Virtual care and the influence of a pandemic: Necessary policy shifts to drive digital innovation in healthcare

Patterson, Patrick B.; Roddick, Jenna; Pollack, Candice; Dutton, Daniel J.

doi:10.1177/08404704221110084

Cited by 20 publications

(16 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…44 At the system level, policy shifts and updates to remuneration structures are needed to improve clinician uptake. 45…”

Section: Discussionmentioning

confidence: 99%

Virtual Cancer Care Beyond the COVID-19 Pandemic: Patient and Staff Perspectives and Recommendations

Abdelmutti,

Powis,

Macedo

et al. 2024

JCO Oncol Pract

View full text Add to dashboard Cite

PURPOSE COVID-19 catalyzed rapid implementation of virtual cancer care (VC); however, work is needed to inform long-term adoption. We evaluated patient and staff experiences with VC at a large urban, tertiary cancer center to inform recommendations for postpandemic sustainment. METHODS All physicians who had provided VC during the pandemic and all patients who had a valid e-mail address on file and at least one visit to the Princess Margaret Cancer Centre in Toronto, Canada, in the preceding year were invited to complete a survey. Interviews and focus groups with patients and staff across the cancer center were analyzed using qualitative descriptive analysis and triangulated with survey findings. RESULTS Response rates for patients and physicians were 15% (2,343 of 15,169) and 41% (100 of 246), respectively. A greater proportion of patients than physicians were satisfied with VC (80.1 v 53.4%; P < .01). In addition, fewer patients than physicians felt that virtual visits were worse than those conducted in person (28.0 v 43.4%; P < .01) and that telephone and video visits negatively affected the human interaction that they valued (59.8% v 82.0%; P < .01). Major barriers to VC for patients were respect for care preferences and personal boundaries, accessibility, and equitable access. For staff, major barriers included a lack of role clarity, dedicated resources (space and technology), integration of nursing and allied health, support (administrative, clinical, and technical), and guidance on appropriateness of use. CONCLUSION Patient and staff perceptions and barriers to virtual care are different. Moving forward, we need to pay attention to both staff and patient experiences with virtual care since this will have major implications for long-term adoption into clinical practice.

show abstract

“…44 At the system level, policy shifts and updates to remuneration structures are needed to improve clinician uptake. 45…”

Section: Discussionmentioning

confidence: 99%

Virtual Cancer Care Beyond the COVID-19 Pandemic: Patient and Staff Perspectives and Recommendations

Abdelmutti,

Powis,

Macedo

et al. 2024

JCO Oncol Pract

View full text Add to dashboard Cite

show abstract

“…The COVID-19 pandemic brought forward a shift in the way health care is delivered [69,76]. Although there were indications of an increased need for mHealth solutions before the pandemic, the recommendation and use of such technologies within routine care was limited [77], and barriers associated with their adoption included both scepticism and lack of trust for their effectiveness among health care professionals [69,76]. Nevertheless, during the pandemic, communication and remote delivery of care became a necessity [76].…”

Section: A Shift In the Use Of Mhealthmentioning

confidence: 99%

“…Although there were indications of an increased need for mHealth solutions before the pandemic, the recommendation and use of such technologies within routine care was limited [77], and barriers associated with their adoption included both scepticism and lack of trust for their effectiveness among health care professionals [69,76]. Nevertheless, during the pandemic, communication and remote delivery of care became a necessity [76]. Although Sweden did not have as many restrictions compared to other countries; for instance, preschools and schools were kept open -children's lifestyle behaviors were still affected with an increased incidence and prevalence of obesity among preschool-aged children as a result [28,29,31].…”

Section: A Shift In the Use Of Mhealthmentioning

confidence: 99%

MINISTOP 2.0 : a smartphone app integrated in primary child health care to promote healthy diet and physical activity behaviors and prevent obesity in preschool-aged children

Alexandrou

2023

Linköping University Medical Dissertations

View full text Add to dashboard Cite

BackgroundChildhood overweight and obesity is currently estimated to affect 39 million children under the age of five worldwide. After the COVID-19 pandemic, further increases have been observed in several countries including Sweden, where an increased incidence was observed in 3-and 4-year-old children, especially in disadvantaged areas. This development emphasizes the urgent need for population-based childhood obesity prevention interventions, and Swedish primary child health care provides an ideal setting for primary preventive efforts during the preschool years. However, thus far, previous child health care-based obesity prevention interventions have demonstrated limited effectiveness. As previous interventions also have been face-to-face delivered and thus resource-demanding; new, and scalable ways of delivering interventions also need to be evaluated. Mobile health or mHealth refers to the use of mobile devices for medical and public health practice and provides opportunity for development and dissemination of digital interventions for various purposes and populations at scale. This thesis reports the results of the MINISTOP 2.0 project, which covers the development and evaluation of the MINISTOP 2.0 digital intervention, from adaptation and translation of the intervention to Somali, Arabic and English (Paper I), to evaluation of real-world effectiveness within the Swedish primary child health care setting (Paper II) followed by exploration of user experiences and implementation aspects (Paper III) and a cost-consequence analysis of the intervention costs (Paper IV). AimThe overall aim of this thesis was to evaluate whether a 6-month parentoriented mHealth intervention (MINISTOP 2.0 app), embedded in the routine services of Swedish primary child health care, can be used to improve diet and physical activity behaviors, and decrease the prevalence of overweight and obesity in 2.5-to-3-year-old children. MethodsThe MINISTOP 2.0 project utilized a hybrid type 1 effectiveness-implementation study design to enable simultaneous evaluation and exploration of intervention effectiveness, user experiences and implementation aspects. Paper I: A qualitative exploration of user requirements in an app-based parental support intervention was conducted through three focus group interviews with Somali-(n = 5), Arabic-(n = 4), and Swedish-speaking

show abstract

“…COVID-19 incentivized policy makers and healthcare leaders to move from the slow “reimagining” of healthcare to rapid “recreation” of entire health systems through adoption of telemedicine [ 2 ]. Yet, many organizations have, or will, rebound to in-person service delivery after the pandemic, resulting in the loss of innovative and successful virtual programs [ 5 ]. How leaders perceive a crisis, communicate about it, and respond to it shapes staff perceptions [ 6 ] and influences how well the organization adapts to the crisis [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Crisis leadership behaviors in healthcare: survey validation and influence on staff outcomes in primary care clinics during the COVID-19 pandemic

Yang,

Evans,

Singer

et al. 2024

BMC Health Serv Res

View full text Add to dashboard Cite

Background The COVID-19 pandemic triggered an unprecedented transition from in-person to virtual delivery of primary health care services. Leaders were at the helm of the rapid changes required to make this happen, yet outcomes of leaders’ behaviours were largely unexplored. This study (1) develops and validates the Crisis Leadership and Staff Outcomes (CLSO) Survey and (2) investigates the leadership behaviours exhibited during the transition to virtual care and their influence on select staff outcomes in primary care. Methods We tested the CLSO Survey amongst leaders and staff from four Community Health Centres in Ontario, Canada. The CLSO Survey measures a range of crisis leadership behaviors, such as showing empathy and promoting learning and psychological safety, as well as perceived staff outcomes in four areas: innovation, teamwork, feedback, and commitment to change. We conducted an exploratory factor analysis to investigate factor structure and construct validity. We report on the scale’s internal consistency through Cronbach’s alpha, and associations between leadership scales and staff outcomes through odds ratios. Results There were 78 staff and 21 middle and senior leaders who completed the survey. A 4-factor model emerged, comprised of the leadership behaviors of (1) “task-oriented leadership” and (2) “person-oriented leadership”, and select staff outcomes of (3) “commitment to sustaining change” and (4) “performance self-evaluation”. Scales exhibited strong construct and internal validity. Task- and person-oriented leadership behaviours positively related to the two staff outcomes. Conclusion The CLSO Survey is a reliable measure of leadership behaviours and select staff outcomes. Our results suggest that crisis leadership is multifaceted and both person-oriented and task-oriented leadership behaviours are critical during a crisis to improve perceived staff performance and commitment to change.

show abstract

Virtual care and the influence of a pandemic: Necessary policy shifts to drive digital innovation in healthcare

Cited by 20 publications

References 38 publications

Virtual Cancer Care Beyond the COVID-19 Pandemic: Patient and Staff Perspectives and Recommendations

Virtual Cancer Care Beyond the COVID-19 Pandemic: Patient and Staff Perspectives and Recommendations

MINISTOP 2.0 : a smartphone app integrated in primary child health care to promote healthy diet and physical activity behaviors and prevent obesity in preschool-aged children

Crisis leadership behaviors in healthcare: survey validation and influence on staff outcomes in primary care clinics during the COVID-19 pandemic

Contact Info

Product

Resources

About