Exploring virtual care clinical experience from non-physician healthcare providers (VCAPE)

Braund, Heather; Dalgarno, Nancy; Ritsma, Benjamin; Appireddy, Ramana

doi:10.1016/j.ssmqr.2023.100289

Cited by 3 publications

(1 citation statement)

References 31 publications

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“…We only interviewed patient advisors; however, some of these patient advisors were also patients and regularly reflected on their experiences with virtual care as patients explaining how that impacted their patient advisor role. Some of our previous work has explored patient perspectives on VC [26] and provider perspectives [36]. Participants were sampled across 5 provinces and are not representative of all provinces and territories.…”

Section: Limitationsmentioning

confidence: 99%

Exploring Patient Advisors’ Perceptions of Virtual Care Across Canada: Qualitative Phenomenological Study

Braund¹,

Dalgarno²,

Chan-Nguyen³

et al. 2023

J Med Internet Res

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Background While virtual care services existed prior to the emergence of COVID-19, the pandemic catalyzed a rapid transition from in-person to virtual care service delivery across the Canadian health care system. Virtual care includes synchronous or asynchronous delivery of health care services through video visits, telephone visits, or secure messaging. Patient advisors are people with patient and caregiving experiences who collaborate within the health care system to share insights and experiences in order to improve health care. Objective This study aimed to understand patient advisors’ perceptions related to virtual care and potential impacts on health care quality. Methods We adopted a phenomenological approach, whereby we interviewed 20 participants who were patient advisors across Canada using a semistructured interview protocol. The protocol was developed by content experts and medical education researchers. The interviews were audio-recorded, transcribed verbatim, and analyzed thematically. Data collection stopped once thematic saturation was reached. The study was conducted at Queen’s University, Kingston, Ontario. We recruited 20 participants from 5 Canadian provinces (17 female participants and 3 male participants). Results Six themes were identified: (1) characteristics of effective health care, (2) experiences with virtual care, (3) modality preferences, (4) involvement of others, (5) risks associated with virtual care encounters, and (6) vulnerable populations. Participants reported that high-quality health care included building relationships and treating patients holistically. In general, participants described positive experiences with virtual care during the pandemic, including greater efficiency, increased accessibility, and that virtual care was less stressful and more patient centered. Participants comparing virtual care with in-person care reported that time, scheduling, and content of interactions were similar across modalities. However, participants also shared the perception that certain modalities were more appropriate for specific clinical encounters (eg, prescription renewals and follow-up appointments). Perspectives related to the involvement of family members and medical trainees were positive. Potential risks included miscommunication, privacy concerns, and inaccurate patient assessments. All participants agreed that stakeholders should be proactive in applying strategies to support vulnerable patients. Participants also recommended education for patients and providers to improve virtual care delivery. Conclusions Participant-reported experiences of virtual care encounters were relatively positive. Future work could focus on delivering training and resources for providers and patients. While initial experiences are positive, there is a need for ongoing stakeholder engagement and evaluation to improve patient and caregiver experiences with virtual care.

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Section: Limitationsmentioning

confidence: 99%

Exploring Patient Advisors’ Perceptions of Virtual Care Across Canada: Qualitative Phenomenological Study

Braund¹,

Dalgarno²,

Chan-Nguyen³

et al. 2023

J Med Internet Res

Self Cite

View full text Add to dashboard Cite

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Supporting delivery of remote pulmonary rehabilitation across different healthcare contexts: A multi-national study

Cox,

Rawlings,

Lannin

et al. 2024

Chron Respir Dis

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Purpose: This study aimed to understand factors that health professionals, from a variety of healthcare contexts and countries, believed support remote delivery of pulmonary rehabilitation (PR); and to develop a targeted intervention to support implementation of remote PR. Methods: A 3-phase participatory action-research process was employed, across three study hubs in three countries (NZ, India, USA), representing diverse healthcare delivery contexts. Phase 1 employed focus groups of health professionals working in PR; data were analysed qualitatively with transcripts coded against two implementation frameworks (Theoretical Domains Framework (TDF) and Consolidated Framework for Implementation Research (CFIR)). Findings informed development of an online toolbox to support delivery of remote PR (Phase 2), which was evaluated using semi-structured interviews (Phase 3). Results: 20 health professionals participated across all study phases. Factors considered to influence implementation of remote PR were consistent across diverse healthcare contexts and related to staffing availability, skills and confidence, and equipment and technology accessibility. An online toolbox provided support for enhancing knowledge and confidence, but was not able to address all implementation barriers. Discussion: Key factors to support clinicians deliver remote PR are common across different healthcare contexts, suggesting broader telerehabilitation implementation strategies may be applicable across healthcare environments.

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Exploring Patient Advisors’ Perceptions of Virtual Care Across Canada: Qualitative Phenomenological Study (Preprint)

Braund¹,

Dalgarno²,

Chan-Nguyen³

et al. 2022

Preprint

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BACKGROUND While virtual care services existed prior to the emergence of COVID-19, the pandemic catalyzed a rapid transition from in-person to virtual care service delivery across the Canadian healthcare system. Virtual care includes synchronous or asynchronous delivery of healthcare services through online video visits, telephone visits, or secure messaging. Patient advisors are people with patient and caregiving experiences who collaborate within the healthcare system to share insights and experiences in order to improve healthcare . OBJECTIVE This study aimed to understand patient advisors’ perceptions related to virtual care and potential impacts on healthcare quality. METHODS We adopted a phenomenological approach whereby we interviewed 20 participants who were patient advisors across Canada using a semi-structured interview protocol. The protocol was developed by content experts and medical education researchers. The interviews were audio-recorded, transcribed verbatim, and analyzed thematically. Data collection stopped once thematic saturation was reached. The study was conducted at Queen’s University, Kingston, ON. We recruited 20 participants from five Canadian provinces (17 females and three males). RESULTS Six themes were identified: 1) Characteristics of effective healthcare, 2) Experiences with virtual care, 3) Modality preferences, 4) Involvement of others, 5) Risks associated with virtual care encounters, and 6) vulnerable populations. Participants reported that high-quality healthcare included building relationships and treating patients holistically. Generally, participants described positive experiences with virtual care during the pandemic, including greater efficiency, increased accessibility, and that virtual care was less stressful and more patient-centred. Participants comparing virtual care with in-person care reported that time, scheduling, and content of interactions were similar across modalities. However, participants also shared the perception that certain modalities were more appropriate for specific clinical encounters (e.g., prescription renewals and follow-up appointments). Perspectives related to the involvement of family members and medical trainees were positive. Potential risks included miscommunication, privacy concerns, and inaccurate patient assessments. All participants agreed that stakeholders should be proactive with applying strategies to support vulnerable patients. Participants also recommended education for patients and providers to improve virtual care delivery. CONCLUSIONS Participants reported experiences of virtual care encounters were relatively positive. Future work could focus on delivering training and resources for providers and patients. While initial experiences are positive, there is a need for ongoing stakeholder engagement and evaluation to improve patient and caregiver experiences with virtual care.

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Exploring virtual care clinical experience from non-physician healthcare providers (VCAPE)

Cited by 3 publications

References 31 publications

Exploring Patient Advisors’ Perceptions of Virtual Care Across Canada: Qualitative Phenomenological Study

Exploring Patient Advisors’ Perceptions of Virtual Care Across Canada: Qualitative Phenomenological Study

Supporting delivery of remote pulmonary rehabilitation across different healthcare contexts: A multi-national study

Exploring Patient Advisors’ Perceptions of Virtual Care Across Canada: Qualitative Phenomenological Study (Preprint)

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