Telehealth diabetes services for non-English speaking patients

Hart, Sara; Campbell, Candice; Divine, Holly; McIntosh, Tera; Dicks, Melanie; Schadler, Aric; Kebodeaux, Clark

doi:10.1016/j.japh.2022.03.009

Cited by 4 publications

(2 citation statements)

References 11 publications

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“…Recent research also indicates the exclusion of non-English-speaking patients from telehealth consultations and the logistical barriers faced by clinicians during phone consultations. 43,44 More research is needed to determine the value of telemedicine to broader populations in Australia. In addition, the present study allowed perceptions of different forms of telemedicine interactions (e.g.…”

Section: Study Limitationsmentioning

confidence: 99%

“…However, many healthcare provider participants in our cohort mentioned difficulties related to communication and language barriers they had encountered during telemedicine appointments and stressed the importance of having an English‐speaking caregiver or interpreter present during the consultation. Recent research also indicates the exclusion of non‐English‐speaking patients from telehealth consultations and the logistical barriers faced by clinicians during phone consultations 43,44 . More research is needed to determine the value of telemedicine to broader populations in Australia.…”

Section: Study Limitationsmentioning

confidence: 99%

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Telemedicine in specialist outpatient care during COVID‐19: a qualitative study

Sengupta,

Pettigrew,

Jenkins

2023

Internal Medicine Journal

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BackgroundCOVID‐19 accelerated healthcare changes, introducing various telehealth services. Work is needed to determine the suitability of telemedicine in the post‐pandemic era.AimsTo explore perceptions and experiences of telemedicine among patients and providers (clinicians and health administrators) who were involved in telemedicine appointments in hospital outpatient clinics in 2020–2022.Design, setting and participantsQualitative study: semi‐structured interviews were conducted with 37 participants (16 patients and 21 providers) in various hospital specialist outpatient clinics in a New South Wales local health district.ResultsPatients were generally satisfied with telemedicine consultations, especially during COVID restrictions, because of the convenience of accessing care from home and minimising the risk of COVID exposure. However, patients considered that the inability to receive a physical examination was a significant disadvantage of telemedicine. Providers had ambivalent perceptions and expressed concerns about mis‐ and under‐diagnoses because of the inability to conduct physical examinations. They considered telemedicine suitable for review appointments but noted an associated increased workload and stressed the need for sustainable funding models (Medicare items). Both patients and providers recognised the need for education/training and better integration of telemedicine platforms into existing infrastructure to facilitate an optimal hybrid model of care.ConclusionDespite expressing some concerns over its limitations, patients valued telemedicine for its convenience and for meeting their needs during the pandemic. While acknowledging that patients experienced some benefits from telemedicine, clinicians expressed concerns about potential missed diagnoses, uncertain clinical outcomes and lack of administrative and technological infrastructure. The ultimate test of telemedicine will be its impact on clinical outcomes versus longstanding models of in‐person care.

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Section: Study Limitationsmentioning

confidence: 99%

Section: Study Limitationsmentioning

confidence: 99%