Evidence onEvidence on the sustainability of telemedicine in outpatient and primary care during the first two years of the COVID-19 pandemic: a global scoping review Evidence on the sustainability of telemedicine in outpatient and primary care during the first two years of the COVID-19 pandemic: a global scoping review the sustainability of telemedicine in outpatient and primary care during the first two years of the COVID-19 pandemic: a global scoping review (Preprint) DOI
Daniela Valdes,

Ghofran Hijazi,

Ankit Shanker

et al.

Published: Dec. 27, 2022

BACKGROUND The rapid implementation of telemedicine during the early stages COVID-19 pandemic raises questions about sustainability this intervention at global level. OBJECTIVE Verify whether initial drivers support as a consultation medium once lockdowns and social restrictions ease, mapping findings against an established sociotechnical framework technological adoption in healthcare (NASSS). METHODS Followed peer-reviewed published protocol Population-Concept-Context methodology for Scoping reviews, follows. Population (any group)-concept (Patient experience/Clinician-patient relationship/Health Inequalities), context (telemedicine primary/outpatient care). Searches were undertaken academic databases web to capture world-wide grey literature its original language between March 2020 until 2022. Texts (academic abstracts or other text extracts) screened by two researchers, following latest data extraction guidance Joanna Briggs Institute. Abstracts extracts mapped technology framework. Results are discussed from point view grounded theory. RESULTS 134 texts met our criteria, which 27.6% had no structured abstract. identified scope. According protocol’s criteria we found 49% reported specific population group, with groups split age sex 29% 14% respectively. Concept-wise, 42% combined concepts studied, while 21% touch upon Clinician-Patient relationship only, 19% on patient experience 8% health inequalities remainder combining all three. that 55% referred what UK would be outpatient (ambulatory care) setting 34% Primary Care. Patient reflected positive satisfaction sustained access time lockdowns. Relationship was more nuanced impacts interaction quality encounter. We gaps evidence made it difficult pinpoint groups, some negative those fringe systems. Mapping NASSS 93% reference innovation moderately comments. Over half (56%) challenges terms recommendations how address them. 28% generally outlook out plans growth further embedding, remaining either did not (11%) (4%). clinical conditions, outcomes digital skills. CONCLUSIONS is less clear despite among completed consultations cautious optimism clinicians. Additional research needed disenfranchised due socioeconomic deprivation limited insurance. CLINICALTRIAL Study has been registered Open Science Framework (4z5ut).

Language: Английский

Global Evidence on the sustainability of telemedicine in outpatient and primary care during the first two years of the COVID-19 pandemic: a scoping review using the NASSS framework. (Preprint) DOI Creative Commons
Daniela Valdes, Ankit Shanker,

Ghofran Hijazi

et al.

Interactive Journal of Medical Research, Journal Year: 2024, Volume and Issue: 14, P. e45367 - e45367

Published: July 25, 2024

The rapid implementation of telemedicine during the early stages COVID-19 pandemic raises questions about sustainability this intervention at global level. This research examines patient experience, health inequalities, and clinician-patient relationship in pandemic's first 2 years, aiming to identify factors. study was based on a prepublished protocol using Joanna Briggs Institute (JBI) methodology for scoping reviews. We included academic gray literature published between March 2020 2022 according these criteria: (1) population (any group); (2) concepts (patient relationship, inequalities); (3) context (telemedicine primary outpatient care); (4) excluding studies pertaining surgery, oncology, (inpatient) psychiatry. searched Ovid Medline/PubMed (January 1, 2022), Web Science (March 19, Google/Google Scholar (February others. risk bias not assessed as per guidance. used an analysis table color-coded tabular mapping against care technology adoption framework (using double-blind extraction). Of 134 that met our criteria, 49.3% (66/134) reported no specific group. Regarding concepts, 41.8% (56/134) combined studied. identified 56.0% (75/134) referred to, definition United Kingdom, (ambulatory care) setting, 34.3% (46/134) care. experience reflected positive satisfaction sustained access lockdowns. impacts were nuanced, affecting interaction encounter quality. When nonadoption, abandonment, scale-up, spread, (NASSS) framework, 81.3% (109/134) referenced innovation's sustainability. Although overall, there some concerns quality, eHealth literacy, vulnerable migrants uninsured. confusion satisfaction; therefore, future could focus established frameworks qualify across whole pathway just remote encounter. As expected, found mainly descriptive analyses, so is need more robust evidence methods identifying changes treatment pathways. illustrates modern decolonize by extracts other languages. acknowledge use Google level languages has implications reproducibility. did consider synchronous text-based communication. Open Framework 4z5ut; https://osf.io/4z5ut/.

Language: Английский

Citations

1
Evidence onEvidence on the sustainability of telemedicine in outpatient and primary care during the first two years of the COVID-19 pandemic: a global scoping review Evidence on the sustainability of telemedicine in outpatient and primary care during the first two years of the COVID-19 pandemic: a global scoping review the sustainability of telemedicine in outpatient and primary care during the first two years of the COVID-19 pandemic: a global scoping review (Preprint) DOI
Daniela Valdes,

Ghofran Hijazi,

Ankit Shanker

et al.

Published: Dec. 27, 2022

BACKGROUND The rapid implementation of telemedicine during the early stages COVID-19 pandemic raises questions about sustainability this intervention at global level. OBJECTIVE Verify whether initial drivers support as a consultation medium once lockdowns and social restrictions ease, mapping findings against an established sociotechnical framework technological adoption in healthcare (NASSS). METHODS Followed peer-reviewed published protocol Population-Concept-Context methodology for Scoping reviews, follows. Population (any group)-concept (Patient experience/Clinician-patient relationship/Health Inequalities), context (telemedicine primary/outpatient care). Searches were undertaken academic databases web to capture world-wide grey literature its original language between March 2020 until 2022. Texts (academic abstracts or other text extracts) screened by two researchers, following latest data extraction guidance Joanna Briggs Institute. Abstracts extracts mapped technology framework. Results are discussed from point view grounded theory. RESULTS 134 texts met our criteria, which 27.6% had no structured abstract. identified scope. According protocol’s criteria we found 49% reported specific population group, with groups split age sex 29% 14% respectively. Concept-wise, 42% combined concepts studied, while 21% touch upon Clinician-Patient relationship only, 19% on patient experience 8% health inequalities remainder combining all three. that 55% referred what UK would be outpatient (ambulatory care) setting 34% Primary Care. Patient reflected positive satisfaction sustained access time lockdowns. Relationship was more nuanced impacts interaction quality encounter. We gaps evidence made it difficult pinpoint groups, some negative those fringe systems. Mapping NASSS 93% reference innovation moderately comments. Over half (56%) challenges terms recommendations how address them. 28% generally outlook out plans growth further embedding, remaining either did not (11%) (4%). clinical conditions, outcomes digital skills. CONCLUSIONS is less clear despite among completed consultations cautious optimism clinicians. Additional research needed disenfranchised due socioeconomic deprivation limited insurance. CLINICALTRIAL Study has been registered Open Science Framework (4z5ut).

Language: Английский

Citations

1