Considerations for the Telehealth Systems of Tomorrow: An Analysis of Student Perceptions of Telehealth Technologies

Bull, Tyler P; Dewar, Alexis R.; Malvey, Donna; Szalma, James L.

doi:10.2196/mededu.5392

Cited by 48 publications

(29 citation statements)

References 24 publications

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“…Women and younger patients may be particularly susceptible [97] . In an era in which social supports are stretched or broken, this effect may be magnified, particularly in the context of telemedicine that can be impersonal [98] and in which physicians may not read body language to identify those struggling to cope.…”

Section: Evidence Synthesismentioning

confidence: 99%

The Impact of the COVID-19 Pandemic on Genitourinary Cancer Care: Re-envisioning the Future

et al. 2020

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Context The coronavirus disease 2019 (COVID-19) pandemic necessitated rapid changes in medical practice. Many of these changes may add value to care, creating opportunities going forward. Objective To provide an evidence-informed, expert-derived review of genitourinary cancer care moving forward following the initial COVID-19 pandemic. Evidence acquisition A collaborative narrative review was conducted using literature published through May 2020 (PubMed), which comprised three main topics: reduced in-person interactions arguing for increasing virtual and image-based care, optimisation of the delivery of care, and the effect of COVID-19 in health care facilities on decision-making by patients and their families. Evidence synthesis Patterns of care will evolve following the COVID-19 pandemic. Telemedicine, virtual care, and telemonitoring will increase and could offer broader access to multidisciplinary expertise without increasing costs. Comprehensive and integrative telehealth solutions will be necessary, and should consider patients’ mental health and access differences due to socioeconomic status. Investigations and treatments will need to maximise efficiency and minimise health care interactions. Solutions such as one stop clinics, day case surgery, hypofractionated radiotherapy, and oral or less frequent drug dosing will be preferred. The pandemic necessitated a triage of those patients whose treatment should be expedited, delayed, or avoided, and may persist with severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) in circulation. Patients whose demographic characteristics are at the highest risk of complications from COVID-19 may re-evaluate the benefit of intervention for less aggressive cancers. Clinical research will need to accommodate virtual care and trial participation. Research dissemination and medical education will increasingly utilise virtual platforms, limiting in-person professional engagement; ensure data dissemination; and aim to enhance patient engagement. Conclusions The COVID-19 pandemic will have lasting effects on the delivery of health care. These changes offer opportunities to improve access, delivery, and the value of care for patients with genitourinary cancers but raise concerns that physicians and health administrators must consider in order to ensure equitable access to care. Patient summary The coronavirus disease 2019 (COVID-19) pandemic has dramatically changed the care provided to many patients with genitourinary cancers. This has necessitated a transition to telemedicine, changes in threshold or delays in many treatments, and an opportunity to reimagine patient care to maintain safety and improve value moving forward.

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Section: Evidence Synthesismentioning

confidence: 99%

The Impact of the COVID-19 Pandemic on Genitourinary Cancer Care: Re-envisioning the Future

et al. 2020

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“…Yes, obstacles will occur along the way, with more road-blocks than simple bumps. On the other hand, the economic [202,203] and social pressures (e.g., increasing use of electronic technology) [204,205], to increase patient empowerment [206,207,208]) are likely to be insurmountable.…”

Section: The Futurementioning

confidence: 99%

Characteristics of Future Models of Integrated Outpatient Care

et al. 2019

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Replacement of fee-for-service with capitation arrangements, forces physicians and institutions to minimize health care costs, while maintaining high-quality care. In this report we described how patients and their families (or caregivers) can work with members of the medical care team to achieve these twin goals of maintaining—and perhaps improving—high-quality care and minimizing costs. We described how increased self-management enables patients and their families/caregivers to provide electronic patient-reported outcomes (i.e., symptoms, events) (ePROs), as frequently as the patient or the medical care team consider appropriate. These capabilities also allow ongoing assessments of physiological measurements/phenomena (mHealth). Remote surveillance of these communications allows longer intervals between (fewer) patient visits to the medical-care team, when this is appropriate, or earlier interventions, when it is appropriate. Systems are now available that alert medical care providers to situations when interventions might be needed.

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“…Although existing information technology infrastructure facilitates electronic information exchange within health care organizations [5], telehealth telecommunications are more complex, featuring live conferencing for interactive two-way communication, store-and-forward systems to exchange health information recorded, and hybrid mechanisms that feature both live and recorded information care modes [6]. Therefore, it is imperative that care providers are familiar with new technological dynamics, so that they can diagnose and consult with patients by using new telehealth-driven care modalities [7,8].…”

Section: Introductionmentioning

confidence: 99%

“…Prior studies of provider technology education have focused on incorporating telehealth technology within the curriculum. For example, various factors facilitate and provide barriers to the adoption of telehealth technology [8]. As an education tool, mobile telehealth technology has been shown to help enhance medical students’ virtual communication skills and raise awareness of patient data protection [10].…”

Section: Introductionmentioning

confidence: 99%

Exploring Care Providers’ Perceptions and Current Use of Telehealth Technology at Work, in Daily Life, and in Education: Qualitative and Quantitative Study

Hah

Goldin

2019

JMIR Med Educ

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Background A telehealth technology education curriculum designed to integrate information technology and telecommunication well has great potential to prepare care providers for health care delivery across space, time, and social and cultural barriers. It is important to assess the readiness level of care providers to use and maximize the benefits of telehealth technology in the health care delivery process. Therefore, this study explored care providers’ existing experience using technology in various use contexts and compared their familiarity with telehealth technology’s relevant features. Objective This study’s objective was to explore care providers’ familiarity with using technology in different settings and their perceptions of telehealth-driven care performance to lay a foundation for the design of an effective telehealth education program. Methods The study used quantitative and qualitative analyses. The online survey included four items that measured care providers’ perceptions of care performance when using telehealth technology. Advanced practice registered nurse students rated each item on a 7-point Likert scale, ranging from 1 (“strongly disagree”) to 7 (“strongly agree”). They also responded to three open-ended questions about what kinds of health information technology they use at work, after work, and in their current educational program. Results A total of 109 advanced practice registered nurse students responded to the online survey and open-ended questionnaire. Most indicated that using telehealth technology enhances care performance (mean 5.67, median 6.0, SD 1.36), helps make their care tasks more effective (mean 5.73, median 6.0, SD 1.30), improves the quality of performing care tasks (mean 5.71, median 6.0, SD 1.30), and decreases error in communicating and sharing information with others (mean 5.35, median 6.0, SD 1.53). In addition, our qualitative analyses revealed that the students used the electronic health records technology primarily at work, combined with clinical decision support tools for medication and treatment management. Outside work, they primarily used video-text communication tools and were exposed to some telehealth technology in their education setting. Further, they believe that use of nonhealth technology helps them use health information technology to access health information, confirm their diagnoses, and ensure patient safety. Conclusions This research highlights the importance of identifying care providers’ existing experience of using technology to better design a telehealth technology education program. By focusing explicitly on the characteristics of care providers’ existing technology use in work, nonwork, and educational settings, we found a potential consistency between practice and education programs in care providers’ requirements for technology use, as well as areas of focus to complement their frequent use of nonhealth techno...

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Considerations for the Telehealth Systems of Tomorrow: An Analysis of Student Perceptions of Telehealth Technologies

Cited by 48 publications

References 24 publications

The Impact of the COVID-19 Pandemic on Genitourinary Cancer Care: Re-envisioning the Future

The Impact of the COVID-19 Pandemic on Genitourinary Cancer Care: Re-envisioning the Future

Characteristics of Future Models of Integrated Outpatient Care

Exploring Care Providers’ Perceptions and Current Use of Telehealth Technology at Work, in Daily Life, and in Education: Qualitative and Quantitative Study

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