Is telemedicine a holy grail in healthcare policy: clinicians’ and patients’ perspectives from an Apex Institution in Western India

Abstract Background This study aimed to explore the perception of doctors regarding telemedicine consultations and the level of patient satisfaction with the services received through teleconsultations. Methods This cross-sectional study was conducted on clinicians who provided teleconsultations and...

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Main Authors: Nainsi Gupta, Manoj Kumar Gupta, Nitin Kumar Joshi, Neha Mantri, G. Sridevi, Mamta Patel, Akhil Dhanesh Goel, Kuldeep Singh, M. K. Garg, Pankaj Bhardwaj
Format: Article
Language:English
Published: BMC 2023-02-01
Series:BMC Health Services Research
Subjects:
Online Access:https://doi.org/10.1186/s12913-022-09013-y
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author Nainsi Gupta
Manoj Kumar Gupta
Nitin Kumar Joshi
Neha Mantri
G. Sridevi
Mamta Patel
Akhil Dhanesh Goel
Kuldeep Singh
M. K. Garg
Pankaj Bhardwaj
author_facet Nainsi Gupta
Manoj Kumar Gupta
Nitin Kumar Joshi
Neha Mantri
G. Sridevi
Mamta Patel
Akhil Dhanesh Goel
Kuldeep Singh
M. K. Garg
Pankaj Bhardwaj
author_sort Nainsi Gupta
collection DOAJ
description Abstract Background This study aimed to explore the perception of doctors regarding telemedicine consultations and the level of patient satisfaction with the services received through teleconsultations. Methods This cross-sectional study was conducted on clinicians who provided teleconsultations and patients who received teleconsultations in an Apex healthcare institution in Western India. Semi-structured interview schedules were used to record the quantitative and qualitative information. Clinicians’ perceptions and patients’ satisfaction were assessed using two different 5-point Likert scales. Data were analyzed using SPSS v.23 using non-parametric tests (Kruskal Wallis and Mann-Whitney U). Results A total of 52 clinicians who delivered teleconsultations and 134 patients who received teleconsultations from those doctors were interviewed in this study. For 69% of doctors, telemedicine was feasible to implement, and for the rest, it was challenging. Doctors believe telemedicine is convenient for patients (77%) and prevents the transmission of infection (94.2%). Difficulty in clinical evaluation (73%), communication (55.7%), network connectivity (34%), diagnosis and investigations (32%), and patients’ e-illiteracy (32%) were the most common challenges faced by clinicians. Patients’ experiences were positive in terms of ease of registration (82.1%), audio quality (100%), freedom to discuss medicine (94.8%), and comprehension of the diagnoses (88.1%). Patients expressed satisfaction with the length of the teleconsultation (81.4%), the advice and care they received (78.4%), and the manner and communication of the clinicians (78.4%). Conclusions Though there were some challenges in the implementation of telemedicine, the clinicians perceived it quite helpful. The majority of the patients were satisfied with teleconsultation services. Difficulty in registration, lack of communication, and a deep-rooted mindset of physical consultations were the primary concerns from the patient side.
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spelling doaj.art-0cae9625b8694b229dc22933a6c14f0c2023-03-22T10:47:47ZengBMCBMC Health Services Research1472-69632023-02-0123111110.1186/s12913-022-09013-yIs telemedicine a holy grail in healthcare policy: clinicians’ and patients’ perspectives from an Apex Institution in Western IndiaNainsi Gupta0Manoj Kumar Gupta1Nitin Kumar Joshi2Neha Mantri3G. Sridevi4Mamta Patel5Akhil Dhanesh Goel6Kuldeep Singh7M. K. Garg8Pankaj Bhardwaj9School of Public Health, All India Institute of Medical Sciences JodhpurSchool of Public Health, All India Institute of Medical Sciences JodhpurSchool of Public Health, All India Institute of Medical Sciences JodhpurSchool of Public Health, All India Institute of Medical Sciences JodhpurDepartment of Community Medicine & Family Medicine, All India Institute of Medical Sciences JodhpurSchool of Public Health, All India Institute of Medical Sciences JodhpurDepartment of Community Medicine & Family Medicine, All India Institute of Medical Sciences JodhpurDepartment of Pediatrics, All India Institute of Medical Sciences JodhpurDepartment of Medicine, All India Institute of Medical Sciences JodhpurSchool of Public Health, All India Institute of Medical Sciences JodhpurAbstract Background This study aimed to explore the perception of doctors regarding telemedicine consultations and the level of patient satisfaction with the services received through teleconsultations. Methods This cross-sectional study was conducted on clinicians who provided teleconsultations and patients who received teleconsultations in an Apex healthcare institution in Western India. Semi-structured interview schedules were used to record the quantitative and qualitative information. Clinicians’ perceptions and patients’ satisfaction were assessed using two different 5-point Likert scales. Data were analyzed using SPSS v.23 using non-parametric tests (Kruskal Wallis and Mann-Whitney U). Results A total of 52 clinicians who delivered teleconsultations and 134 patients who received teleconsultations from those doctors were interviewed in this study. For 69% of doctors, telemedicine was feasible to implement, and for the rest, it was challenging. Doctors believe telemedicine is convenient for patients (77%) and prevents the transmission of infection (94.2%). Difficulty in clinical evaluation (73%), communication (55.7%), network connectivity (34%), diagnosis and investigations (32%), and patients’ e-illiteracy (32%) were the most common challenges faced by clinicians. Patients’ experiences were positive in terms of ease of registration (82.1%), audio quality (100%), freedom to discuss medicine (94.8%), and comprehension of the diagnoses (88.1%). Patients expressed satisfaction with the length of the teleconsultation (81.4%), the advice and care they received (78.4%), and the manner and communication of the clinicians (78.4%). Conclusions Though there were some challenges in the implementation of telemedicine, the clinicians perceived it quite helpful. The majority of the patients were satisfied with teleconsultation services. Difficulty in registration, lack of communication, and a deep-rooted mindset of physical consultations were the primary concerns from the patient side.https://doi.org/10.1186/s12913-022-09013-yTelemedicineTeleconsultationCOVID-19PerceptionPatient satisfaction
spellingShingle Nainsi Gupta
Manoj Kumar Gupta
Nitin Kumar Joshi
Neha Mantri
G. Sridevi
Mamta Patel
Akhil Dhanesh Goel
Kuldeep Singh
M. K. Garg
Pankaj Bhardwaj
Is telemedicine a holy grail in healthcare policy: clinicians’ and patients’ perspectives from an Apex Institution in Western India
BMC Health Services Research
Telemedicine
Teleconsultation
COVID-19
Perception
Patient satisfaction
title Is telemedicine a holy grail in healthcare policy: clinicians’ and patients’ perspectives from an Apex Institution in Western India
title_full Is telemedicine a holy grail in healthcare policy: clinicians’ and patients’ perspectives from an Apex Institution in Western India
title_fullStr Is telemedicine a holy grail in healthcare policy: clinicians’ and patients’ perspectives from an Apex Institution in Western India
title_full_unstemmed Is telemedicine a holy grail in healthcare policy: clinicians’ and patients’ perspectives from an Apex Institution in Western India
title_short Is telemedicine a holy grail in healthcare policy: clinicians’ and patients’ perspectives from an Apex Institution in Western India
title_sort is telemedicine a holy grail in healthcare policy clinicians and patients perspectives from an apex institution in western india
topic Telemedicine
Teleconsultation
COVID-19
Perception
Patient satisfaction
url https://doi.org/10.1186/s12913-022-09013-y
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