Telehealth quality check: Is it time for national standards?

McKenzie, Rosemary; Kanhutu, Kudzai

doi:10.31128/ajgp-05-21-5967

Cited by 2 publications

(1 citation statement)

References 17 publications

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“…As governments start to implement change based on both early COVID-19 experiences and ongoing management, consideration of the role of telehealth within the health system is central for effective clinical care. Any extension to telehealth subsidisation by the Australian government will perpetuate system-level limitations unless supported by an evidence-based approach (Mahtta et al, 2021;McKenzie & Kanhutu, 2021;Thomas et al, 2022).…”

Section: Gastrointestinal Specialist Perspectives On Telehealth Consu...mentioning

confidence: 99%

Gastrointestinal specialist perspectives on telehealth consultations

Nguyen,

White,

Naresh

et al. 2024

QHC

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Background: Telehealth, care delivered via phone or video call, affects the delivery of healthcare, and this is reflected in provider and patient satisfaction. Aim: The aim of this study was to ascertain medical specialists’ experiences using telehealth in a single specialty group, gastroenterology. Methods: Gastrointestinal specialists known to the research team were invited to six semi-structured, one-on-one interviews conducted (by telephone) during the height of COVID-19 imposed telehealth practice. Specialists were asked about their experiences using telehealth. Interviews were transcribed verbatim and thematically analysed independently by two reviewers to identify major themes. Results: The absence of visual cues (when over the telephone) and limited physical examination in telehealth in general were perceived as major barriers for specialist telehealth consultations. Convenient for straightforward situations where relationships were already established, the complexity inherent in a specialist review challenged the telehealth medium. Discussion: Specialists acknowledged the pragmatism of telehealth in some situations, but emphasised logistical, technical, and communication barriers to using telehealth. Conclusions: Awareness of these limitations will direct training for clinicians and allied staff to better triage situations suited to a medium where neither participant are co-located.

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Section: Gastrointestinal Specialist Perspectives On Telehealth Consu...mentioning

confidence: 99%

Gastrointestinal specialist perspectives on telehealth consultations

Nguyen,

White,

Naresh

et al. 2024

QHC

View full text Add to dashboard Cite

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A Qualitative Intervention Evaluation of Neonatal Virtual Family-Centered Rounds

Ranu,

Hoffman,

Sauers-Ford

et al. 2024

Hospital Pediatrics

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OBJECTIVE: To conduct an implementation evaluation of the virtual family-centered rounds (FCR) intervention by exploring the perceptions and experiences of parents and care team providers. METHODS: We conducted a qualitative descriptive study using a thematic analysis of unobtrusive observations of rounding encounters and semi-structured interviews with the parents of discharged infants and members of the neonatal care team. Eligible participants had used virtual FCR at least once. Five research team members independently performed focused coding and memo writing of transcripts and observation fieldnotes. The team met weekly to compare and refine codes, update the interview guide, develop tentative categories, and discuss the theoretical direction. RESULTS: We conducted 406 minutes of unobtrusive observations and 21 interviews with parents, physicians, neonatal nurse practitioners, bedside nurses, dieticians, and pharmacists. Three themes and 13 subthemes emerged from the analysis: (1) virtual FCR improved perceived care delivery and clinical outcomes through increased opportunities for parent engagement, (2) the acceptance of virtual FCR by providers grew over time despite the persistent presence of technical challenges, and (3) the implementation of virtual FCR should be standardized and delivered by the care team to enhance usability, effectiveness, and sustainability. CONCLUSIONS: Virtual FCR is perceived by NICU parents and care team providers to be a valuable intervention that can enhance family centered care. The identified virtual FCR implementation strategies should be tested in further studies.

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Telehealth quality check: Is it time for national standards?

Cited by 2 publications

References 17 publications

Gastrointestinal specialist perspectives on telehealth consultations

Gastrointestinal specialist perspectives on telehealth consultations

A Qualitative Intervention Evaluation of Neonatal Virtual Family-Centered Rounds

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