Coronavirus Disease 2019 Pandemic as Catalyst for Telemedicine Adoption: A Single-Center Experience

Malhotra, Kunal; Sivaraman, Aparna; Regunath, Hariharan

doi:10.1089/tmr.2020.0003

Cited by 5 publications

(4 citation statements)

References 8 publications

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“…The telemedicine explosion of rapid implementation, without dedicated resources or standard work, is common to many safety-net settings that disproportionately care for low-income populations. 1,28,38 Consistent with prior studies, we found that telemedicine implementation for a lower-resource patient population has been delivered primarily by telephone, although video visits are being piloted. 16,39 This pattern is likely related to the higher complexity of technical infrastructure and clinic workflows required to support safety-net patients to successfully participate in video visits compared with phone visits.…”

Section: Discussionsupporting

confidence: 81%

Clinician Experience with Telemedicine at a Safety-net Hospital Network during COVID-19: A Cross-sectional Survey

Sharma¹,

Khoong²,

Nijagal³

et al. 2021

Journal of Health Care for the Poor and Underserved

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Section: Discussionsupporting

confidence: 81%

Clinician Experience with Telemedicine at a Safety-net Hospital Network during COVID-19: A Cross-sectional Survey

Sharma¹,

Khoong²,

Nijagal³

et al. 2021

Journal of Health Care for the Poor and Underserved

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“…The COVID-19 pandemic forced a rapid increase in the use of telemedicine in primary care as well as in other health care settings. 19,20 Our qualitative study suggests that maintaining flexibility, modifying work spaces, and taking advantage of opportunities to collaborate virtually helped PCPs adjust to delivering care virtually through telemedicine during the early phases of the COVID-19 pandemic. Similarly, organizational support through means, such as frequent communications from leadership and providing training, were also key in facilitating this telemedicine transition in response to the emergence of COVID-19.…”

Section: Discussionmentioning

confidence: 97%

“…For instance, given our interviewees' enthusiasm about the use of messaging tools to rapidly share information with other physicians, our findings suggest it will be important to emphasize the opportunity for bidirectional communication to facilitate problem solving and knowledge sharing when using telemedicine. 24 Furthermore, as the demand for telemedicine during the COVID-19 pandemic increased, 19,25 future inquiries may want to examine the long-term benefits of ''howto'' knowledge sharing that occurred as the pandemic progressed and ultimately wanes. It may be that secure messaging platforms enable physicians and other health care providers to share their technological as well as their clinical expertise in a way that fosters the dissemination of best practices that can make the ongoing use of telemedicine easier for physicians and their patients.…”

Section: Discussionmentioning

confidence: 99%

Making It Work: Physicians' Perspectives on the Rapid Transition to Telemedicine

DePuccio

Gaughan

McAlearney

2021

Telemedicine Reports

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Background: Telemedicine is a major pillar in the health care system's response to the coronavirus disease 2019 (COVID-19) pandemic. However, the rapid implementation of telemedicine is not without its challenges. We examined the strategies primary care physicians (PCPs) used to make the transition to telemedicine during the pandemic. Methods: A qualitative study was conducted to explore the perspectives of PCPs working at a Midwestern Academic Medical Center (AMC) who used telemedicine during the COVID-19 pandemic. Semistructured interviews with 20 PCPs were conducted 3 months following the rapid increase in the use of telemedicine across the AMC. Interview questions asked about physicians' challenges using telemedicine, the changes they had to make to use telemedicine, and what had helped them deliver care through telemedicine. All interviews were recorded, transcribed, coded, and rigorously analyzed using deductive thematic analysis. Results: According to PCPs, a successful transition to telemedicine involved three key elements: (1) maintaining flexibility in the context of constant change; (2) recognizing the need to upgrade their home office spaces; and(3) seeking opportunities to continue collaborating and sharing knowledge with peers. These strategies enabled physicians to rapidly pivot to deliver care through telemedicine when stay-at-home orders took effect. Physicians also described how frequent leadership communication and the rapid dissemination of telemedicine training supported their use of this care modality. Conclusions: Successful adoption of telemedicine requires that physicians adapt their care delivery practices. Considering these facilitators of telemedicine use can help both physicians and health care organizations with this important transition.

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“…A validated questionnaire used in similar studies in India and the Philippines [22,23] was adapted after modification to contextualise for the T&T population and face validity was verified by pretesting on 20 persons not part of the study. The final questionnaire which is presented as a supplementary file (S1 Appendix) covered items including: demography (age groups, sex, marital status, religion, ethnicity, residence, educational status, occupation and income which was grouped according to salary/pay scales in T & T, computer use variable (ability to use computer, level of proficiency in use of computer; type of device used), presence of chronic disease, and frequency of interaction with doctor.…”

Section: Methodsmentioning

confidence: 99%

Awareness, Attitude, and Perception of Telemedicine Among Trinidad and Tobago Population

Ezinne,

Bhattarai,

Anyasodor

et al. 2023

Preprint

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AimTo assess the awareness, attitude and perception of Trinidad and Tobago population towards telemedicineMethodA cross-sectional study was conducted using a structured questionnaire on patients that visited health centres in the North Central region. A systematic random sampling method was used to select participants. Descriptive statistics including mean and standard deviation were used to calculate categorical and continuous variables. Comparison between the categorical groups of the demographic variables for each of the three main outcome variables were analysed through one-way analysis of variance (ANOVA). Statistical significance was defined as P<0.05.ResultsA total of 528 participated in the study. Most (60%) of them were female, and aged 21 to 40 years (62.1%). Awareness of telemedicine was 34.4%, but the majority (82.5%) had never used telemedicine before. About half (51.3%) acknowledged the necessity of telemedicine but few (36.4%) were satisfied with the services. Most (64%) were willing to try mobile-based healthcare apps. Concerns over lack of familiarity with telemedicine platforms (44.5%) and result accuracy (15.5%) were the major barriers to using telemedicine. Awareness of telemedicine was significantly associated with being female (P < 0.001), a medical profession (P = 0.004), familiarity in use of computers (P = 0.004) and frequent interaction with doctors online (P < 0.001). Positive attitude towards telemedicine was associated with having a diploma, being a medical professional, being computer literate and frequent interaction with doctor online. Positive perception towards telemedicine was associated with marital status (Single or Previously Married) (P = 0.011), one’s ability to use the computer (P = 0.009), their level of competency in computer usage (P = 0.002), and frequency of interacting with doctors online (P < 0.002).ConclusionThe study revealed that although the level of telemedicine awareness is low, the majority of respondents demonstrated positive attitude and perception towards telemedicine. The findings suggest the need to educate the public on the benefits of telemedicine and create awareness of its use in T&T.

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Coronavirus Disease 2019 Pandemic as Catalyst for Telemedicine Adoption: A Single-Center Experience

Cited by 5 publications

References 8 publications

Clinician Experience with Telemedicine at a Safety-net Hospital Network during COVID-19: A Cross-sectional Survey

Clinician Experience with Telemedicine at a Safety-net Hospital Network during COVID-19: A Cross-sectional Survey

Making It Work: Physicians' Perspectives on the Rapid Transition to Telemedicine

Awareness, Attitude, and Perception of Telemedicine Among Trinidad and Tobago Population

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