A Qualitative Study of Primary Care Physicians’ Experiences with Telemedicine during the COVID-19 Pandemic in North-Eastern Poland

Pogorzelska, Karolina; Marcinowicz, Ludmiła; Chlabicz, Sławomir

doi:10.3390/ijerph20031963

Cited by 7 publications

(3 citation statements)

References 38 publications

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“…In agreement with patients, stakeholders identified regulatory uncertainty as the main barrier to telemedicine integration, leading to the incoordination of telemedicine implementation in the Czech Republic. Thus, the absence of legislative regulations and other (disciplinary and organizational) guidelines for telemedicine can generate a number of problems in the patient–doctor relationship ( 37 , 38 ), including ethical ones ( 27 , 39 ). This may also lead to inequalities in access to healthcare ( 3 , 40 ) and affect the overall quality of care provided ( 41 ).…”

Section: Discussionmentioning

confidence: 99%

Development of telemedicine in the Czech Republic from patients’ and other key stakeholders’ perspective

Těšinová,

Dobiášová,

Dušek

et al. 2023

Front. Public Health

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Telemedicine is a way to improve healthcare outcomes with greater efficiency for both patients and care providers. The great potential of digital technologies also lies in strengthening the patient-centered approach. The early successes and benefits of telemedicine in the Czech Republic, amplified by the COVID-19, have contributed to the fact that wider implementation of telemedicine is already generally supported at the expert and public levels. Our research focuses on the identification of key issues in the implementation of telemedicine and the challenges of telemedicine in the future, from the perspective of patients and other stakeholders. The study is based on a qualitative research approach, combining focus groups with key stakeholders, patient panels and expert panels (2021–2022). The lack of rules and uncoordinated development of various activities proved to be the main barriers to the integration of telemedicine in the health system. This regulatory uncertainty can generate a number of problems in the patient–doctor relationship in practice, including ethical ones, and can also lead to inequalities in access to healthcare and affect the overall quality of care provided. Furthermore, it has been shown that patients’ interests in the implementation of telemedicine are: 1. a predictable and reliable framework that guarantees them certainty and security in the provision of telemedicine services, 2. telemedicine solutions that increase the availability and efficiency of the care provided while bringing comfort, and 3. user-friendly and simple solutions. At the same time, patients want to understand the new environment and be active participants in the process of digital innovation, including the practical implementation of telemedicine. The research team has developed recommendations for further developments in the implementation of telemedicine that reflect the patient’s interest and can be implemented at three levels – the health system, institutional, and community level. In countries with a well-developed and institutionalized patient movement, the community level can be represented by patient organizations, thus becoming the link between telemedicine policy making and implementation at the individual level of healthcare provision. For the further development of telemedicine, the development of a national strategy involving all key stakeholders, including patients, in the implementation has proven essential.

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Section: Discussionmentioning

confidence: 99%

Development of telemedicine in the Czech Republic from patients’ and other key stakeholders’ perspective

Těšinová,

Dobiášová,

Dušek

et al. 2023

Front. Public Health

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“…This landscape is likely to have changed as a consequence of the COVID-19 pandemic, during which telemedicine became the predominant mode of diabetes consultations [ 195 ]. Although limited, the available evidence suggests that telemedicine is not inferior to face-to-face visits in diabetes care [ 195 , 196 ], and that primary care teams and patients have embraced it [ 197 , 198 ].…”

Section: Modern Management Of Diabetes With Cgm: a Challenge For Heal...mentioning

confidence: 99%

Expanding the Role of Continuous Glucose Monitoring in Modern Diabetes Care Beyond Type 1 Disease

et al. 2023

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Application of continuous glucose monitoring (CGM) has moved diabetes care from a reactive to a proactive process, in which a person with diabetes can prevent episodes of hypoglycemia or hyperglycemia, rather than taking action only once low and high glucose are detected. Consequently, CGM devices are now seen as the standard of care for people with type 1 diabetes mellitus (T1DM). Evidence now supports the use of CGM in people with type 2 diabetes mellitus (T2DM) on any treatment regimen, not just for those on insulin therapy. Expanding the application of CGM to include all people with T1DM or T2DM can support effective intensification of therapies to reduce glucose exposure and lower the risk of complications and hospital admissions, which are associated with high healthcare costs. All of this can be achieved while minimizing the risk of hypoglycemia and improving quality of life for people with diabetes. Wider application of CGM can also bring considerable benefits for women with diabetes during pregnancy and their children, as well as providing support for acute care of hospital inpatients who experience the adverse effects of hyperglycemia following admission and surgical procedures, as a consequence of treatment-related insulin resistance or reduced insulin secretion. By tailoring the application of CGM for daily or intermittent use, depending on the patient profile and their needs, one can ensure the cost-effectiveness of CGM in each setting. In this article we discuss the evidence-based benefits of expanding the use of CGM technology to include all people with diabetes, along with a diverse population of people with non-diabetic glycemic dysregulation. Supplementary Information The online version contains supplementary material available at 10.1007/s13300-023-01431-3.

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“…The modern form of telemedicine technology was first established in the 1960’s as healthcare delivery when the Nebraska Psychiatry Institute created the first video link to provide medical care treatment across 112 miles and to transmit neurological examination information [ 21 ]. They also used closed-circuit TV to facilitate consultations between specialists at a psychiatric institute and general practitioners at a state mental health hospital [ 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

A Systematic Review of Publications on Perceptions and Management of Chronic Medical Conditions Using Telemedicine Remote Consultations by Primary Healthcare Professionals April 2020 to December 2021 During the COVID-19 Pandemic

Ahmed,

Mutahar,

Daghrery

et al. 2024

Med Sci Monit

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Telemedicine technologies allow distribution of health-related services and information and can include electronic and telecommunication technologies, remote patient and clinician contact, referral and prescribing, patient education, and monitoring. This systematic review aimed to evaluate publications on the perceptions and management of chronic medical conditions using telehealth remote consultations by primary healthcare professionals between April 2020 and December 2021 during the COVID-19 pandemic. Electronic databases, including Cinhal, PubMed, Science Direct, and ProQuest were searched to extract qualitative studies relevant to the topic. Inclusion criteria were developed based on the Population, Exposure, and Outcomes scoping framework. The target population was healthcare professionals working in primary care settings. Included studies encompassed various types of telemedicine, such as synchronous telemedicine, video conferencing, telephone conversations, and smart devices. Eight studies were included. Synchronous telemedicine was highly effective in ensuring the continuity of care and treatment, providing patients with convenience, improved access to treatment, and earlier disease management. Video conferencing and telephone consultations were the most common methods used. Challenges included concerns about patient privacy, technology literacy, and acceptance. Telemedicine was commended for its ability to provide access to immediate expert medical advice and eliminate the need for long-distance travel, contributing to increased patient compliance. Synchronous telemedicine is a promising solution for managing chronic conditions during and after the COVID-19 pandemic, offering benefits to patients and healthcare professionals. To maximize its potential, concerns regarding patient privacy, confidentiality, and technology literacy need to be addressed. Proper legislation and regulations are required for long-term success of telemedicine, making it a valuable component of healthcare systems.

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A Qualitative Study of Primary Care Physicians’ Experiences with Telemedicine during the COVID-19 Pandemic in North-Eastern Poland

Cited by 7 publications

References 38 publications

Development of telemedicine in the Czech Republic from patients’ and other key stakeholders’ perspective

Development of telemedicine in the Czech Republic from patients’ and other key stakeholders’ perspective

Expanding the Role of Continuous Glucose Monitoring in Modern Diabetes Care Beyond Type 1 Disease

A Systematic Review of Publications on Perceptions and Management of Chronic Medical Conditions Using Telemedicine Remote Consultations by Primary Healthcare Professionals April 2020 to December 2021 During the COVID-19 Pandemic

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