Perceptions and attitudes of patients and health care stakeholders on implementing a telehealth service for preoperative evaluation: a qualitative analysis
Background: Studies suggest that preoperative evaluation can be effectively conducted through telehealth. As the COVID-19 pandemic has accelerated digital transformation, we hypothesize that a new telehealth model of care may be feasibly implemented for preoperative evaluation at our institution. Th...
| Main Authors: | , , , , |
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| Other Authors: | |
| Format: | Journal Article |
| Language: | English |
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2024
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| Online Access: | https://hdl.handle.net/10356/173555 |
| _version_ | 1811688892208775168 |
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| author | Lew, Eileen Tan, Sean Fong Jun Teo, Agnes Sng, Ban L. Lum, Elaine P. M. |
| author2 | Lee Kong Chian School of Medicine (LKCMedicine) |
| author_facet | Lee Kong Chian School of Medicine (LKCMedicine) Lew, Eileen Tan, Sean Fong Jun Teo, Agnes Sng, Ban L. Lum, Elaine P. M. |
| author_sort | Lew, Eileen |
| collection | NTU |
| description | Background: Studies suggest that preoperative evaluation can be effectively conducted through telehealth. As the COVID-19 pandemic has accelerated digital transformation, we hypothesize that a new telehealth model of care may be feasibly implemented for preoperative evaluation at our institution. This qualitative study seeks to evaluate the attitudes and perception of elective surgery patients and health care providers toward telehealth conducted for preanesthesia evaluation. Methods: At a tertiary women’s hospital in Asia, health care providers and elective surgery patients were recruited by convenience and snowball sampling to undergo one-on-one semistructured interviews regarding a new telehealth model of care for preanesthesia evaluation, under-pinned by the Normalization Process Theory. Data were analyzed, coded, and consolidated into themes using the framework analysis method by a team of four researchers from diverse backgrounds. Results: Twenty-five interviews were conducted among 10 patients and 15 health care participants. Ninety-five codes were identified, consolidated into four themes that connect to guide the implementation of a new telehealth pathway for preoperative care, mapped to the Normalization Process Theory. The themes pertain to advantages of telehealth workflow (coherence), requisites for new telehealth workflow (coherence, collective action), barriers to implementation (cognitive participation, collective action), and enablers of implementation (cognitive participation, collective action). All participants were receptive to telehealth, but health care participants expressed concern about the impact of additional tasks on current clinical workload. Training in videoconferencing was deemed essential by both patients and health care providers. Conclusions: The study has provided insights into levels of coherence and cognitive participation among patients and health care providers. The telehealth workflow should be redesigned, considering systems’ constraints and stakeholders’ needs. Greater buy-in is needed to gain health care providers’ commitment for collective action. Clinicaltrials.gov identifier: NCT05781789. |
| first_indexed | 2024-10-01T05:39:25Z |
| format | Journal Article |
| id | ntu-10356/173555 |
| institution | Nanyang Technological University |
| language | English |
| last_indexed | 2024-10-01T05:39:25Z |
| publishDate | 2024 |
| record_format | dspace |
| spelling | ntu-10356/1735552024-02-18T15:38:04Z Perceptions and attitudes of patients and health care stakeholders on implementing a telehealth service for preoperative evaluation: a qualitative analysis Lew, Eileen Tan, Sean Fong Jun Teo, Agnes Sng, Ban L. Lum, Elaine P. M. Lee Kong Chian School of Medicine (LKCMedicine) Medicine, Health and Life Sciences Telemedicine Telehealth Background: Studies suggest that preoperative evaluation can be effectively conducted through telehealth. As the COVID-19 pandemic has accelerated digital transformation, we hypothesize that a new telehealth model of care may be feasibly implemented for preoperative evaluation at our institution. This qualitative study seeks to evaluate the attitudes and perception of elective surgery patients and health care providers toward telehealth conducted for preanesthesia evaluation. Methods: At a tertiary women’s hospital in Asia, health care providers and elective surgery patients were recruited by convenience and snowball sampling to undergo one-on-one semistructured interviews regarding a new telehealth model of care for preanesthesia evaluation, under-pinned by the Normalization Process Theory. Data were analyzed, coded, and consolidated into themes using the framework analysis method by a team of four researchers from diverse backgrounds. Results: Twenty-five interviews were conducted among 10 patients and 15 health care participants. Ninety-five codes were identified, consolidated into four themes that connect to guide the implementation of a new telehealth pathway for preoperative care, mapped to the Normalization Process Theory. The themes pertain to advantages of telehealth workflow (coherence), requisites for new telehealth workflow (coherence, collective action), barriers to implementation (cognitive participation, collective action), and enablers of implementation (cognitive participation, collective action). All participants were receptive to telehealth, but health care participants expressed concern about the impact of additional tasks on current clinical workload. Training in videoconferencing was deemed essential by both patients and health care providers. Conclusions: The study has provided insights into levels of coherence and cognitive participation among patients and health care providers. The telehealth workflow should be redesigned, considering systems’ constraints and stakeholders’ needs. Greater buy-in is needed to gain health care providers’ commitment for collective action. Clinicaltrials.gov identifier: NCT05781789. Published version This study was supported by the SingHealth Duke-NUS Academic Medicine Research Grant-Special Category (Health Services Research) Grant number AM/HRT008/2021. 2024-02-14T01:19:28Z 2024-02-14T01:19:28Z 2023 Journal Article Lew, E., Tan, S. F. J., Teo, A., Sng, B. L. & Lum, E. P. M. (2023). Perceptions and attitudes of patients and health care stakeholders on implementing a telehealth service for preoperative evaluation: a qualitative analysis. Telemedicine Reports, 4(1), 156-165. https://dx.doi.org/10.1089/tmr.2023.0023 2692-4366 https://hdl.handle.net/10356/173555 10.1089/tmr.2023.0023 37771697 2-s2.0-85164452034 1 4 156 165 en AM/HRT008/2021 Telemedicine Reports © Eileen Lew et al., 2023; Published by Mary Ann Liebert, Inc. This Open Access article is distributed under the terms of the Creative Commons License [CC-BY](http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. application/pdf |
| spellingShingle | Medicine, Health and Life Sciences Telemedicine Telehealth Lew, Eileen Tan, Sean Fong Jun Teo, Agnes Sng, Ban L. Lum, Elaine P. M. Perceptions and attitudes of patients and health care stakeholders on implementing a telehealth service for preoperative evaluation: a qualitative analysis |
| title | Perceptions and attitudes of patients and health care stakeholders on implementing a telehealth service for preoperative evaluation: a qualitative analysis |
| title_full | Perceptions and attitudes of patients and health care stakeholders on implementing a telehealth service for preoperative evaluation: a qualitative analysis |
| title_fullStr | Perceptions and attitudes of patients and health care stakeholders on implementing a telehealth service for preoperative evaluation: a qualitative analysis |
| title_full_unstemmed | Perceptions and attitudes of patients and health care stakeholders on implementing a telehealth service for preoperative evaluation: a qualitative analysis |
| title_short | Perceptions and attitudes of patients and health care stakeholders on implementing a telehealth service for preoperative evaluation: a qualitative analysis |
| title_sort | perceptions and attitudes of patients and health care stakeholders on implementing a telehealth service for preoperative evaluation a qualitative analysis |
| topic | Medicine, Health and Life Sciences Telemedicine Telehealth |
| url | https://hdl.handle.net/10356/173555 |
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