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Barriers and facilitators for implementing paediatric telehealth: Rapid review of user perspectives
Obesity Facts ; 14(SUPPL 1):31-32, 2021.
Article in English | EMBASE | ID: covidwho-1255704
ABSTRACT

Introduction:

COVID-19 has brought to the fore an urgent need for secure information and communication technology (ICT) supported healthcare delivery, as the pertinence of infection control and social distancing continues. Telehealth for pediatric care incorporates additional layers of complexity compared with adult services for a variety of reasons including logistical, privacy, parental consent, child assent, child welfare, and quality concerns. There is no systematic evidence synthesis available that outlines the implementation issues for incorporating telehealth to pediatric services generally, or how users perceive these issues.

Methods:

We conducted a rapid mixed-methods evidence synthesis to identify barriers, facilitators, and documented stakeholder experiences of implementing pediatric telehealth, to inform the pandemic response. A systematic search was undertaken by a research librarian in MEDLINE for relevant studies. All identified records were blind double-screened by two reviewers. Implementation-related data were extracted, and studies quality appraised using the Mixed-Methods Appraisal Tool. Qualitative findings were analyzed thematically and then mapped to the Consolidated Framework for Implementation Research. Quantitative findings about barriers and facilitators for implementation were narratively synthesized.

Results:

We identified 27 eligible studies (19 quantitative;5 mixed-methods, 3 qualitative). Important challenges highlighted from the perspective of the healthcare providers included issues with ICT proficiency, lack of confidence in the quality/reliability of the technology, connectivity issues, concerns around legal issues, increased administrative burden and/ or fear of inability to conduct thorough examinations with reliance on subjective descriptions. Facilitators included clear dissemination of the aims of ICT services, involvement of staff throughout planning and implementation, sufficient training, and cultivation of telehealth champions. Families often expressed preference for in-person visits but those who had tried tele-consultations, lived far from clinics, or perceived increased convenience with technology considered telemedicine more favorably. Concerns from parents included the responsibility of describing their child's condition in the absence of an examination.

Conclusion:

Healthcare providers and families who have experienced tele-consultations generally report high satisfaction and usability for such services. The use of ICT to facilitate pediatric healthcare consultations is feasible for certain clinical encounters and can work well with appropriate planning and quality facilities in place.

Full text: Available Collection: Databases of international organizations Database: EMBASE Type of study: Reviews Language: English Journal: Obesity Facts Year: 2021 Document Type: Article

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Full text: Available Collection: Databases of international organizations Database: EMBASE Type of study: Reviews Language: English Journal: Obesity Facts Year: 2021 Document Type: Article