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Survey Templates Surveys Store-and-forward Needs Analysis

Store-and-forward Needs Analysis

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Do you use a computer at work? Indicate the frequency.
Would you benefit from basic computer training?
Do you have access to a computer at home?
If yes, what do you use it for?
How do you feel about technological innovation in the workplace?
Do you have access to a Digital Camera at work?
Do you know how to use a Digital Camera and would you need training?
Have you engaged in further studies which utilized and developed your IT skills?
Do you have access to a computer at work?
Is it readily accessible?
When is it accessible?
Is it connected to the internet and do you have an e-mail service?
How often do you use it?
If anything, what prevents you from using it more frequently?
Are you satisfied with the current support network for patient referrals?
16.How long does it take to complete a usual referral with your current system? This is the time taken from your first contact with the referral site until the patient is seen.
How would patients from your facility be referred to other hospitals?
What is the name of your main referral hospital?
How far do patients travel from your facility to be seen at your main referral hospital?
List the 3 main types of cases sent to your main referral hospital.
Do you send cases elsewhere?
What is the name of your alternative referral hospital?
How far do patients travel from your facility to be seen at your alternative referral hospital?
List the 3 main types of cases sent to your alternative referral hospital.
What is the average waiting time for non-urgent appointments at the main referral hospital?
Would you prefer to consult your current support network or will consults by other clinicians be acceptable to you?
Do you prefer your patients be physically seen by the clinician to whom you referred the patient or will you be satisfied receiving remote advice on the continuation of treatment?
Have you used e-mail in the past to discuss patients with colleagues?
If yes, did it prove useful?
Would you find an electronic referral system useful?
When might you use it? CHOOSE ALL THAT APPLY
Assuming you will find it useful, how often might you use it?
Do you use Mailadoc?
How often?
Have you heard about TeleMedMail?
What, in your opinion, may be hindrances to the use of such a system? CHOOSE ALL THAT APPLY
What turnaround time would you reasonably expect for non-urgent consultations?
What type of images will you most likely send? CHOOSE ALL THAT APPLY
Taking into account the cost of patient transport, do you foresee that non-emergency cases not referred in the traditional manner will be consulted on by using applications such as TeleMedMail?
Do you consider electronic consultations to have financial benefits for the health system of this country?
Do you consider this method to have educational value?

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