Service providers’ experiences of using a telehealth network 12 months after digitisation of a large Australian rural mental health service

Newman, Lareen; Bidargaddi, Niranjan; Schrader, G.

doi:10.1016/j.ijmedinf.2016.05.006

Cited by 37 publications

(65 citation statements)

References 34 publications

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“…Maximum protection must be ensured when transmitting data of minors and entire groups of subjects (families). 24 However, the study of Newman et al 30 mentioned that primordial Australian psychiatric patients preferred to wait longer to have a face-to-face meeting with a health expert rather than having a video conference. One of the articles talks about Big Data, referring to data in the electronic medical record.…”

Section: Protection Of Data and Confidentialitymentioning

confidence: 99%

“…In most cases, the section was summarized by referring it as being purely ethical in nature and not being elaborated in detail. 16,18,20,28,30,31 The discussion on malpractice can be classified into two segments: (1) telemedicine introduces a new form of malpractice 25,32,33 or (2) there is no difference with the normal malpractice with the patient being present. 15,18 Interpretation is left to the imagination of the end user.…”

Section: Physician's Malpractice and Liabilitymentioning

confidence: 99%

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Telemedicine Practice: Review of the Current Ethical and Legal Challenges

Nittari

Khuman

Baldoni

et al. 2020

Telemedicine and e-Health

280

207

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Background: Telemedicine involves medical practice and information and communications technology. It has been proven to be very effective for remote health care, especially in areas with poor provision of health facilities. However, implementation of these technologies is often hampered by various issues. Among these, ethical and legal concerns are some of the more complex and diverse ones. In this study, an analysis of scientific literature was carried out to identify the ethical and legal challenges of telemedicine. Materials and Methods: English literature, published between 2010 and 2019, was searched on PubMed, Scopus, and Web of Science by using keywords, including ''Telemedicine,'' ''Ethics,'' ''Malpractice,'' ''Telemedicine and Ethics,'' ''Telemedicine and Informed consent,'' and ''telemedicine and malpractice.'' Different types of articles were analyzed, including research articles, review articles, and qualitative studies. The abstracts were evaluated according to the selection criteria, using the Newcastle-Ottawa Scale criteria, and the final analysis led to the inclusion of 22 articles. Discussion: From the aforementioned sample, we analyzed elements that may be indicative of the efficacy of telemedicine in an adequate time frame. Ethical aspects such as informed consent, protection data, confidentiality, physician's malpractice, and liability and telemedicine regulations were considered. Conclusions: Our objective was to highlight the current status and identify what still needs to be implemented in tele-medicine with respect to ethical and legal standards. Gaps emerged between current legislation, legislators, service providers, different medical services, and most importantly patient interaction with his/her data and the use of that data.

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Section: Protection Of Data and Confidentialitymentioning

confidence: 99%

Section: Physician's Malpractice and Liabilitymentioning

confidence: 99%

Telemedicine Practice: Review of the Current Ethical and Legal Challenges

Nittari

Khuman

Baldoni

et al. 2020

Telemedicine and e-Health

280

207

View full text Add to dashboard Cite

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“…Since 2011, the Australian government has provided financial incentives to facilitate the uptake of telerehabilitation by both primary and tertiary health care providers (MBS Online; Queensland Health, 2016). Despite this, widespread adoption of telerehabilitation into contemporary practice remains elusive (Newman, Bidargaddi, & Schrader, 2016; Zanaboni & Wootton, 2012). A lack of clinician acceptance is considered to be one reason for the poor uptake and sustainability of telehealth (Wade, Eliott, & Hiller, 2014; Whitten & Holtz, 2008; Whitten & Mackert, 2005), often stemming from barriers such as resistance to change, poor technology self-efficacy, and concerns surrounding safety and the patient-clinician therapeutic relationship (Brewster, Mountain, Wessels, Kelly, & Hawley, 2013).…”

mentioning

confidence: 99%

Clinicians' Perspectives of a Novel Home-based Multidisciplinary Telehealth Service for Patients with Chronic Spinal Pain

Cottrell¹,

Hill²,

O’Leary³

et al. 2018

Int J Telerehab

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Chronic spinal pain conditions can often be successfully managed by a non-surgical, multidisciplinary approach, however many individuals are unable to access such specialised services within their local community. A possible solution may be the delivery of care via telerehabilitation. This study aimed to evaluate clinicians’ perspectives on providing clinical care via telerehabilitation during the early implementation of a novel spinal telerehabilitation service. Eight clinicians’ were recruited, completing surveys at four separate time points. Confidence in providing treatment via telerehabilitation significantly improved with time (χ2(3)=16.22, p=0.001). Clinicians became significantly more accepting of telerehabilitation being a time- (χ2(3)=11.237, p=0.011), and cost-effective (χ2(3)=9.466, p=0.024) platform in which they could deliver care. Overall satisfaction was high, with technology becoming easier to use (p=0.026) and ability to establish rapport significantly improved with experience (p=0.043). Understanding clinicians’ perspectives throughout the early implementation phase of a new telerehabilitation service is a critical component in determining long-term sustainability.

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“…While an emphasis seems to have been placed on continuing education for telehealth team end-users to promote excellence in telehealth care delivery, further research is needed to determine an evidence-based set of best practices to support healthcare professionals' initial exposure to, and continuing education in, the implementation of telehealth-based care. Moreover, some experts suggest that beyond technical training and education to promote development of best practices, and to maximize the impact of end-user uptake of telehealth, digitized modes of care such as telehealth must actually be integrated into the culture of an organization [12].…”

Section: Continuing Education For Healthcare Providersmentioning

confidence: 99%

Perceptions of Rural Emergency Department Providers regarding Telehealth-Based Care: Perceived Competency, Satisfaction with Care and Tele-ED Patient Disposition

Fairchild¹,

Kuo²,

Laws³

et al. 2017

OJN

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Introduction: This study assesses rural providers' perceptions of their ability to deliver high quality care via telehealth compared to usual care, and whether attending providers perceive that emergency department (ED) telehealth visits influence clinical reasoning in regard to patient disposition, specifically in tele-behavioral and tele-neurological cases. Methods: A cross-sectional survey was conducted of 134 ED providers (nurses [n = 126] and physicians [n = 8]) who were working in five Midwestern critical access hospitals (response rate 83%). Descriptive, correlational and stepwise regression analyses were employed to evaluate provider perceptions of 1) competency level in telehealth delivery, 2) patient health outcomes, 3) access to continuing education in telehealth, and 4) clinical influence of telehealth visit. Evaluation of preliminary set of N = 100 telehealth cases were assessed for influence of telehealth on clinical reasoning of attending physicians regarding patient disposition. Results: The majority (67%; n = 90) of participants had at least minimal experience with telehealth care delivery, with an average of 1 -2 visits in teleneurology, and 3 -4 visits in telebehavioral cases. Providers rated their overall mean competency level in telehealth care delivery as 3.01/5.00 based on a 5 point "novice (1) to expert" (5) scale. Mean scores for providers perceived competency level in 7 evidence-based sub-categories for telehealth care delivery were self-reported as relatively low to mid-range values, ranging from 2.64 -3.57/5.00. Stepwise linear regression analysis of whether all providers "would recommend telehealth to their family and friends" revealed two predictors for model of best fit (n = 81; p < 0.000; R 2 = 0.598): 1) their percep-

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Service providers’ experiences of using a telehealth network 12 months after digitisation of a large Australian rural mental health service

Cited by 37 publications

References 34 publications

Telemedicine Practice: Review of the Current Ethical and Legal Challenges

Telemedicine Practice: Review of the Current Ethical and Legal Challenges

Clinicians' Perspectives of a Novel Home-based Multidisciplinary Telehealth Service for Patients with Chronic Spinal Pain

Perceptions of Rural Emergency Department Providers regarding Telehealth-Based Care: Perceived Competency, Satisfaction with Care and Tele-ED Patient Disposition

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