التفاصيل البيبلوغرافية
| العنوان: |
Implementing Team-Based Telemedicine Workflows in Safety-Net Primary Care. |
| المؤلفون: |
Kong, Marianna1 Marianna.kong@ucsf.edu, Willard-Grace, Rachel1, Khoong, Elaine1, Sharma, Anjana1, Mukerjee, Monjori2, Su, George1, Tuot, Delphine1 |
| المصدر: |
American Journal of Managed Care. 2024 Special Issue, Vol. 30, pSP437-SP444. 13p. |
| مصطلحات موضوعية: |
*SAFETY-net health care providers, *QUALITATIVE research, *NURSE administrators, *RESEARCH funding, *PRIMARY health care, *INTERVIEWING, *PHYSICIANS' attitudes, *DISEASE prevalence, *TELEMEDICINE, *WORKFLOW, *THEMATIC analysis, *SOUND recordings, *ATTITUDES of medical personnel, *RESEARCH methodology, *GROUNDED theory, *PHYSICIANS, *HEALTH maintenance organizations, *HEALTH care teams, *VIDEO recording |
| مستخلص: |
OBJECTIVES: Challenges in implementing telemedicine disproportionately affect patients served in safety-net settings. Few studies have elucidated pragmatic, team-based strategies for successful telemedicine implementation in primary care, especially with a safety-net population. STUDY DESIGN: We conducted in-depth, semistructured qualitative interviews with primary care clinicians and staff in a large urban safety-net health care system on the facilitators, challenges, and impact of implementing team workflows for synchronous telemedicine video and audio-only visits. METHODS: Interviews were analyzed using modified grounded theory with multistage coding. Common themes were identified and reviewed to describe within-group and between-group variations. We used the Practical, Robust Implementation Sustainability Model framework to organize the final themes with an implementation science lens. RESULTS: Four themes emerged from 11 interviews: (1) having a dedicated individual preparing patients for video visits is a prerequisite for the successful introduction of video visits to patients with limited digital literacy; (2) health care maintenance during video and audio-only visits benefits from standardized workflows and communication; (3) the increased flexibility and accessibility of telemedicine visits were perceived benefits to patient care, despite barriers for subsets of patients; and (4) telemedicine visits generally have a positive impact on work experience for clinicians and staff due to increased efficiency, despite audio-only visits feeling less engaging. CONCLUSIONS: Understanding how to strategically use team-based workflows to expand video visit access while ensuring care quality of all telemedicine visits will allow primary care practices to maximize telemedicine's benefits to patients in the safety-net setting. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
Academic Search Index |
Full Text Finder