Feasibility, satisfaction, acceptability and safety of telehealth for First Nations and culturally and linguistically diverse people: a scoping review

Fien, Samantha; Dowsett, Caroline; Hunter, Carol; Myooran, Jananee; Sahay, Ashlyn; Menzel, Kelly; Cardona, Magnolia

doi:10.1016/j.puhe.2022.04.007

Cited by 11 publications

(18 citation statements)

References 32 publications

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“…37 What is interesting in our study and worth considering is that patients did not perceive consultations via telehealth as a valid alternative to face-to-face appointments as a means of addressing Healthcare Access. Although telehealth been promoted as an alternative to face-to-face consultation and may even overcome challenges of access for some people, 38,39 our findings suggest that possibility that it may not be suitable for all patients, all ages, or all topics to be discussed.…”

Section: Results In Context With Other Literaturementioning

confidence: 82%

Alignment of Doctors’ Understanding of Treatment Burden Priorities and Chronic Heart Failure Patients’ Experiences: A Nominal Group Technique Consultation

Cardona

Sav

Michaleff

et al. 2023

PPA

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To identify and rank areas of treatment burden in chronic heart failure (CHF), including solutions, that should be discussed during the clinical encounter from a patient, and doctors' perspective. Patients and Methods: Patients with CHF and clinicians managing heart failure were invited. Nominal group technique sessions held either face to face or online in 2021-2022, with individual identification of priorities and voting on ranking. Results: Four patient groups (N=22) and one doctor group (N=5) were held. For patients with heart failure, in descending order of priority Doctor-patient communication, Inefficiencies of the healthcare system, Healthcare access issues, Cost implications of treatment, Psychosocial impacts on patients and their families, and Impact of treatment work were the most important treatment burdens. Priorities independently identified by the doctors aligned with the patients' but ranking differed. Patient solutions ranged from involvement of nurses or pharmacists to enhance understanding of discharge planning, through to linkage between health information systems, and maintaining strong family or social support networks. Doctors' solutions covered timing medicines with activities of daily living, patient education on the importance of compliance, medication reviews to overcome clinical inertia, and routine clinical audits. Conclusion:The top treatment burden priorities for CHF patients were related to interaction with clinicians and health system inefficiencies, whereas doctors were generally aware of patients' treatment burden but tended to focus on the complexity of the direct treatment work. Addressing the priority issues identified here can commence with clinicians becoming aware of the issues that matter to patients and proactively discussing feasible immediate and longer-term solutions during clinical encounters.

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Section: Results In Context With Other Literaturementioning

confidence: 82%

Alignment of Doctors’ Understanding of Treatment Burden Priorities and Chronic Heart Failure Patients’ Experiences: A Nominal Group Technique Consultation

Cardona

Sav

Michaleff

et al. 2023

PPA

Self Cite

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“…Increased access to services [ 31 , 35 ]. Decreased health care cost [ 31 , 36 - 38 ] and travel time [ 36 - 38 ]…”

Section: Resultsmentioning

confidence: 99%

“…Culturally inappropriate and unsafe virtual care (eg, not acknowledging one’s identity; failing to provide culturally relevant resources, stereotyping and bias, lack of cultural competence, language barriers) [ 33 , 34 , 37 , 38 ]…”

Section: Resultsmentioning

confidence: 99%

“…Use interpreters or consult Indigenous health workers and adopt a holistic perspective of health [ 38 ]…”

Section: Resultsmentioning

confidence: 99%

“…The most cited challenge noted in this review was the cultural appropriateness and cultural safety of virtual care interventions [ 33 , 34 , 37 , 38 ]. Culturally safe virtual care refers to the provision of health care services through digital platforms in a manner that respects and addresses the cultural needs, values, and preferences of individuals or communities.…”

Section: Resultsmentioning

confidence: 99%

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Immigrant, Refugee, and Indigenous Canadians’ Experiences With Virtual Health Care Services: Rapid Review

MacPherson¹

2023

JMIR Hum Factors

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Background The remote, dispersed, and multicultural population of Canada presents unique challenges for health care services. Currently, virtual care solutions are being offered as an innovative solution to improve access to care. Objective Given the inequities in health care access faced by immigrant, refugee, and Indigenous Canadians, this review aimed to summarize information obtained from original research regarding these people’s experiences with virtual care services in Canada. Methods We conducted a rapid review following published recommendations. MEDLINE and CINAHL were searched for studies relating to virtual care and Canadian immigrants, refugees, or Indigenous peoples. Peer-reviewed articles of any type were included so long as they included information on the experiences of virtual care service delivery in Canada among the abovementioned groups. Results This review demonstrates an extreme paucity of evidence examining the experiences of immigrant, refugee, and Indigenous groups with virtual care in Canada. Of the 694 publications screened, 8 were included in this review. A total of 2 studies focused on immigrants and refugees in Canada, with the remaining studies focusing on Indigenous communities. Results demonstrate that virtual care is generally accepted within these communities; however, cultural appropriateness or safety and inequitable access to wireless services in certain communities were among the most cited barriers. Conclusions Little evidence exists outlining immigrants’, refugees’, and Indigenous peoples’ perspectives on the landscape of virtual care in Canada. The development of virtual care programming should take into consideration the barriers, facilitators, and recommendations outlined in this review to improve equitable access. Further, developers should consult with local community members to ensure the appropriateness of services for immigrant, refugee, and Indigenous communities in Canada.

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Post pandemic analysis on comprehensive utilization of telehealth and telemedicine

Ndwabe,

Basu,

Mohammed

2024

Clinical eHealth

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Feasibility, satisfaction, acceptability and safety of telehealth for First Nations and culturally and linguistically diverse people: a scoping review

Cited by 11 publications

References 32 publications

Alignment of Doctors’ Understanding of Treatment Burden Priorities and Chronic Heart Failure Patients’ Experiences: A Nominal Group Technique Consultation

Alignment of Doctors’ Understanding of Treatment Burden Priorities and Chronic Heart Failure Patients’ Experiences: A Nominal Group Technique Consultation

Immigrant, Refugee, and Indigenous Canadians’ Experiences With Virtual Health Care Services: Rapid Review

Post pandemic analysis on comprehensive utilization of telehealth and telemedicine

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