Health professionals’ views of medical teleconsultation uptake in the Brazilian Unified Health System: A description using the NASSS framework

Catapan, Soraia de Camargo; Taylor, Alan; Calvo, Prof Maria Cristina

doi:10.1016/j.ijmedinf.2022.104867

Cited by 7 publications

(5 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This is consistent across the healthcare context as people tend to prefer to have privacy during their appointment rather than having a friend, family member or professional support around to help with any technology issues that may rise. 44 Our finding also corroborates with the need to increase knowledge and confidence to enable people to use telehealth modalities effectively, increasing their ability to self-managea core component for optimal patient outcomes in CKD 5,6,24 without imposing additional burden. This study's strength is its originality in measuring and exploring patient-centred concepts to aid further understanding of the uneven uptake of different types of telehealth modalities.…”

Section: Ssupporting

confidence: 77%

Trust and confidence in using telehealth in people with chronic kidney disease: A cross-sectional study

Catapan,

Haydon,

Hickman

et al. 2023

J Telemed Telecare

Self Cite

View full text Add to dashboard Cite

Consumer trust and confidence in telehealth is pivotal to successful service implementation and effective consultations. This cross-sectional study measured trust and confidence in telephone and video consultations and associated with experience in telehealth modalities among people with chronic kidney disease at a metropolitan hospital in Australia. Self-report data were collected using validated trust and confidence in telehealth scales and 5-point Likert responses. Non-parametric tests were used to compare trust and confidence in telephone and video consultations (Wilcoxon Matched Pairs) and associations with telehealth experience (Mann–Whitney). Of the 156 survey participants, 96.2% had used telephone consultations and 28.9% had used video. Overall trust and confidence in using telehealth were high. Confidence (range 1–5) in using telephone consultations (mean 3.75 ± 0.71) was significantly higher than video consultation (mean 3.64 ± 0.74), p = 0.039. Trust in telephone consultations (mean 3.93 ± 0.64) was significantly higher than in video consultations (mean 3.67 ± 0.66), p < 0.001. There was a significant association between experience with telephone consultations and reported levels of trust and confidence in telephone consultations. Experience with video was significantly related to trust in video consultations, but not confidence. Given the substantial difference in experience between telehealth modalities, trust and confidence may change as further exposure occurs.

show abstract

Section: Ssupporting

confidence: 77%

Trust and confidence in using telehealth in people with chronic kidney disease: A cross-sectional study

Catapan,

Haydon,

Hickman

et al. 2023

J Telemed Telecare

Self Cite

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

“…The perception that waiting times should be alleviated and bookings should be broadly available indicates that users might not have a complete grasp of what telehealth requires in terms of set-up time, resources, administrative support and changes to usual workflows. 30 There seems to be a disconnect between the virtual and realworld healthcare experience. A phenomenon called the 'online disinhibition effect', where people are more critical on the internet and forget that there is a real person on the other end of the service, may help to understand these misconceptions.…”

Section: Discussionmentioning

confidence: 99%

How do Twitter users feel about telehealth? A mixed‐methods analysis of experiences, perceptions and expectations

Sazon,

Catapan,

Rahimi

et al. 2023

Health Expectations

Self Cite

View full text Add to dashboard Cite

BackgroundTelehealth use has increased considerably in the last years and evidence suggests an overall positive sentiment towards telehealth. Twitter has a wide userbase and can enrich our understanding of telehealth use by users expressing their personal opinions in an unprompted way. This study aimed to explore Twitter users' experiences, perceptions and expectations about telehealth over the last 5 years.MethodsMixed‐methods study with sequential complementary quantitative and qualitative phases was used for analysis stages comprising (1) a quantitative semiautomated analysis and (2) a qualitative research‐led thematic analysis. A machine learning model was used to establish the data set with relevant English language tweets from 1 September 2017 to 1 September 2022 relating to telehealth using predefined search words. Results were integrated at the end.ResultsFrom the initial 237,671 downloaded tweets, 6469 had a relevancy score above 0.8 and were input into Leximancer and 595 were manually analysed. Experiences, perceptions and expectations were categorised into three domains: experience with telehealth consultation, telehealth changes over time and the purpose of the appointment. The most tweeted experience was expectations for telehealth consultation in comparison to in‐person consultations. Users mostly mentioned the hope that waiting times for the consultations to start to be less than in‐person, more telehealth appointments to be available and telehealth to be cheaper. Perceptions around the use of telehealth in relation to healthcare delivery changes brought about by the COVID‐19 pandemic were also expressed. General practitioners were mentioned six times more than other healthcare professionals.Conclusion/ImplicationsThis study found that Twitter users expect telehealth services to be better, more affordable and more available than in‐person consultations. Users acknowledged the convenience of not having to travel for appointments and the challenges to adapt to telehealth.Patient or Public ContributionAn open data set with 237,671 tweets expressing users' opinions in an unprompted way was used as a source for telehealth service users, caregivers and members of the public experiences, perceptions and expectations of telehealth.

show abstract

“…With the NASSS framework having been designed for health technology innovations, there were a variety of health conditions for which innovations were implemented, including cardiovascular (n=10), mental health (n=9), general health promotion (n=9), cancer (n=5), and women's health (n=5), among others. Of the 57 included studies, 53 [12,28,30,61,73] the Netherlands 5 8.8 [37,47,48,53,71] Germany 2 3.5 [65,66] Thailand 1 1.8 [63] Brazil 1 1.8 [34] Denmark 1 1.8 [69] Canada 1 1.8 [32] Cambodia 1 1.8 [56] Multiple countries 3 5.3 [38,67,76] Conditions…”

Section: Rq1 Characteristics Of Included Studiesmentioning

confidence: 99%

“…<Insert Table 4> 15 26.3 [12,29,31,35,38,42,43,46,56,57,59,66-68,76] Concurrent with Implementation 8 14.0 [30,44,[47][48][49]60,62,70] Multiple Time Points 1 1.8 [50] Number of NASSS domains reported 1 domain 1 1.75 [59] 2 domains 1 1.75 [77] 3 domains 3 5.26 [43,69,70] 4 domains 11 19.30 [27,30,31,35,39,42,46,60,65,74,75] 5 domains 9 15.79 [32,34,41,45,48,51,58,61,64] 6 domains 13 22.81 [29,44,47,49,52,53,55,57,66-68,71,78] 7 domains 19 33.33 [12,13,25,26,28,33,36-38,40,50,54,56,62,63,72,73,76,79] *Not mutually exclusive In terms of timing, most studies conducted their analyses using the NASSS framework retrospective to implementation, for example to analyze why implementation did or did not succeed in terms of adoption, non-abandonment, scale, spread, and sustainability of the innovation in a given context (n=33). The rest applied the framework prospectively to inform future implementations (n=15), or concurrently with implementation (n=8).…”

Section: Rq2 Application Of the Nasss Frameworkmentioning

confidence: 99%

The NASSS (Non-Adoption, Abandonment, Scale-Up, Spread and Sustainability) framework use over time: A scoping review

Shin,

Hamovitch,

Gatov

et al. 2023

Preprint

View full text Add to dashboard Cite

BackgroundThe Non-adoption, Abandonment, Scale-up, Spread, Sustainability (NASSS) framework (2017) was established as an evidence-based, theory-informed tool to predict and evaluate the success of implementing health and care technologies. While the NASSS is gaining popularity, its use has not been systematically described. Literature reviews on the applications of popular implementation frameworks such as RE-AIM and CFIR have enabled their advancement in the implementation science field. Similarly, we sought to advance the science of implementation and application of theories, models, and frameworks (TMFs) in research by exploring the application of the NASSS in the five years since its inception.ObjectiveWe aim to understand the characteristics of studies that used the NASSS, how it was used, and the lessons learned from its application.MethodsWe conducted a scoping review following the Joanna Briggs Institute methodology. We searched the following databases on December 20, 2022: Ovid MEDLINE, EMBASE, PsychINFO, CINAHL, Scopus, Web of Science, and LISTA. We used typologies and frameworks to characterize evidence to address our aim.ResultsThis review included 57 studies, which were a mix of qualitative (n=28), mixed/multi-methods (n=13), case studies (n=6), observational (n=3), experimental (n=3), and other designs (e.g., quality improvement) (n=4). The four most common types of digital applications being implemented were telemedicine/virtual care (n=24), personal health devices (n=10), digital interventions, such as internet Cognitive Behavioural Therapies (n=10), and knowledge generation applications (n=9). Studies used the NASSS to inform study design (n=9), data collection (n=35), analysis (n=41), data presentation (n=33), and interpretation (n=39). Most studies applied the NASSS retrospectively to implementation (n=33). The remainder applied the NASSS prospectively (n=15) or concurrently (n=8) with implementation. We also collated reported barriers and enablers to implementation. We found the most reported barriers fell within the Organization and Adopter System domains, and the most frequently reported enablers fell within the Value Proposition domain. Eighteen studies highlighted the NASSS as a valuable and practical resource, particularly for unravelling complexities, comprehending implementation context, understanding contextual relevance in implementing health technology, and recognizing the NASSS’ adaptable nature to cater to researchers’ requirements.ConclusionsMost studies used the NASSS retrospectively, which may be attributed to the framework’s novelty. However, this finding highlights the need for prospective and concurrent application of the NASSS within the implementation process. In addition, almost all included studies reported multiple domains as barriers and enablers to implementation, indicating that implementation is a highly complex process that requires careful preparation to ensure implementation success. Finally, we identified a need for better reporting when using the NASSS in implementation research to contribute to the collective knowledge in the field.

show abstract

Health professionals’ views of medical teleconsultation uptake in the Brazilian Unified Health System: A description using the NASSS framework

Cited by 7 publications

References 21 publications

Trust and confidence in using telehealth in people with chronic kidney disease: A cross-sectional study

Trust and confidence in using telehealth in people with chronic kidney disease: A cross-sectional study

How do Twitter users feel about telehealth? A mixed‐methods analysis of experiences, perceptions and expectations

The NASSS (Non-Adoption, Abandonment, Scale-Up, Spread and Sustainability) framework use over time: A scoping review

Contact Info

Product

Resources

About