A Framework-Driven Systematic Review of the Barriers and Facilitators to Teledermatology Implementation

Dovigi, Edwin; English, Joseph C.

doi:10.1007/s13671-020-00323-0

Cited by 20 publications

(18 citation statements)

References 60 publications

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“…This barrier was further amplified by a lack of available technology support within the organization. Existing literature across different professional services has also identified lack of knowledge and skills as a major barrier to the adoption of telepractice [ 9 , 31 ]. Moving forward, professional training and technical support should be integral components of telepractice implementation planning, particularly during emergency responses.…”

Section: Discussionmentioning

confidence: 99%

The process of telepractice implementation during the COVID-19 pandemic: a narrative inquiry of preschool speech-language pathologists and assistants from one center in Canada

Chiu

Rosenbaum

Cunningham

2022

BMC Health Serv Res

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Background Many professional services were pressed to adopt telepractice in response to the global coronavirus SARS-CoV-2 (COVID-19) pandemic. The need to adopt a new service delivery approach quickly created different implementation challenges. This study explored the lived experiences of frontline clinicians who successfully transitioned their in-person speech-language therapy services to telepractice through an implementation science lens. Methods The study was conducted in partnership with one publicly funded program in Ontario, Canada that offers services to preschoolers with speech, language and communication disorders. Sixteen frontline speech-language pathologists and assistants at this organization shared their lived experience transitioning to telepractice during the pandemic during videoconference interviews. A narrative inquiry approach was used to analyze interview transcripts to identify the processes (or steps) this program took to implement telepractice and to understand the facilitators and barriers to telepractice implementation during the pandemic. Results The following six stages were identified from clinicians’ narratives: abrupt lockdown; weeks of uncertainty; telepractice emerged as an option; preparation for telepractice; telepractice trials; and finally, full implementation of telepractice. The stages of events offered significant insights into how government public health measures influenced clinicians’ decisions and their processes of adopting telepractice. In terms of barriers, clinicians reported a lack of knowledge, skills and experience with telepractice and a lack of technological support. The organization’s learning climate and team approach to transitioning services were identified as the main facilitator of implementation. Conclusions Findings suggest a need for better coordination of public health measures and professional services, which would have eased clinicians’ stress and facilitated an earlier transition to telepractice. Fostering an organization’s learning climate may improve organization’s resilience in response to emergency situations.

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Section: Discussionmentioning

confidence: 99%

The process of telepractice implementation during the COVID-19 pandemic: a narrative inquiry of preschool speech-language pathologists and assistants from one center in Canada

Chiu

Rosenbaum

Cunningham

2022

BMC Health Serv Res

Self Cite

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“…We urge providers to preidentify and address the barriers to adoption rather than confront them after implementation, to ensure a positive experience and service sustainability. 3,4 Extending Linggonegoro et al, 1 we identified the importance of social and cultural norms in the design of telemedicine solutions. 1,5 Sensitivity to these factors is particularly important when deploying teledermatology in heterogeneous populations.…”

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confidence: 83%

Factors influencing willingness to pay and show images with teledermatology during the COVID19 pandemic

Ellie

Wei

Tan

et al. 2022

Journal of the American Academy of Dermatology

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“…The lockdown measures put in place during this critical COVID-19 pandemic has markedly decreased clinical activities in dermatology clinics and limited access to care by patients. However, it also gave health care professionals a window of opportunity in the field of teledermatology (web- and phone- counseling) which has significantly surged during the pandemic ( 14 , 15 ). This platform has been and will likely be an extremely useful mean of reducing patient access to hospital ( 2 , 5 ).…”

Section: Atopic Dermatitismentioning

confidence: 99%

Navigating patients with atopic dermatitis or chronic spontaneous urticaria during the COVID-19 pandemic

2022

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A rapid spread of different strains of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has led to an unprecedented pandemic. Since the onset of the coronavirus disease 2019 (COVID-19) pandemic, the medical body has encountered major obstacles concerning disease management at different levels. Even though patients infected with this virus mainly present with respiratory symptoms, it has been associated with a plethora of well-documented cutaneous manifestations in the literature. However, little investigations have been conducted concerning COVID-19 and its impact on skin disorders mediated by type 2 inflammation leaving multiple dermatologists and other specialists perplexed by the lack of clinical guidelines or pathways. This review focuses on the effects of this pandemic in patients with skin disorders mediated by type 2 inflammation, specifically atopic dermatitis and chronic spontaneous urticaria. In addition, it will provide clinicians a guide on treatment and vaccination considerations for this stated set of patients.

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A Framework-Driven Systematic Review of the Barriers and Facilitators to Teledermatology Implementation

Cited by 20 publications

References 60 publications

The process of telepractice implementation during the COVID-19 pandemic: a narrative inquiry of preschool speech-language pathologists and assistants from one center in Canada

The process of telepractice implementation during the COVID-19 pandemic: a narrative inquiry of preschool speech-language pathologists and assistants from one center in Canada

Factors influencing willingness to pay and show images with teledermatology during the COVID19 pandemic

Navigating patients with atopic dermatitis or chronic spontaneous urticaria during the COVID-19 pandemic

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