Public Libraries as Partners in Telemedicine Delivery: A Review and Research Agenda

DeGuzman, Pamela B.; Jain, Neha; Loureiro, Christine G.

doi:10.1080/01616846.2021.1877080

Cited by 14 publications

(17 citation statements)

References 40 publications

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“…Barriers to rural access are typically grouped into 4 domains: people, place, provider, and payment [ 51 ]. In light of increased levels of insurance coverage [ 51 ], and ongoing technological advances that overcome distance-related barriers to care [ 52 ], personal and cultural belief systems need to be explored further. Thus, to continue to work toward equitable access, a more rigorous understanding of rural cultural belief systems that may limit cancer survivors’ openness to receiving high-quality psychosocial support is needed.…”

Section: Discussionmentioning

confidence: 99%

Self-reliance, Social Norms, and Self-stigma as Barriers to Psychosocial Help-Seeking Among Rural Cancer Survivors With Cancer-Related Distress: Qualitative Interview Study

DeGuzman¹,

Vogel²,

Bernacchi³

et al. 2022

JMIR Form Res

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Background Even when technology allows rural cancer survivors to connect with supportive care providers from a distance, uptake of psychosocial referrals is low. Fewer than one-third of participants in a telemedicine intervention for identifying rural survivors with high distress and connecting them with care accepted psychosocial referral. Objective The purpose of this research was to examine the reasons for which rural cancer survivors did not accept a psychosocial referral. Methods We utilized a qualitative design to address the research purpose. We interviewed participants who had been offered psychosocial referral. Semistructured interviews were conducted 6 weeks later (n=14), and structured interviews were conducted 9 months later (n=6). Data were analyzed descriptively using an inductive approach. Results Ultimately, none of the rural cancer survivors (0/14, 0%) engaged with a psychosocial care provider, including those who had originally accepted referrals (0/4, 0%) for further psychosocial care. When explaining their decisions, survivors minimized their distress, emphasizing their self-reliance and the need to handle distress on their own. They expressed a preference for dealing with distress via informal support networks, which was often limited to close family members. No survivors endorsed public stigma as a barrier to accepting psychosocial help, but several suggested that self-stigma associated with not being able to handle their own distress was a reason for not seeking care. Conclusions Rural cancer survivors’ willingness to accept a psychosocial referral may be mediated by the rural cultural norm of self-reliance and by self-stigma. Interventions to address referral uptake may benefit from further illumination of these relationships as well as a strength-based approach that emphasizes positive aspects of the rural community and individual self-affirmation.

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Section: Discussionmentioning

confidence: 99%

Self-reliance, Social Norms, and Self-stigma as Barriers to Psychosocial Help-Seeking Among Rural Cancer Survivors With Cancer-Related Distress: Qualitative Interview Study

DeGuzman¹,

Vogel²,

Bernacchi³

et al. 2022

JMIR Form Res

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“…No research has yet evaluated the impact of TIPL on patient health outcomes, but this is an important direction for future study. 1 As programs continue to emerge, research is needed that will measure the impact on missed appointments, distance traveled, as well as population-specific health outcomes such as hemoglobin A1C for diabetics or adherence to cancer prevention behaviors for cancer survivors. This is the first study to document reasons why a video visit may be superior to telephone calls for patient assessment, establishment of therapeutic communication, and diagnosis.…”

Section: Implications For Healthcare Delivery Research and Policymentioning

confidence: 99%

“…Limitations in broadband connectivity in the U.S. have stifled the ability for residents of many communities to connect to their healthcare providers over a telemedicine video visit (VV). 1 For example, when providers switched to telemedicine visits during the coronavirus pandemic of 2019 (COVID-19) patients without broadband internet access were unable to participate in a VV from home. 2 Although this inequity is most apparent in rural areas, urban residents can also have difficulty connecting to telemedicine.…”

Section: Introductionmentioning

confidence: 99%

Extending Healthcare Access via Telemedicine in Public Libraries: A Mixed Methods Study

DeGuzman

Garth

Sanjay

2022

Preprint

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Background: Despite the potential for telemedicine in public libraries to expand healthcare access to those living a long distance from care and in broadband poor areas, there are few collaborations between libraries and healthcare providers offering these programs. Purpose: To explore licensed independent providers perspectives (LIPs) on telemedicine in public libraries as a method of improving equitable access to care for populations lacking the ability to connect to a telemedicine video visit from home. Methods: We used a two-phase explanatory sequential mixed methods design with a quantitative strand followed by a qualitative strand to explore LIPs perspective on telemedicine in public libraries. Surveys were analyzed descriptively and to determine group differences. Survey respondents were recruited to participate in interviews, which were analyzed thematically using descriptive content analysis. Findings: Fifty LIPs responded to the survey, and 12 were interviewed. Respondents were overwhelmingly supportive of telemedicine in public libraries, describing how video visits could help multiple vulnerable populations connect to providers when travel was cost prohibitive. They emphasized how connecting at-risk populations to a video visit instead of a telephone call allowed for a more thorough and accurate assessment. While several LIPs were concerned with privacy, others considered a library to be more private than the home. Interviews revealed how chronic illness management may be the ideal visit type for public library-based telemedicine. Conclusions: Given the importance of expanding access sites for telemedicine, providers should consider partnering with libraries in their catchment areas where broadband access is sparse, and patients must travel long distances to care. Managing chronic illnesses using telemedicine in public libraries may be an important approach toward reducing health disparities in populations who live long distances from care and do not have home-based internet access. Conclusions: Given the importance of expanding access sites for telemedicine, providers should consider partnering with libraries in their catchment areas where broadband access is sparse, and patients must travel long distances to care. Managing chronic illnesses using telemedicine in public libraries may be an important approach toward reducing health disparities in populations who live long distances from care and do not have home-based internet access.

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“…for the use of digital library/electronic resources or for the search of material) and mobile applications -Advisory catalogs for electronic collections (e-collections) specific groups of people in the community in order to enhance inclusion and to overcome stereotypes in digital access (Hall, 2021). DeGuzman et al (2021) provided a paradigm of a PLs' network that served to connect people to healthcare providers via video visit (VV) telemedicine. In addition, it was observed that the COVID-19 pandemic increased the inequality in students' learning opportunities.…”

Section: Services-operationsmentioning

confidence: 99%

“…Carbery et al (2020) suggest that it is desirable to exchange experiences and develop of common ventures between PLs and other public bodies. For example, establishing and maintaining a collaborative advice program with health providers might be an innovative challenge that requires specialized knowledge and coordination (DeGuzman et al, 2021). Another example includes the cooperation between the Public Library Association (PLA), the ALA and the telecommunications company AT&T for supporting families and communities during COVID-19 pandemic (ALA, 2021b).…”

Section: Services-operationsmentioning

confidence: 99%

The management of public libraries during COVID-19 pandemic: a systematic literature review through PRISMA method

Κωσταγιόλας

Katsani

2021

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PurposeThe purpose of this paper is to provide an overview of the literature regarding the impact of global coronavirus pandemic (COVID-19) pandemic on PLs and their management responses during COVID-19 pandemic as well as for the post-pandemic era.Design/methodology/approachThe systematic literature review is based on preferred reporting items for systematic reviews and meta-analyses (PRISMA) method and includes publications in the English language published at online scholarly resources during the period of COVID-19 outbreak, i.e. from January 2020 to June 2021.FindingsThe number of the eligible and relevant studies for the COVID-19 impact on PLs was 79, which were included in the literature review profiling and in the qualitative analysis.Originality/valueThe systematic review provides a useful overview of existing PL management paradigms that could be contemplated at an organizational, national or international level while developing a strategy for public libraries in the post-pandemic era.

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Public Libraries as Partners in Telemedicine Delivery: A Review and Research Agenda

Cited by 14 publications

References 40 publications

Self-reliance, Social Norms, and Self-stigma as Barriers to Psychosocial Help-Seeking Among Rural Cancer Survivors With Cancer-Related Distress: Qualitative Interview Study

Self-reliance, Social Norms, and Self-stigma as Barriers to Psychosocial Help-Seeking Among Rural Cancer Survivors With Cancer-Related Distress: Qualitative Interview Study

Extending Healthcare Access via Telemedicine in Public Libraries: A Mixed Methods Study

The management of public libraries during COVID-19 pandemic: a systematic literature review through PRISMA method

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