Barriers and Benefits in Telemedicine Arising Between a High-Technology Hospital Service Provider and Remote Public Healthcare Units: A Qualitative Study in Brazil

Souza, Carlos Henrique Amaral de; Morbeck, Renata Albaladejo; Steinman, Milton; Hors, Cora; Bracco, Mário Maia; Kozasa, Elisa Harumi; Leão, Eliseth Ribeiro

doi:10.1089/tmj.2016.0158

Cited by 41 publications

(39 citation statements)

References 20 publications

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“…Several factors can influence the adherence to the program, such as service structure, internet speed and signal, and experience of professionals in the use of technology. 27 Furthermore, some professionals may have difficulty in admitting the need for a second opinion. 28 Therefore, it is necessary to break the prejudice habit concerning seeking the opinion of co-workers.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the asynchronous dental teleconsulting of Telehealth Brazil Networks in Minas Gerais

et al. 2018

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This cross-sectional study aimed to evaluate the asynchronous dental teleconsulting of Telehealth Brazil Networks Program in Minas Gerais. Data were collected from secondary databases of the Clinical Hospital of the Universidade Federal de Minas Gerais (CH/UFMG) and Medical School of UFMG (MS/UFMG), from July 2015 to July 2017. The variables analyzed were telehealth center, sex and profession, date and time questions and answers, response time in days, whether the issue was duly addressed, whether the teleconsulting was attended, post status, professional's satisfaction, conduct adopted after teleconsulting, dental specialty area, and type of issues. Sociodemographic data from the Intermediate Geographical Regions (IGR) of Minas Gerais, including the Municipal Human Development Index (MHDI) and Gini Index were also collected. The results were analyzed using SPSS v.22.0. In total, 3,920 teleconsulting were recorded, with increasing demand in the study period. Most were requested by dentists (93.3%) and female professionals (78.6%), during office hours (78.6%), and related to general conducts (72.1%). Almost all were attended (99.7%), with a maximum response time of two days (75.0%). A low feedback on satisfaction and resolution of issues (missing data of 57.2% and 70.2%, respectively) was recorded. Only 5.2% had information on whether patients were referred. The most common inquires were of issues about Pathology/ Stomatology specialties (19.0%) and Pharmacology/Anesthesiology (18.8%). The response occurred within the expected time, with prevalent issues in basic dental areas and general conducts. Feedback from professionals must be encouraged to allow a better analysis and improvements of the program.

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Section: Discussionmentioning

confidence: 99%

Analysis of the asynchronous dental teleconsulting of Telehealth Brazil Networks in Minas Gerais

et al. 2018

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“…One of the major limitations of existing literature is the lack of studies which have examined the perspectives of patients in low-income to middle-income countries such as Malaysia, where telemedicine is now being used. Earlier published work on this topic has focused primarily on the views of physicians rather than the patients’ perspective 26 27. There was a limited understanding of the key factors faced by patients using telemedicine as most of these studies have focused primarily on its utilisation rates 25 28.…”

Section: Introductionmentioning

confidence: 99%

Using telemedicine to support care for people with type 2 diabetes mellitus: a qualitative analysis of patients’ perspectives

et al. 2019

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ObjectiveTelemedicine has been promoted as an economical and effective way to enhance patient care, but its acceptance among patients in low-income and middle-income countries is poorly understood. This study is aimed to explore the experiences and perspectives of people with type 2 diabetes mellitus that used telemedicine to manage their condition.DesignIn-depth and focus group interviews were conducted with participants who have engaged in telemedicine. Questions included were participants’ perception on the programme being used, satisfaction as well as engagement with the telemedicine programme. All interviews and focus groups were audio-recorded and transcribed verbatim. Data were analysed using a thematic approach.Participants and settingPeople with type 2 diabetes (n=48) who participated in a randomised controlled study which examined the use of telemedicine for diabetes management were recruited from 11 primary care clinics located within the Klang Valley.ResultsTwelve focus groups and two in-depth interviews were conducted. Four themes emerged from the analysis: (1) generational difference; (2) independence and convenience, (3) sharing of health data and privacy and (4) concerns and challenges. The main obstacles found in patients using the telemedicine systems were related to internet connectivity and difficulties experienced with system interface. Cost was also another significant concern raised by participants. Participants in this study were primarily positive about the benefits of telemedicine, including its ability to provide real-time data and disease monitoring and the reduction in clinic visits.ConclusionDespite the potential benefits of telemedicine in the long-term care of diabetes, there are several perceived barriers that may limit the effectiveness of this technology. As such, collaboration between educators, healthcare providers, telecommunication service providers and patients are required to stimulate the adoption and the use of telemedicine.NCT0246680.

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“…One author points to medical professionals' lack of technological experience owing to the hurdle of telemedicine services, problems of trust between medical professionals in cases of interinstitutional joint consultations, and resistance to technology that stems from the misconception that teleconsultation is time-consuming. 23 In addition, technical problems and political and legal issues such as the low quality of transferred images or patient data, and different institutions using different telemedicine or teleconsultation platforms may also prevent the service from being implemented. Finding solutions to these potential issues before implementing the service will greatly affect the acceptance of this technology.…”

Section: Discussionmentioning

confidence: 99%

Investigating the Need for Point-of-Care Robots to Support Teleconsultation

Lee

Kim

et al. 2019

Telemedicine and e-Health

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Background: Development of a point-of-care (POC) consultation system based on telepresence robots is needed to enable effective decision-making by medical staff at care sites. Introduction: This study aimed to identify essential features and functional requirements of teleconsultation robot systems and predict potential administrative and clinical issues. Materials and Methods: Surveys were conducted with 90 health care professionals and additional focus group interviews with 4 physicians and 5 nurses. The questionnaire for the surveys was developed by the authors. Survey results were analyzed using descriptive statistics, and content analysis was used to extract themes from the unabridged transcripts of focus group interviews. Results: The most desired functionalities were related to patient evaluation and facilitation of communication, including measuring vital signs, and medical record sharing and delivery. Nurses and physicians reported different needs for human-robot interactions. Nurses valued robotic functions such as voice command, automatic camera movement, voice recognition with contextual perception, and recognition of nonverbal signals. The thematic analysis of the interviews yielded four themes: major functions, usability, expected effects, and potential issues. The results indicated that robots should primarily be employed to support communication between medical professionals. The major expected effects included prevention of treatment delays and decision-making assistance. Participants believed that teleconsultation robots would be helpful, but had concerns, including anxiety about the robots and judgment errors. Conclusions: Using robots in health care institutions may support effective communication among medical staff, thus contributing to health care improvement. In the future, an actual POC robot system will be developed and its effectiveness evaluated.

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Barriers and Benefits in Telemedicine Arising Between a High-Technology Hospital Service Provider and Remote Public Healthcare Units: A Qualitative Study in Brazil

Cited by 41 publications

References 20 publications

Analysis of the asynchronous dental teleconsulting of Telehealth Brazil Networks in Minas Gerais

Analysis of the asynchronous dental teleconsulting of Telehealth Brazil Networks in Minas Gerais

Using telemedicine to support care for people with type 2 diabetes mellitus: a qualitative analysis of patients’ perspectives

Investigating the Need for Point-of-Care Robots to Support Teleconsultation

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