Survey protocol for exploring video and phone use in Aotearoa New Zealand general practice: considerations for future telehealth

Day, Karen; Hunter, Inga; Rao, Vasudha; Russell, Greig; Roskvist, Rachel; Moir, Fiona; Gill, Emily; Werf, Bert van der

doi:10.1136/bmjhci-2020-100309

Cited by 8 publications

(6 citation statements)

References 20 publications

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“…This rapid response was aided by a NZ $20 (US $13.8) million government commitment to increase telehealth capacity, training webinars through the National Telehealth Resource Center, and temporary relaxation of electronic prescribing rules [ 62 ]. While nationwide uptake of this service model is yet to be comprehensively reviewed [ 63 ], preliminary research indicates longstanding potential; pending further investments; and closer attention to IT infrastructure, regulatory, and accessibility considerations [ 64 , 65 ]. We suspect there will be useful comparisons between New Zealand and Scotland, possibly using the PERCS framework.…”

Section: Discussionmentioning

confidence: 99%

Expanding Video Consultation Services at Pace and Scale in Scotland During the COVID-19 Pandemic: National Mixed Methods Case Study

Wherton¹,

Greenhalgh²,

Shaw³

2021

J Med Internet Res

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Background Scotland—a country of 5.5 million people—has a rugged geography with many outlying islands, creating access challenges for many citizens. The government has long sought to mitigate these through a range of measures including an ambitious technology-enabled care program. A strategy to develop a nationwide video consultation service began in 2017. Our mixed methods evaluation was commissioned in mid-2019 and extended to cover the pandemic response in 2020. Objective To draw lessons from a national evaluation of the introduction, spread, and scale-up of Scotland’s video consultation services both before and during the pandemic. Methods Data sources comprised 223 interviews (with patients, staff, technology providers, and policymakers), 60 hours of ethnographic observation (including in-person visits to remote settings), patient and staff satisfaction surveys (n=20,349), professional and public engagement questionnaires (n=5400), uptake statistics, and local and national documents. Fieldwork during the pandemic was of necessity conducted remotely. Data were analyzed thematically and theorized using the Planning and Evaluating Remote Consultation Services (PERCS) framework which considers multiple influences interacting dynamically and unfolding over time. Results By the time the pandemic hit, there had been considerable investment in material and technological infrastructure, staff training, and professional and public engagement. Scotland was thus uniquely well placed to expand its video consultation services at pace and scale. Within 4 months (March-June 2020), the number of video consultations increased from about 330 to 17,000 per week nationally. While not everything went smoothly, video was used for a much wider range of clinical problems, vastly extending the prepandemic focus on outpatient monitoring of chronic stable conditions. The technology was generally considered dependable and easy to use. In most cases (14,677/18,817, 78%), patients reported no technical problems during their postconsultation survey. Health care organizations’ general innovativeness and digital maturity had a strong bearing on their ability to introduce, routinize, and expand video consultation services. Conclusions The national-level groundwork before the pandemic allowed many services to rapidly extend the use of video consultations during the pandemic, supported by a strong strategic vision, a well-resourced quality improvement model, dependable technology, and multiple opportunities for staff to try out the video option. Scotland provides an important national case study from which other countries may learn.

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Section: Discussionmentioning

confidence: 99%

Expanding Video Consultation Services at Pace and Scale in Scotland During the COVID-19 Pandemic: National Mixed Methods Case Study

Wherton¹,

Greenhalgh²,

Shaw³

2021

J Med Internet Res

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“…Initially, there was only an outline of telemedicine use, instead of guidelines regarding the physician’s requirements for providing PCT services to the patient. With a simplification of the technical requirements, PCT consultations were accepted over the phone, as in many countries [ 34 , 35 , 36 , 37 ]. The diagnosis verification tools, such as viewing the patient’s medical images, were not systemically implemented.…”

Section: Discussionmentioning

confidence: 99%

The COVID-19 Pandemic as an Impulse for the Development of Telemedicine in Primary Care in Poland

Furlepa

Śliwczyński

Kamecka

et al. 2022

JPM

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Telemedicine gives a safe and effective way of providing healthcare. During the COVID-19 pandemic, it was possible to offer teleconsultations in primary care (Primary Care Teleconsultation-PCT). The study aimed to present an analysis of the PCTs served in the years 2020–2021 in the field of primary care in Poland to determine how the COVID-19 pandemic contributed to the development of telemedicine in primary care in Poland. The database, containing a list of medical services provided remotely obtained from the National Health Fund, was analyzed. Economic and tax indicators obtained from the Ministry of Finance were also analyzed. Personal Income Tax (PIT) value was used as an indicator of household wealth, and the Corporate Income Tax (CIT) was used as an indicator of economic activity in individual counties for 2019. Along with the COVID-19 pandemic, patients as healthcare beneficiaries can take advantage of previously unserved telemedicine services as part of primary care. The data analysis showed that, along with the introduced recommendations and restrictions in connection with the pandemic, the number of teleconsultations in 2021 increased compared to 2020. In response to the pandemic, an educational campaign targeted older patients. These indicate the most significant percentage of PCTs among patients aged 70 and older. The study shows that the awareness barrier in implementing services for the elderly population decreased significantly. There was a clear correlation between the increase in PCTs and patient age.

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“…Telehealth is defined as ‘the use of telecommunications and information technology to provide access to health assessment, diagnosis, intervention, consultation, supervision and information across distance’ 3. Research undertaken on telehealth prior to COVID-19 demonstrated that, compared with face-to-face healthcare, telehealth can provide lower cost care with similar service use and outcomes 4 5. Telehealth has also been demonstrated to be acceptable to patients and health professionals and is associated with high levels of satisfaction 4 5.…”

Section: Introductionmentioning

confidence: 99%

Telehealth use in Australian primary healthcare during COVID-19: a cross-sectional descriptive survey

et al. 2023

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ObjectiveThis study aimed to investigate Australian primary healthcare professionals’ experiences of the rapid upscaling of telehealth during COVID-19.DesignA cross-sectional survey.Participants and settingTwo hundred and seventeen general practitioners, nurses and allied health professionals employed in primary healthcare settings across Australia were recruited via social media and professional organisations.MethodsAn online survey was disseminated between December 2020 and March 2021. The survey comprised items about individual demographics, experiences of delivering telehealth consultations, perceived quality of telehealth consultations and future perceptions of telehealth.ResultsTelephone was the most widely used method of providing telehealth, with less than 50% of participants using a combination of telephone and video. Key barriers to telehealth use related to the inability to undertake physical examination or physical intervention. Telehealth was perceived to improve access to healthcare for some vulnerable groups and those living in rural settings, but reduced access for people from non-English-speaking backgrounds. Quality of telehealth care was considered mostly or somewhat the same as care provided face-to-face, with actual or perceived negative outcomes related to missed or delayed diagnosis. Overwhelmingly, participants wanted telehealth to continue with guaranteed ongoing funding. Some 43.7% of participants identified the need to further improve telehealth models of care.ConclusionThe rapid shift to telehealth has facilitated ongoing care during the COVID-19 pandemic. However, further work is required to better understand how telehealth can be best harnessed to add value to service delivery in usual care.

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Survey protocol for exploring video and phone use in Aotearoa New Zealand general practice: considerations for future telehealth

Cited by 8 publications

References 20 publications

Expanding Video Consultation Services at Pace and Scale in Scotland During the COVID-19 Pandemic: National Mixed Methods Case Study

Expanding Video Consultation Services at Pace and Scale in Scotland During the COVID-19 Pandemic: National Mixed Methods Case Study

The COVID-19 Pandemic as an Impulse for the Development of Telemedicine in Primary Care in Poland

Telehealth use in Australian primary healthcare during COVID-19: a cross-sectional descriptive survey

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