‘It's a different way to do medicine’: Exploring the affordances of telehealth for hepatitis C healthcare

Fomiatti, Renae; Shaw, Frances; Fraser, Suzanne

doi:10.1016/j.drugpo.2022.103875

Cited by 4 publications

(2 citation statements)

References 42 publications

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“…Despite technical difficulties for some, telehealthdelivered care afforded convenience and ease of access for certain participants, such as fulltime workers or caregivers, which has been reported in other work on telehealth for alcohol interventions and in paediatric medicine [4,8]. These findings support recent research [9] suggesting that telehealth affords different opportunities for individuals, based on their unique context. As such, the benefits of telehealth are not evenly distributed across society and care needs to be taken to ensure marginalised groups are not disadvantaged by telehealth's ongoing use, as healthcare systems move away from pandemic protocols.…”

Section: Client Contexts and Telehealth Experiencessupporting

confidence: 81%

“…Recent qualitative research has explored the affordances of telehealth in AOD treatment, finding that contextual factors such as access to technology, and a private setting to engage in telehealth, influence clients' experiences of telehealth and care [8,9]. On the one hand, telehealth difficulties, including privacy concerns and lack of access to reliable technology, may be exacerbated within AOD treatment populations, who may experience economic and social disadvantage [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

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Experiences of telehealth among people receiving alcohol and other drug treatment during the COVID‐19 pandemic: Implications for future telehealth delivery

Woolley,

Savic,

Garfield

et al. 2023

Drug and Alcohol Review

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IntroductionThe novel coronavirus (COVID‐19) pandemic necessitated the rapid uptake of telehealth to deliver treatment for alcohol and other drug (AOD) concerns. However, little is known about how the move from in‐person to telehealth delivery impacted clients' experience of care. This qualitative study aimed to explore experiences of telehealth among people receiving alcohol and other drug treatment during the COVID‐19 pandemic, and their preferences regarding future telehealth care.MethodsParticipants were aged 34–66 years (M = 44 years, 60% male) and were recruited from Victorian AOD treatment services and consumer networks. A total of 20 semi‐structured interviews were analysed using thematic analysis.ResultsThree themes were identified: (i) experiences of the practical impacts of telehealth; (ii) experiences of telehealth interactions; and (iii) preferences for future telehealth. Contextual factors, including location and socioeconomic status, were found to impact clients' ability to access reliable telehealth with sufficient privacy. While telehealth was generally associated with increased treatment engagement (for a typically stigmatised population), participants noted varying effects on the therapeutic alliance. Although in‐person treatment was generally favoured, participants often valued telehealth as a modality to provide empathic care during the pandemic. Participants expressed a preference for a hybrid treatment model in the future, in which they could choose a combination of telehealth and in‐person services.ConclusionClient and clinician information and training are vital to improve the future delivery of telehealth for AOD treatment.

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Section: Client Contexts and Telehealth Experiencessupporting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Experiences of telehealth among people receiving alcohol and other drug treatment during the COVID‐19 pandemic: Implications for future telehealth delivery

Woolley,

Savic,

Garfield

et al. 2023

Drug and Alcohol Review

View full text Add to dashboard Cite

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Staying with the silence: Silence as affording care in online alcohol and other drug counselling

Savic

Barnett

Pienaar

et al. 2023

International Journal of Drug Policy

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Psychological Factors That Contribute to the Use of Video Consultations in Health Care: Systematic Review

Haydon,

Fowler,

Taylor

et al. 2024

J Med Internet Res

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Background There are numerous benefits to delivering care via video consultations (VCs). Yet, the willingness of health care professionals (HCPs) to use video as a modality of care is one of the greatest barriers to its adoption. Decisions regarding whether to use video may be based on assumptions and concerns that are not necessarily borne of evidence. To effectively address psychological barriers to VC, it is essential to gain a better understanding of specific factors (eg, attitudes, beliefs, and emotions) that influence HCPs’ VC use. Objective This study’s aim was to conduct a systematic literature review of psychological factors in HCPs that impair or promote VC use. Methods Databases were searched in February 2023 for peer-reviewed primary research papers on VCs that discussed psychological factors of health professionals affecting the use of video to deliver health services. A psychological factor was defined as an intraindividual influence related to, or in reaction to, VC use—in this case, the individual being an HCP. Search terms included variations on “telehealth,” “clinician,” and psychological factors (eg, attitude and beliefs) in combination. Peer-reviewed papers of all methodological approaches were included if they were in an Australian setting and the full text was available in English. Studies where the main intervention was another digital health modality (eg, remote monitoring and telephone) were excluded. Studies were also excluded if they only reported on extrinsic factors (eg, environmental or economic). Information extracted included author, year, medical specialty, psychological component mentioned, explanation as to why the psychological factor was related to VC use, and exemplar quotes from the paper that correspond to a psychological component. Each extracted psychological factor was classified as a positive, negative, ambivalent, or neutral perspective on VC, and a thematic analysis then generated the factors and themes. Theories of behavior were considered and discussed to help frame the interaction between themes. Results From 4592 studies, data were extracted from 90 peer-reviewed papers. Cognitive and emotional motivators and inhibitors, such as emotional responses, self-efficacy, attitudes, and perceived impact on the clinician as a professional, all interact to influence HCP engagement in VCs. These factors were complex and impacted upon one another. A cyclical relationship between these factors and intention to engage in VCs and actual use of VCs was found. These findings were used to form the psychological attributes of VC engagement (PAVE) model. Evidence suggests that HCPs fall within 4 key user categories based on the amount of cognitive and practical effort needed to deliver VCs. Conclusions Although further research is needed to validate the current findings, this study provides opportunity for more targeted interventions that address psychological factors impeding effective use of VCs.

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‘It's a different way to do medicine’: Exploring the affordances of telehealth for hepatitis C healthcare

Cited by 4 publications

References 42 publications

Experiences of telehealth among people receiving alcohol and other drug treatment during the COVID‐19 pandemic: Implications for future telehealth delivery

Experiences of telehealth among people receiving alcohol and other drug treatment during the COVID‐19 pandemic: Implications for future telehealth delivery

Staying with the silence: Silence as affording care in online alcohol and other drug counselling

Psychological Factors That Contribute to the Use of Video Consultations in Health Care: Systematic Review

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