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Specialized healthcare practitioners' challenges in performing video consultations to patients in Nordic Countries - a systematic review and narrative synthesis.
Baluszek, Joanna Barbara; Wiig, Siri; Myrnes-Hansen, Kai Victor; Brønnick, Kolbjørn Kallesten.
  • Baluszek JB; Faculty of Health Sciences, Department of Quality and Health Technology, University of Stavanger, Stavanger, Norway. joanna.b.baluszek@uis.no.
  • Wiig S; Cognitive Lab: Cognitive and Behavioral Neuroscience Lab, University of Stavanger, Stavanger, Norway. joanna.b.baluszek@uis.no.
  • Myrnes-Hansen KV; SHARE - Centre for Resilience in Healthcare, University of Stavanger, Stavanger, Norway. joanna.b.baluszek@uis.no.
  • Brønnick KK; Faculty of Health Sciences, Department of Quality and Health Technology, University of Stavanger, Stavanger, Norway.
BMC Health Serv Res ; 22(1): 1432, 2022 Nov 28.
Article in English | MEDLINE | ID: covidwho-2139281
ABSTRACT

BACKGROUND:

Video consultations are becoming an important telemedicine service in Nordic countries. Its use in specialized healthcare increased significantly during COVID-19 pandemic. Despite advantages video consultations have, it may also produce challenges for practitioners. Identifying and understanding these challenges may contribute to how managers can support these practitioners and thereby improve work related wellbeing and quality of care.

METHODS:

We designed this study as systematic review of the literature with narrative synthesis and conducted a thematic analysis. We conducted review about the use of video consultations in specialized healthcare in Nordic countries to identify and categorize challenges experienced and/or perceived by practitioners. We searched Ovid MEDLINE(R), EMBASE, APA PsycINFO, and CINAH, from 2011 to 2021. Eligibility criteria were population - practitioners in specialized healthcare with experience in video consultations to patients, interest - challenges experienced and/or perceived by practitioners and, context - outpatient clinics in Nordic countries.

RESULTS:

We included four qualitative and one mixed method studies, published between 2018 and 2021 in Norway, Denmark, and Sweden. By thematic analysis we identified three main themes challenges related to video consultation, challenges related to practitioner and, challenges related to patient. These themes are composed of 8 categories technology uncertainties, environment and surroundings, preparation for requirements, clinical judgment, time management, practitioners' idiosyncrasies, patients' idiosyncrasies and patients' suitability and appropriateness. Challenges from technology uncertainties category were most frequent (dominant) across all clinical specializations.

CONCLUSION:

Findings indicate the scarcity of the research and provide rationale for further research addressing challenges in providing video consultations in the Nordic context. We suggest updating this review when the amount of available research increases.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Telemedicine / COVID-19 Type of study: Observational study / Prognostic study / Qualitative research / Reviews / Systematic review/Meta Analysis Limits: Humans Country/Region as subject: Europa Language: English Journal: BMC Health Serv Res Journal subject: Health Services Research Year: 2022 Document Type: Article Affiliation country: S12913-022-08837-y

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Telemedicine / COVID-19 Type of study: Observational study / Prognostic study / Qualitative research / Reviews / Systematic review/Meta Analysis Limits: Humans Country/Region as subject: Europa Language: English Journal: BMC Health Serv Res Journal subject: Health Services Research Year: 2022 Document Type: Article Affiliation country: S12913-022-08837-y