General practice trainees’ telehealth use during the COVID-19 pandemic: a cross-sectional study

Fisher, Katie; Tapley, Amanda; Ralston, Anna; Davey, Andrew; Fielding, Alison; Driel, Mieke van; Holliday, Elizabeth G.; Ball, Jean; Dizon, Jason; Spike, Neil; Clarke, Lisa; Magin, Parker

doi:10.1093/fampra/cmad022

Cited by 3 publications

(3 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Participants also discussed how services adapted to the COVID-19 pandemic, but how there were increases in referrals and child behavioural problems due to COVID-19. This might have been particularly relevant for CALD families who might prefer face-to-face support and be less likely to engage with telehealth services (51,52).…”

Section: Discussionmentioning

confidence: 99%

Family member and service provider experiences and perspectives of a digital surveillance and service navigation approach: A qualitative study with a culturally diverse community

Barr,

Hawker,

Winata

et al. 2024

Preprint

View full text Add to dashboard Cite

Background Children and families from priority populations experienced significant psychosocial and mental health issues to the COVID-19 pandemic. Yet they also faced significant barriers to service access, particularly families from culturally and linguistically diverse (CALD) backgrounds. With most child and family health nurse clinics ceasing in-person consultations due to the pandemic, many children missed out on health and developmental checks. The aim of this study was to investigate the perspectives and experiences of family members and service providers from an urban, CALD community regarding the implementation of a digital, developmental surveillance, Watch Me Grow-Electronic (WMG-E) program. Methods Semi-structured interviews were conducted with 17 family members, service navigators, and service providers in a multicultural community in South Western Sydney, Australia. This qualitative study formed part of a larger, two-site, randomised controlled trial of the WMG-E program. A reflexive thematic analysis approach was adopted to analyse the data. Results Participants highlighted the comprehensive and personalised support offered by existing child and family health services. The WMG-E was deemed beneficial because the weblink was easy and quick to use and it enabled access to a service navigator who support family access to relevant services. However, the WMG-E was problematic because of technology or language barriers, and it did not facilitate immediate clinician involvement when families completed the weblink. Conclusions Families and service providers found that using WMG-E empowered parents and caregivers to access developmental screening and learn more about their child’s development and engage with relevant services. This beds down a new and innovative solution to the current service delivery gap and create mechanisms that can engage families currently not accessing services, and develops and increases knowledge around navigating the health and social care services. Trial registration: The study is part of a large randomised controlled trial (Protocol No. 1.0, Version 3.1) was registered with ANZCTR (registration number: ACTRN12621000766819) on July 21st, 2021 and reporting of the trial results will be according to recommendations in the CONSORT Statement.

show abstract

Section: Discussionmentioning

confidence: 99%

Family member and service provider experiences and perspectives of a digital surveillance and service navigation approach: A qualitative study with a culturally diverse community

Barr,

Hawker,

Winata

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…Our study was completed prior to the COVID‐19 pandemic (and prior to the changes to telehealth remuneration in the wake of the pandemic and the rapid uptake of telehealth which ensued) 22 . The pandemic has continuing effects on primary care and telehealth is now well‐established (including for after‐hours care).…”

Section: Discussionmentioning

confidence: 99%

“…Our study was completed prior to the COVID-19 pandemic (and prior to the changes to telehealth remuneration in the wake of the pandemic and the rapid uptake of telehealth which ensued). 22 The pandemic has continuing effects on primary care and telehealth is now wellestablished (including for after-hours care). Our findings should be considered in this context, and future research should, in particular, explore the impact of telehealth on after-hours care…”

Section: Implications For Future Researchmentioning

confidence: 99%

The prevalence and associations of Australian early‐career general practitioners' provision of after‐hours care

Turnock,

Fielding,

Moad

et al. 2023

Australian J Rural Health

Self Cite

View full text Add to dashboard Cite

IntroductionAccess to after‐hours care (AHC) is an important aspect of general practice service provision.ObjectiveTo establish the prevalence and associations of early‐career GPs' provision of AHC.DesignAn analysis of data from the New alumni Experiences of Training and independent Unsupervised Practice (NEXT‐UP) cross‐sectional questionnaire‐based study. Participants were early‐career GPs (6‐month to 2‐year post‐Fellowship) following the completion of GP vocational training in NSW, the ACT, Victoria or Tasmania. The outcome factor was ‘current provision of after‐hours care’. Associations of the outcome were established using multivariable logistic regression.FindingsThree hundred and fifty‐four early‐career GPs participated (response rate 28%). Of these, 322 had responses available for analysis of currently performing AHC. Of these observations, 128 (40%) reported current provision of AHC (55% of rural participants and 32% of urban participants). On multivariable analysis, participants who provided any AHC during training were more likely to be providing AHC (odds ratio (OR) 5.51, [95% confidence interval (CI) 2.80–10.80], p < 0.001). Current rural location and in‐training rural experience were strongly associated with currently providing AHC in univariable but not multivariable analysis.DiscussionEarly‐career GPs who provided AHC during training, compared with those who did not, were more than five times more likely to provide after‐hours care in their first 2 years after gaining Fellowship, suggesting participation in AHC during training may have a role in preparing registrars to provide AHC as independent practitioners.ConclusionThese findings may inform future GP vocational training policy and practice concerning registrars' provision of AHC during training.

show abstract

Family member and service provider experiences and perspectives of a digital surveillance and service navigation approach in multicultural context: a qualitative study in identifying the barriers and enablers to Watch Me Grow-Electronic (WMG-E) program with a culturally diverse community

Barr,

Hawker,

Winata

et al. 2024

BMC Health Serv Res

View full text Add to dashboard Cite

Background Children and families from priority populations experienced significant psychosocial and mental health issues to the COVID-19 pandemic. Yet they also faced significant barriers to service access, particularly families from culturally and linguistically diverse (CALD) backgrounds. With most child and family health nurse clinics ceasing in-person consultations due to the pandemic, many children missed out on health and developmental checks. The aim of this study was to investigate the perspectives and experiences of family members and service providers from an urban, CALD community regarding the implementation of a digital, developmental surveillance, Watch Me Grow-Electronic (WMG-E) program. Methods Semi-structured interviews were conducted with 17 family members, service navigators, and service providers in a multicultural community in South Western Sydney, Australia. This qualitative study is an implementation evaluation which formed as part of a larger, two-site, randomised controlled trial of the WMG-E program. A reflexive thematic analysis approach, using inductive coding, was adopted to analyse the data. Results Participants highlighted the comprehensive and personalised support offered by existing child and family health services. The WMG-E was deemed beneficial because the weblink was easy and quick to use and it enabled access to a service navigator who support family access to relevant services. However, the WMG-E was problematic because of technology or language barriers, and it did not facilitate immediate clinician involvement when families completed the weblink. Conclusions Families and service providers in this qualitative study found that using WMG-E empowered parents and caregivers to access developmental screening and learn more about their child’s development and engage with relevant services. This beds down a new and innovative solution to the current service delivery gap and create mechanisms that can engage families currently not accessing services, and increases knowledge around navigating the health and social care services. Notwithstanding the issues that were raised by families and service providers, which include accessibility challenges for CALD communities, absence of clinical oversight during screening, and narrow scope of engagement with available services being offered, it is worth noting that improvements regarding these implementation factors must be considered and addressed in order to have longevity and sustainability of the program. Trial registration. The study is part of a large randomised controlled trial (Protocol No. 1.0, Version 3.1) was registered with ANZCTR (registration number: ACTRN12621000766819) on July 21st, 2021 and reporting of the trial results will be according to recommendations in the CONSORT Statement.

show abstract

General practice trainees’ telehealth use during the COVID-19 pandemic: a cross-sectional study

Cited by 3 publications

References 23 publications

Family member and service provider experiences and perspectives of a digital surveillance and service navigation approach: A qualitative study with a culturally diverse community

Family member and service provider experiences and perspectives of a digital surveillance and service navigation approach: A qualitative study with a culturally diverse community

The prevalence and associations of Australian early‐career general practitioners' provision of after‐hours care

Family member and service provider experiences and perspectives of a digital surveillance and service navigation approach in multicultural context: a qualitative study in identifying the barriers and enablers to Watch Me Grow-Electronic (WMG-E) program with a culturally diverse community

Contact Info

Product

Resources

About