The Need for Sustainable Teleconsultation Systems in the Aftermath of the First COVID-19 Wave

Giunti, Guido; Goossens, Richard; Bont, Antoinette de; Visser, Jacob J.; Mulder, M.; Schuit, Stephanie C. E.

doi:10.2196/21211

Cited by 5 publications

(2 citation statements)

References 14 publications

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“…Given that our results point to a positive association between confidence in the use of video calls and attitude , the pandemic situation may have been a booster for patients’ TH adherence. For teleconsultations to be an effective addition to health services beyond COVID-19 they should be considered not only as a technological issue, but also as a complex organizational change problem [ 54 ]; from the aspects raised by the authors, we would like to highlight the need for adjusted legal frameworks and reimbursement schemes.…”

Section: Discussionmentioning

confidence: 99%

Perceptions of Patients and Physicians on Teleconsultation at Home for Diabetes Mellitus: Survey Study

Rego¹,

Pereira²,

Crispim³

2021

JMIR Hum Factors

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Background Diabetes mellitus (DM) is one of the most challenging diseases in the 21st century and is the sixth leading cause of death. Telemedicine has increasingly been implemented in the care of patients with DM. Although teleconsultations at home have shown to be more effective for inducing HbA1c reduction than other telemedicine options, before the 2019 coronavirus disease crisis, their use had been lagging behind. Studies on physicians’ or patients’ perceptions about telemedicine have been performed independently of each other, and very few have focused on teleconsultations. In a time of great pressure for health systems and when an important portion of health care has to be assured at a distance, obtaining insights about teleconsultations at home from the stakeholders directly involved in the health care interaction is particularly important. Objective The perceptions of patients and physicians about their intentions to use home synchronous teleconsultations for DM care are examined to identify drivers and barriers inherent to programs that involve home teleconsultations. Methods Two identical questionnaires integrating the technology acceptance model and the unified theory of acceptance and use of technology and assessing the confidence in information and communication technology use of patients and physicians were developed. Responses by patients (n=75) and physicians (n=68) were analyzed using canonical correlation analysis. Results Associations between predictor constructs (performance, effort, social influence, facilitating conditions, and attitude) and intention to use yielded significant functions, with a canonical R2 of 0.95 (for physicians) and 0.98 (patients). The main identified barriers to patient intention to use were the expected effort to explain the medical problem, and privacy and confidentiality issues. The major drivers were the facilitation of contact with the physician, which is beneficial to patient disease management and treatment, time savings, and reciprocity concerning physicians’ willingness to perform teleconsultations. Responses from physicians revealed an association between intention to use and the expected performance of home teleconsultations. The major barrier to intention to use expressed in physicians’ answers was doubts concerning the quality of patient examination. The major drivers were time savings, productivity increases, improvements in patient’s health and patient management, National Health System costs reduction, and reciprocity relative to patients’ willingness to engage in teleconsultations. Conclusions To promote the use of home teleconsultations for DM, decision makers should improve patients’ health literacy so the physician–patient communication is more effective; explore information and communication technology developments to reduce current limitations of non–face-to-face examinations; ensure patient privacy and data confidentiality; and demonstrate the capabilities of home teleconsultations to physicians.

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Section: Discussionmentioning

confidence: 99%

Perceptions of Patients and Physicians on Teleconsultation at Home for Diabetes Mellitus: Survey Study

Rego¹,

Pereira²,

Crispim³

2021

JMIR Hum Factors

View full text Add to dashboard Cite

show abstract

“…Looking at the above identified GP uncertainties as relationally grounded, the implementation of video consultation in general practice must be acknowledged as “not exclusively a technological issue, but part of a complex organizational change” [ 38 ], involving the processes of relating, adapting, or resisting among the whole clinic personnel. In this light, uncertainties cannot necessarily be remedied by changing or precluding the technology but rather by considering the relation between clinic users and the technology when implementing new consultation forms.…”

Section: Discussionmentioning

confidence: 99%

General Practitioners’ Experiences of Professional Uncertainties Emerging from the Introduction of Video Consultations in General Practice: Qualitative Study

Nordtug¹,

Hvidt²,

Lüchau³

et al. 2022

JMIR Form Res

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Background Uncertainties are omnipresent in health care, but little is known about general practitioners’ (GPs) professional uncertainties concerning digital consultations. This is problematic, as many countries have undergone an extensive digital transformation. Objective The aim of this study was to explore the professional uncertainties that emerged among Danish GPs with the introduction of video consultations. Methods We conducted qualitative interviews with 15 Danish GPs during the beginning of the COVID-19 pandemic in 2020. The interviews were analyzed using an abductive approach. Results We identified 3 categories of uncertainty: integrity, setting, and interaction. Respectively, these 3 categories of uncertainty refer to (1) uncertainties related to how technology may impede the provision of health care; (2) uncertainties related to the potentials of video technology; and (3) uncertainties related to how the video consultation technology affects interactions with patients. Conclusions The uncertainties experienced by Danish GPs appear to be a typical reaction to the introduction of new technology. Embedding video consultation technology into GPs’ working routines will take time, and GPs do not necessarily feel intuitively capable of transferring their abilities, such as being good and socially present for video-mediated consultations. The heterogeneity of professional uncertainties experienced among the GPs suggests that they are the product of individual GP-technology relationships—not of the technology in itself. Consequently, we cannot expect that uncertainties can be remedied by changing or precluding new technology.

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Clinical perspectives and strategies for confronting disparities in social determinants of health for Hispanic bilinguals with aphasia

Scimeca

Abdollahi

Peñaloza

et al. 2022

Journal of Communication Disorders

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The Need for Sustainable Teleconsultation Systems in the Aftermath of the First COVID-19 Wave

Cited by 5 publications

References 14 publications

Perceptions of Patients and Physicians on Teleconsultation at Home for Diabetes Mellitus: Survey Study

Perceptions of Patients and Physicians on Teleconsultation at Home for Diabetes Mellitus: Survey Study

General Practitioners’ Experiences of Professional Uncertainties Emerging from the Introduction of Video Consultations in General Practice: Qualitative Study

Clinical perspectives and strategies for confronting disparities in social determinants of health for Hispanic bilinguals with aphasia

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