South Korea Macquarie Univ Hosp, AndroUrol Ctr, Sydney, NSW, Australia |
| Issue Date | Oct-2021 |
| Publisher | WORLD JOURNAL OF MENS HEALTH |
| Abstract | Purpose: COVID pandemic significantly affected the delivery and maintenance of healthcare system, resulting in greater uti-lization of digital health interventions. Materials and Methods: This multi-national cross-sectional survey was administered to clinicians working in major Asia-Pacif-ic cities during the mandatory social lockdown period in June 2020. Clinical demographics and professional data, delivery of Andrology-related healthcare services, and patient distress based on validated questionnaires such as Depression and Anxiety Stress Scales (DASS) and Decisional Engagement Scale (DES) were collected. Results: Telehealth medicine was instituted in all the centres with the majority of centres (92.9%) reported a 50% or more reduc-tion in out-patient related services. The numbers of phone calls, emails correspondence and educational webinars have signifi-cantly increased. Despite the provision of reasons for changes in healthcare service and delay in surgery, more than half of the patients (57.1%) rated 2 on the DASS score for the item on patients over-react to situations, while a third of the patients (35.7%) scored a 2 for DASS item on patients being more demanding or unreasonable. The DES scores were more positive with most patients reported a score above 7 out of 10 in terms of items on accepting current arrangement (85.7%), confident in clinician decision-making about treatment (92.9%) and comfortable that the decision is consistent with their preferences (71.4%). Most patients (85.7%) indicated their preferences for more detailed information on healthcare provision. Conclusions: Our study showed telehealth services were integrated early and successfully during the COVID pandemic and patients were generally receptive with minimal psychosocial distress. |
| URI | http://hdl.handle.net/20.500.11897/626028 |
| ISSN | 2287-4208 |
| DOI | 10.5534/wjmh.210033 |
| Indexed | SCI(E) |
| Appears in Collections: | 第三医院 第一医院 |
