Telemedicine – a Boon to Parents of Children with Health Care Needs During COVID-19 Pandemic: A Qualitative Study from India

Abstract

Objective: The coronavirus disease 2019 pandemic had greatly impacted health worldwide. The nationwide lockdown was imposed to contain the virus transmission, which indirectly affected health care utilization. Pediatric patients’, as they are considered as a vulnerable group, parents faced a significant challenge to manage their children’s surgical and medical care needs during the coronavirus disease 2019 pandemic. The study aims to explore the parental approach to health care facilities to meet children’s surgical care needs during the coronavirus disease 2019 pandemic. Materials and Methods: A qualitative approach was adopted to fulfill the objective by conducting an in-depth interview using a semi-structured interview schedule among 26 parents of children with perioperative surgical care needs at a tertiary care hospital, eastern India. The digitally recorded interviews were transcribed verbatim. Thematic analysis was employed to understand the parent’s experience toward meeting children’s surgical care needs during the coronavirus disease 2019 pandemic lockdown. QSR NVIVO software version 12 was used for data management. Results: The study found 3 themes related to parent’s experience which include state of desperation (sub-themes: lockdown effect, ignorant to the health facility, phobic to coronavirus disease infection, and testing), state of assurance (sub-themes: telemedicine: accessibility, approachability, and applicability), and state of serenity (sub-themes: refrained from somatic symptoms and shouldering the responsibility). Conclusion: Despite various hurdles parents faced during the pandemic, telemedicine helped parents meet their children’s surgical care needs. Framing guidance, protocols to deal with emergency and primary care delivery, and disseminating information on telemedicine facilities to grassroot level to the community can protect this vulnerable population in the upcoming surge of coronavirus disease 2019 waves.

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“…Currently, increasing interest of families in digital media resources such as mobile applications, online videos, interventions from patient portals and podcasts, and their turn to and satisfaction with virtual environments in behavioral interventions, especially due to the pandemic, supports this hypothesis. 35 , 36 The results of a systematic review study conducted on this subject showed that technology-based programs focusing on the socioemotional development of children in low- and middle-income countries have promising effects on parenting. 37 Especially due to the pandemic the interest of families in digital media resources such as mobile applications, online videos, interventions from patient portals and podcasts, and satisfaction with virtual environments in behavioral interventions have increased.…”